Skip to main content
Top
Published in:

Open Access 01-12-2017 | Study protocol

Adoption and sustained use of cleaner cooking fuels in rural India: a case control study protocol to understand household, network, and organizational drivers

Authors: Praveen Kumar, Amar Dhand, Rachel G. Tabak, Ross C. Brownson, Gautam N. Yadama

Published in: Archives of Public Health | Issue 1/2017

Login to get access

Abstract

Background

Implementing efficient stoves and clean fuels in low and middle-income countries are critical for improving health of poor women and children and improve the environment. Cleaner biomass stoves, however, perform poorly against the World Health Organization’s indoor air quality guidelines. This has shifted the focus to systematic dissemination and implementation of cleaner cooking systems such as liquefied petroleum gas (LPG) among poor communities. Even when there is some uptake of LPG by poor communities, its sustained use has been low. Concurrent use of LPG with traditional biomass cookstoves compromises reductions in household air pollution and limits health and environmental dividends. Therefore understanding key drivers of adoption and sustained implementation of clean fuels among the poor is critical. There is a significant gap, however, in the research to understand determinants and sustained exclusive use of clean fuels in rural poor communities.

Methods/design

Using a case control study design, this study will explore the impact of affordability, accessibility, and awareness on adoption and sustained use of LPG among rural poor communities of India. The study uses a multistage random sampling to collect primary data from 510 households. Case group or LPG adopters constitute 255 households while control group or non-LPG adopters constitute the remaining 255 households. The study will deploy sophisticated stove use monitoring sensors in each of the stoves in 100 case group households to monitor stove use and stacking behavior (using clean and traditional systems of cooking) of participants for 12 months. Moreover, this will be the first study to explore the impact of personal social networks striated by gender on LPG adoption. This study is guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) implementation science evaluation framework.

Discussion

Lessons from this study will feed into a larger discussion on developing a pro-poor strategy to foster uptake and sustained use of cleaner cooking systems such as LPG. Understanding the determinants of adoption and sustained use of cleaner cooking systems through the RE-AIM framework will expand our insights on implementation of cleaner cooking systems among poor communities and will advance implementation science in the clean cooking sector. A thorough study of such implementation strategies is crucial to realize multiple UN Sustainable Development Goals on global health, climate change, and energy security.
Footnotes
1
Broadly, there are four caste groupings in India. They are discussed as follows. General caste: Also called open category has no reservation in employment in the central or state government systems. It mainly comprises of three classes out of four in the ancient Hindu Varna system, which are the Brahmins, Kshatriyas and Vaishyas. Scheduled tribes (STs): These are tribes that have traditionally lived in the forests. They have traditionally been marginalized and not in the mainstream of the society. They are also known as Adivasis, hence called scheduled tribes as they have been added under a “schedule” of the constitution of India. Scheduled Castes (SCs): An economically and socially backward community, they have also been traditionally marginalized. Other Backward castes or OBCs: They are also form a large group that is heterogeneous and has been considered by the constitution of India as being economically and socially backward. OBCs, SCs, and STs are provided with job reservations in the central and also in state government systems to increase their representation in the mainstream society, and to simultaneously improve their economic and social well-being. OBCs, SCs, and STs are normally and collectively referred to as lower castes.
 
