Private Sanitation and Psychosocial Health in Adolescent Girls

Ray Miller, Lackson D Mudenda, Ashish K Sedai and Lauren Vilims

The World Bank Economic Review, 2025, vol. 39, issue 4, 1018-1038

Abstract: The relationship between access to private sanitation facilities at home and psychosocial development is documented among adolescents aged 12 to 22 in India and Ethiopia. Obtaining access to private sanitation (flush toilets or pit latrines in the household) is associated with significantly higher self-efficacy and self-esteem for adolescent girls but not boys. Associations are stronger for girls who lived in communities with higher overall access to private sanitation, consistent with the hypothesis that relative access may matter more for psychosocial development than absolute access. There was also a significant correlation with improved peer relations for girls in early (age 12 to 15) but not late (age 19 to 22) adolescence. However, there is no evidence that results are operating through improved physical health or parent relationships.

Keywords: sanitation; self-esteem; self-efficacy; girls; deprivation (search for similar items in EconPapers)
Date: 2025
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