PoorEco&SIP

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    Poor Economics,

    Social Impact

    & Us

    Courtsey:A.Bannerjee, E.Duflo &

    W.Easterly, D.Moyo...

    Jeff and Rohit!

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    Agenda

    What is poverty

    Anomalies in behaviour

    Understanding the poor

    SIP

    There are two sides to the coin

    What can we do?

    Disclaimer

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    Story of Farmer Kennedy

    As told by Angelina Jolie!

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    What does poverty mean

    The Poverty Line in India is 16 rupees per person per day ~

    $1/day

    26% of India is BPL

    Average GDP per capita $1500 : $5/day

    The poverty line in the USA is $14/day.

    Average GDP per capita US $47,400 : $129

    865 million people in the world live with less than 99 cents

    per day

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    BPL - world

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    Population living on

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    Poverty Is Not Only Lack of Income

    But also:

    Poor health : 9 million children every year die

    under the age of 5, mainly of preventable disease

    Poor education : 50% of children enrolled in

    school in India cannot read a simple paragraph

    Poor quality of life: hours collecting water instead

    of playing, working, learning. Difficulty to realize your ambition: Get a loan for a

    business, be insured for the risk of your farm

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    The Aid debate

    Since 1980s $600 Billion

    Jeffery Sachs

    Poverty trap

    Aid kick-starts virtuous cycle

    William Easterly and Dambisa Moyo

    2/3rd goes to corrupt dictators

    Inhibits democracy, trade and develeopment

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    The case of Pak Solhin

    40s Wife, three children, Indonesia

    Farm Laborer -> Increase in fertiliser prices ->

    Drop in labor demand -> Low salary -> Cant feed

    on that salary -> so cant take job -> picks easyfishes, cant swim -> too old to get more

    skilled/labor job

    First few calories just enough to survive, not to getstrength

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    The income-growth curve

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    When does a poverty trap emerge?

    When we compare the different curve, there

    is something specific about the first curve

    The S-Shaped curve intersects the 45 degree line

    from below:

    So the poor become poorer (up to a point)

    At some higher income, the rate of growth of

    income start increasing How does it matter?

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    Aid debate = Is there a poverty trap?

    How to find out

    Enter RCTs

    J-PAL

    www.pooreconomics.com

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    Testing for poverty traps

    Nutrition based trap

    Health based trap

    Education based trap

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    Nutrition trap

    Do poor eat as much as they can

    In Udaipur, poor household could spend up to 30% more rest in

    tobacco, alcohol, festivals, sweets etc

    When chance to spend a bit more on food

    Calories per rupee - millets (jowar and bajra) > Wheat and Rice. Yet 30%is spent on tastier

    Is it that poor are small = dont need to consume more. Indian women

    BMI only > Eritrea (81 country)

    Has calorific consumption gone down because of less physical work?

    Lack of Iron leads to lethargy and less aerobic capcity. Leads tosignificant health issues for pregnant women and its foetus

    Cost of fortified fish oil is $7/year productivity gain $47/year

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    Nutrition trap

    Solhin gets access to free rice Rakshin program,

    gets family help

    Studies show deworming for 2 yrs leads to $3269

    more lifetime earnings Costs $1.36 pp/yr

    Problem is not the quantity of food (not for American

    farmers!)

    It is quality, certainly, and a lot of other factors

    (psychological, knowledge, human weakness)

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    Health trap

    Story of Malaria and medication 880,000 deaths/year 91% in Africa; 85% saving 30%($295) >> $14

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    Traditional economics tells us that, whenever

    there is an externality, such that the private

    incentives are not aligned to the social

    benefit, tax or subsidies should be used toalign private incentives

    Economic externality

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    Less conventional economics

    Sunk cost

    No skin in the game

    Entitlement effect

    People will expect other things to be free

    Sachs vs Easterly debate continues

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    Health trap

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    Health trap

    Solution

    Ask the right questions

    Price-elasticity of nets

    Avoid Biasdont compare across homogenous

    samples -> RCT

    What is the effect of adoption when already free

    nets are given self or neighbour

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    Demand at various prices

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    Demand when nets were not free

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    Health trap

    Medication - Low hanging fruit?

    9 Million die < 5yrs

    20% die of Diarrhea

    Simple, cheap, available cure ORS

    But the mother wants antibiotics and IV drips

    Chlorine ($0.18) can prevent for family of 6 10% use it

    So, are the poor unwilling to spend on healthissues?

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    Health trap

    Ibu Emptat, Indonesian, wife of a basket weaver (summer 2008), her husband was having trouble with his vision.

    She had to borrow money from the local moneylender 100, 000 rupiah ($18.75 USD PPP) to pay for medicine so that her

    husband could work again, and

    300,000 rupiah ($56 USD PPP) for food for the period when herhusband was recovering and could not work (three of her sevenchildren were still living with them).

    They had to pay 10 percent per month in interest on the loan.However, they fell behind on their interest payments and by the timewe met, her debt had ballooned to 1 million rupiah ($187 USD PPP);

    the moneylender was threatening to take everything they had Son falls sick and cant be treated health trap?

