PoorEco&SIP
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Transcript of 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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