Abstract

Health care access is a challenge in rural areas in Africa. On the demand side, rural people are often poor, and transport connectivity is typically bad in rural and remote areas. Because of limited transport connectivity, the quality of health care services provided is also often compromised. In Madagascar, the poor condition of the road network has long hampered the sustainability of the medical supply chain in rural areas. The paper shows that people's demand for health care services is affected not only by local transport connectivity, but also availability of medical supplies at the health facility level, which is also determined by primary and secondary road network connectivity. This in turn further suppresses people's demand in rural areas. The results also indicate that it is important to ensure financial affordability among the poor, which is found to be one of the most crucial constraints. Document type: Book

Abstract

Rural access is among the most important infrastructure constraints in rural Africa. Using the results from comprehensive household surveys and other data from Ethiopia, the paper recasts light on the heterogeneous impacts of road accessibility on agriculture and nonagricultural growth. It is found that crop production is increased by major and feeder road improvements. Significant synergy is also found. When investigating further into this effect, there are two impacts: farmers' access to the input market, especially fertilizer, was improved mainly by major corridor improvement. And output market access was improved by feeder road improvement. In addition, the household's nonagricultural income is somehow increased by improved road connectivity. There must be secondary effects. The transport demand function estimated with additional data indicates that as the road network improves, people's mobility increases. Furthermore, local business employment is found to increase with road improvements. To meet the increasing demand for mobility, efficiency and frequency of transport services are important. Document type: Book

Abstract

Nearly one billion people worldwide live in rural areas without access to the paved road network. This paper measures the impacts of India's $40 billion national rural road construction program using regression discontinuity and data covering every individual and firm in rural India. The main effect of new feeder roads is to allow workers to obtain nonfarm work. However, there are no major changes in consumption, assets or agricultural outcomes. Nonfarm employment in the village expands only slightly, suggesting the new work is found outside of the village. Even with better market connections, remote areas may continue to lack economic opportunities. Document type: Book

Abstract

There is a long-standing debate over whether new roads unavoidably lead to environmental damage, especially forest loss, but causal identification has been elusive. Using multiple causal identification strategies, this paper studies the construction of new rural roads to over 100,000 villages and the upgrading of 10,000 kilometers of national highways in India. The new rural roads had precise zero effects on local deforestation. In contrast, the highway upgrades caused substantial forest loss, which appears to be driven by increased timber demand along the transportation corridors. In terms of forests, last mile connectivity had a negligible environmental cost, while expansion of major corridors had important environmental impacts. Document type: Book