Hogares Saludables - Assesing the impact of Housing improvements on health, labor and time allocation: Evidence from an experimental study in Colombia

Last registered on June 06, 2023

Pre-Trial

Trial Information

General Information

Title
Hogares Saludables - Assesing the impact of Housing improvements on health, labor and time allocation: Evidence from an experimental study in Colombia
RCT ID
AEARCTR-0011502
Initial registration date
May 29, 2023

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
June 06, 2023, 3:30 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

Region
Region
Region

Primary Investigator

Affiliation
Universidad EAFIT

Other Primary Investigator(s)

PI Affiliation
Daniel Rose Associate Professor of Urban Economics & Real Estate with tenure; Faculty Director, Urban Economics Lab
PI Affiliation
Professor - Universidad EAFIT
PI Affiliation
Professor - Universidad EAFIT
PI Affiliation
Reseacher - Universidad EAFIT

Additional Trial Information

Status
In development
Start date
2023-06-01
End date
2024-04-30
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
This research evaluates the impact of the program ‘Hogares Saludables’ on health, labor supply, and time allocation among low-income households. This program, led by Cemento Argos-Colombia, combines a physical intervention on floors, bathrooms, and/or kitchens, along with training on construction, to build a healthy household environment and to boost the escape from the poverty of vulnerable households. To assess the impact of Hogares Saludables, a randomized control trial was conducted among low-income households in Colombia. Our sampling consists of 1200 households from the main intermediate cities of Colombia (Medellín, Cali, and Barranquilla) randomly selected among eligible households with similar socio-economical and housing conditions. These interventions align with the 11th Sustainable Development Goal (sustainable cities and communities) and aim to overcome poverty and break down barriers of exclusion and inequality.

Registration Citation

Citation
Acosta , Camilo et al. 2023. "Hogares Saludables - Assesing the impact of Housing improvements on health, labor and time allocation: Evidence from an experimental study in Colombia." AEA RCT Registry. June 06. https://doi.org/10.1257/rct.11502-1.0
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
Hogares Saludables (HS) is a social program implemented by Cementos Argos that aims to promote an inclusive society through two complementary components: (i) the reduction of the qualitative housing deficit, and (ii) the development of work and life skills. The first component focuses on improving the infrastructural conditions of the home by providing materials and workers for the improvement of floors, walls and/or bathrooms. The second component focuses on promoting the acquisition of work and life skills of the beneficiaries. Beneficiary families are trained in the basic elements of construction and other skills to facilitate the adoption of healthy habits within the home.

HS adopts a holistic and participatory approach with the community and the social actors of the territory, who are involved from the beginning to the end of the intervention. This has at least two important results. First, the empowerment of families in the process of reducing the housing deficit, which could increase the sense of belonging to the housing and trigger a series of housing improvements in the future. The second result is related to the strengthening of the social network derived from the program through the interaction of the community in each of the moments of the program.

We will evaluate the effects of HS on housing and neighborhood conditions, physical and health, and labor market outcomes. This evaluation will be carried out in the cities of Medellín, Cali and Barranquilla. Given that HS seeks to impact low-income individuals with a high qualitative housing deficit, the evaluation of the program will follow a partial randomization strategy for the selection of treated and non-treated houses. The strategy consists in making a random selection in those territories with a higher degree of qualitative housing deficit. The delimitation of the areas with the highest degree of qualitative deficit will be determined using the 2018 National Census, together with field visits, defining the urban sections where the dwellings to be treated and those that would serve as controls would be randomly selected.
Intervention Start Date
2023-06-18
Intervention End Date
2023-08-01

Primary Outcomes

Primary Outcomes (end points)
Physical health, mental health, and labor market outcomes.
Primary Outcomes (explanation)
(1) Mental and physical health: assessment using a reduce form of SF-36; (2) Labor market outcomes: questions about Labor participation, underemployment, labor stability, job search channels, labor income, labor formality, satisfaction with working conditions

Secondary Outcomes

Secondary Outcomes (end points)
Social capital and community ties, time use
Secondary Outcomes (explanation)
(1) Social capital and community ties: questions about questions about the perception of the city's institutions (mayor's office, police, community social groups), perception of security in the neighborhood, satisfaction with the neighborhood, relationship with the neighbors, participation in community events that promote the improvement of the neighborhood. (2) Time use: questions about the time spent caring for the home, work, social gatherings, studying and other.

Experimental Design

Experimental Design
Given that Hogares Saludables seeks to impact low-income individuals with a high qualitative housing deficit, the RCT follows a partial randomization strategy for the selection of treated and nontreated houses. The strategy consists in making a random selection in those territories with a higher degree of qualitative housing deficit. Delimitation of areas with the highest degree of qualitative deficit can be determined using the 2018 National Census, together with field visits, defining the blocks where the dwellings to be treated and those that would serve as controls would be randomly selected.

Randomized evaluations have two main necessary conditions for their proper functioning. First, it requires that the evaluation be designed prior to the start of the program or intervention. This design allows individuals to be randomly assigned to either the treatment or the control group, ensuring comparability in observable and unobservable characteristics and allowing the causal effect of the program to be identified. Second, a sufficiently large sample size in each group (not necessarily equal) to identify the effects of the program. The idea is that the random assignment of a sufficiently large number of individuals ensures that each group is highly similar in observable and unobservable characteristics so that any differences between the treatment and control groups can be attributed to the program rather than to other factors.
Experimental Design Details
Not available
Randomization Method
Randomization consists of two steps. First, we identified blocks (sub-neighborhood levels) that were eligible for the program using census data on qualitative housing deficit. Then, we randomly allocate each block either to treatment or control using a pure random assignment (e.g. coin flip). We include extra conditions to reduce contamination, such as: (1) A neighborhood cannot contains treatment and control blocks at the same. (2) if a household replacement needs to be done outside a given block, the new block needs to be located at the same neighborhood.
Randomization Unit
Blocks (sub-neighborhood levels). In Colombia, cities are divided in neighboords and blocks. The latter are the lowest census unit in urban areas.
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
120 blocks located in the 3 cities. That is, 40 for each city.
Sample size: planned number of observations
1200 households
Sample size (or number of clusters) by treatment arms
600 households in treatment and 600 households in contril.
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
0.02 standard deviations
Supporting Documents and Materials

Documents

Document Name
IRB Universidad EAFIT
Document Type
irb_protocol
Document Description
IRB Acceptance
File
IRB Universidad EAFIT

MD5: c94efd0e33d6145db1c21d540526c000

SHA1: 0b98c2ea6d00cd1e381834b55c8d9a30ba0db122

Uploaded At: May 29, 2023

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IRB

Institutional Review Boards (IRBs)

IRB Name
Universidad EAFIT
IRB Approval Date
2023-03-01
IRB Approval Number
457
Analysis Plan

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