Impact of cleaner fuel use and improved stoves on acute respiratory infections: evidence from India

Prabhat Lamichhane, Anurag Sharma, Ajay Mahal

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)

Abstract

Background: The use of cleaner fuel and improved stoves has been promoted as a means to lower harmful emissions from solid fuels. However, little is known about how exclusive use of cleaner fuels, mixed fuel use and improved stoves influences children's health. 

Methods: We compared the impact of using liquefied petroleum gas (LPG) exclusively with mixed fuel use (LPG plus polluting fuels) and with exclusive use of polluting fuels on acute respiratory infections (ARI) among 16 157 children 0-4 years of age from households in the 2012 Indian Human Development Survey. Inverse probability weighting (IPW) procedures for multiple treatments were used for this evaluation. 

Results: Children from households using LPG had a 5.0% lower probability of reporting ARI relative to exclusive users of polluting fuels, with larger effects (10.7%) in rural households. The probability of ARI in households using improved stoves and mixed fuel use was also lower in rural households, by 2.9% and 2.8%, respectively. The magnitude of effect varied across population subgroups, with the highest effects for children living in households living in kachha (low quality material) houses households identified as poor. 

Conclusion: Use of LPG and improved stoves lowered the probability of ARI among children younger than 5 years.

Original languageEnglish
Pages (from-to)349-366
Number of pages18
JournalInternational Health
Volume9
Issue number6
DOIs
Publication statusPublished - 1 Nov 2017

Keywords

  • Acute respiratory infection
  • Child health
  • Household fuel use
  • Impact evaluation
  • Improved stoves
  • India

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