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    Health trap

    Lot of cheap/high-ROI options

    Access to clean water

    $20/month per household not many govt can afford

    Gram Vikas does it cheaper in Orissa. But in Orissa itsalso a social issue high caste people wont allow pipeconnecting everyone

    Chlroine costs 1/4th the cooking oil price

    < 40% of babies are breast-fed for 6 months So, ladders to get out of poverty are probably

    there

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    Health trap

    Udaipur very remote 1.5 miles only to nearest free public health 25%

    visits

    Bhopas (25%) and Bengalis (50%) instead most

    unqualified All under-diagnose and over-medicate (3-3-3 rule)

    3 minutes, 3 questions, 3 medicines

    So is bad attendance, reliablility the issue?

    Seva mandir initiative -> 6-16% still, 8/10 not vaccinated Is it sunk-cost effect: Free/cheap => worthless

    Easterly Nets=Wedding veils, Toilets = flowerpots TAMTAM :: not true

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    Health trap

    Faith!

    US/UK many refuse to vaccinate against measles,rumoured links to autism

    Poor believe O.S drugs are ineffective Not much conviction though

    Same people go to Bhupa, bengali and PHS

    Seva Mandir 1Kg dal experiment 6-38%

    Still 77% first shot without incentive 38% fullfive shots

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    Education trap

    Shantarama Widowed mother of six. First three schooled. Next two

    dropped out

    Schools available, free in most places now

    Still 15-50% absenteeism The supply vs demand argument

    MDG talks about schooling. Not learning

    2002-03 Absenteeism survey Bangladesh, Ecuador, Peru, India & Uganda Teachers abscond 1

    in 5 days ASER/Pratham survey (7-14 yrs), 2005

    30% cant readh 1st grade level. 60% 2nd grade. 70% 2nd Math

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    Education trap

    Demand

    Education is an investment => ROI drives adoption 2002, Bob Jensen, UCLA, BPO recruitment

    5% increase in women enrolment;

    Girls weighed more! Because parents decide to push or pull

    Santiago Levy, BU, Mexican minister

    Welfare with strings attached CCT very succssful

    Compensation for wages lost allows parents to focus on future

    Supply is not useless IndonesiaSuhartos oil money built lot of schools

    8% extra wage for each year of schooling

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    The answer

    (Right) Aid + Education + implementation 3 Is

    Ideology

    Ignorance

    Inertia

    Education Health

    Economics Risk! Insurance! Investment

    Most important DATA!

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    SIP Projects - RapidFTR

    Conceived at, by a team of students in Clay

    Shirky's Design For Unicef class. Further

    developed by Jorge Just as his Masters thesis

    Why?

    2009, 43.3 million children displaced

    Current record systems take 30-45 mins. 1:10,000

    Why not Google person finder?

    Rails, CouchDB, Mobile

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    Testimonials

    Presented at Qcon 2010

    RapidFTR was named one of the Top 10 OpenSource Rookie Projects of 2010 by Black DuckSoftware (among Diaspora, OpenStack etc)

    Martin Fowler on how RapidFTR code Jams work: To make meaningful progress, you need someone to prepare for each code

    jam by breaking down work-items into something small enough that peoplewill be able to finish them during the time at the jam. Whatever people maysay and hope, they'll rarely work on the project outside code jam hours, andthe schedule is too infrequent to want half-done things hanging over. Small

    tasks allow teams to make perceptible progress each jam - which helps keepmotivation high. We like to put these tasks online before each event so peoplecan prepare if they want to, or just get a feel for what we're working on. Wealso set up a mailing list to keep up regular communication on the jam andsupport anyone who does contribute outside of the jam.

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    SIP Projects - OpenMRS

    Regenstrief, (since 1970s) in collaboration with PIH

    (Boston) and MRC (South Africa) -> OpenMRS

    MISSION is to improve health care delivery in

    resource-constrained environments by working

    together as a globalcommunity to create a robust,

    scalable, user-driven, open source medical record

    system platform

    Fight the big 3 epidemics: HIV/AIDS, TB, Malaria ->kills close to 40 Million every year

    Unskilled care providers + badly designed

    spreadsheets/databases

    Possibilities of fatal mistakes

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    OpenMRS

    Java, Spring, Hibernate, MySQL, Groovy, XForms, jQuery, Maven, Jetty

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    SIP Projects - Camfed

    In sub-Saharan Africa: 24 million girls can't afford to go to school.

    A girl may marry as young as 13 and has a one in 22 chance ofdying in childbirth

    One in six of her children will die before the age of five

    Research shows if you educate a girl shell: Earn up to 25% more and reinvest 90% in her family.

    Be three times less likely to become HIV-positive.

    Have fewer, healthier children who are 40% more likely to

    live past the age of five.

    Since 1993, Camfed works in Africa to show how the problemof girls' exclusion from education can be tackled.

    Rails, Redis, Salesforce

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    SIP ProjectNot B&V

    OpenLMIS, Mifos, JSS

    VictoryKit ?

    WhoMadeMyPants

    Black Girls code, CodePink, Wikimedia, I love

    Iran, Bpeace

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