Literature
1.
go back to reference GACC. Igniting Change: A strategy for universal adoption of clean Cookstoves and fuels. Washington, DC: Global Alliance for Clean Cookstoves; 2011. GACC. Igniting Change: A strategy for universal adoption of clean Cookstoves and fuels. Washington, DC: Global Alliance for Clean Cookstoves; 2011.
2.
go back to reference Martin, W.J., II, et al., A major environmental cause of death. Science (Washington), 2011. 334(6053): p. 180–181. Martin, W.J., II, et al., A major environmental cause of death. Science (Washington), 2011. 334(6053): p. 180–181.
4.
go back to reference Brauer M, et al. Ambient air pollution exposure estimation for the global burden of disease 2013. Environ Sci Technol. 2016;50(1):79–88.CrossRefPubMed Brauer M, et al. Ambient air pollution exposure estimation for the global burden of disease 2013. Environ Sci Technol. 2016;50(1):79–88.CrossRefPubMed
5.
go back to reference Forouzanfar, M.H., et al., Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: A systematic analysis for the global burden of disease study 2013. Lancet 386(10010): p. 2287–2323. Forouzanfar, M.H., et al., Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: A systematic analysis for the global burden of disease study 2013. Lancet 386(10010): p. 2287–2323.
6.
go back to reference Kumar P, Chalise N, Yadama GN. Dynamics of sustained use and abandonment of clean cooking systems: study protocol for community-based system dynamics modeling. Int J Equity Health. 2016;15:70.CrossRefPubMedPubMedCentral Kumar P, Chalise N, Yadama GN. Dynamics of sustained use and abandonment of clean cooking systems: study protocol for community-based system dynamics modeling. Int J Equity Health. 2016;15:70.CrossRefPubMedPubMedCentral
7.
go back to reference Kumar P, Mehta S. Poverty, gender, and empowerment in sustained adoption of cleaner cooking systems: making the case for refined measurement. Energy Res Soc Sci. 2016;19:48–52.CrossRef Kumar P, Mehta S. Poverty, gender, and empowerment in sustained adoption of cleaner cooking systems: making the case for refined measurement. Energy Res Soc Sci. 2016;19:48–52.CrossRef
8.
go back to reference Smith, K.R. and A. Sagar, Making the clean available: escaping India’s Chulha trap. Energy Policy, 2014. 75(0): p. 410–414. Smith, K.R. and A. Sagar, Making the clean available: escaping India’s Chulha trap. Energy Policy, 2014. 75(0): p. 410–414.
9.
go back to reference Tripathi A, Sagar AD, Smith KR. Promoting clean and affordable cooking. Econ Pol Weekly. 2015;50(48):81. Tripathi A, Sagar AD, Smith KR. Promoting clean and affordable cooking. Econ Pol Weekly. 2015;50(48):81.
10.
go back to reference Smith KR, et al. Millions dead: how do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution. Annu Rev Public Health. 2014;35:185–206.CrossRefPubMed Smith KR, et al. Millions dead: how do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution. Annu Rev Public Health. 2014;35:185–206.CrossRefPubMed
11.
go back to reference Burnett RT, et al. An integrated risk function for estimating the global burden of disease attributable to ambient fine particulate matter exposure. Environ Health Perspect (Online). 2014;122(4):397. Burnett RT, et al. An integrated risk function for estimating the global burden of disease attributable to ambient fine particulate matter exposure. Environ Health Perspect (Online). 2014;122(4):397.
12.
go back to reference Shrimali G, et al. Improved stoves in India: a study of sustainable business models. Energy Policy. 2011;39(12):7543–56.CrossRef Shrimali G, et al. Improved stoves in India: a study of sustainable business models. Energy Policy. 2011;39(12):7543–56.CrossRef
13.
go back to reference Lucon O, Coelho ST, Goldemberg J. LPG in Brazil: lessons and challenges. Energy for Sustainable Development. 2004;8(3):82–90.CrossRef Lucon O, Coelho ST, Goldemberg J. LPG in Brazil: lessons and challenges. Energy for Sustainable Development. 2004;8(3):82–90.CrossRef
14.
go back to reference Masera OR, Saatkamp BD, Kammen DM. From linear fuel switching to multiple cooking strategies: a critique and alternative to the energy ladder model. World Dev. 2000;28(12):2083–103.CrossRef Masera OR, Saatkamp BD, Kammen DM. From linear fuel switching to multiple cooking strategies: a critique and alternative to the energy ladder model. World Dev. 2000;28(12):2083–103.CrossRef
15.
go back to reference Venkataraman C, et al. The Indian national initiative for advanced biomass cookstoves: the benefits of clean combustion. Energy for Sustainable Development. 2010;14(2):63–72.CrossRef Venkataraman C, et al. The Indian national initiative for advanced biomass cookstoves: the benefits of clean combustion. Energy for Sustainable Development. 2010;14(2):63–72.CrossRef
16.
go back to reference Slaski, X. and M. Thurber, Research note: cookstoves and obstacles to technology adoption by the poor. 2009, Stanford program on energy and sustainable development working paper no. 89: Stanford, CA: Program on Energy and Sustainable Development. Slaski, X. and M. Thurber, Research note: cookstoves and obstacles to technology adoption by the poor. 2009, Stanford program on energy and sustainable development working paper no. 89: Stanford, CA: Program on Energy and Sustainable Development.
17.
go back to reference Damte A, Koch SF. Clean fuel saving technology adoption in urban Ethiopia. South Africa: Department of Economics Working Paper, University of Pretoria; 2011. Damte A, Koch SF. Clean fuel saving technology adoption in urban Ethiopia. South Africa: Department of Economics Working Paper, University of Pretoria; 2011.
18.
go back to reference Ganesan, K. and R. Vishnu, Energy Access in India-Today, and Tomorrow. 2014, CEEW working paper 2014/10, June. Ganesan, K. and R. Vishnu, Energy Access in India-Today, and Tomorrow. 2014, CEEW working paper 2014/10, June.
19.
go back to reference Lewis and Pattanayak. Who adopts improved fuels and cookstoves? A systematic review. Environ Health Perspect. 2012;120(5):637–45.CrossRefPubMed Lewis and Pattanayak. Who adopts improved fuels and cookstoves? A systematic review. Environ Health Perspect. 2012;120(5):637–45.CrossRefPubMed
20.
go back to reference El Tayeb Muneer, S. And E.W. Mukhtar Mohamed, Adoption of biomass improved cookstoves in a patriarchal society: an example from Sudan. Sci Total Environ, 2003. 307(1–3): p. 259–266. El Tayeb Muneer, S. And E.W. Mukhtar Mohamed, Adoption of biomass improved cookstoves in a patriarchal society: an example from Sudan. Sci Total Environ, 2003. 307(1–3): p. 259–266.
21.
go back to reference Ruiz-Mercado I, et al. Adoption and sustained use of improved cookstoves. Energy Policy. 2011;39(12):7557–66.CrossRef Ruiz-Mercado I, et al. Adoption and sustained use of improved cookstoves. Energy Policy. 2011;39(12):7557–66.CrossRef
22.
go back to reference Lewis, et al. Piloting improved Cookstoves in India. J Health Commun. 2015;20(sup1):28–42.CrossRef Lewis, et al. Piloting improved Cookstoves in India. J Health Commun. 2015;20(sup1):28–42.CrossRef
23.
go back to reference Jain A, Agrawal S, Ganesan K. Rationalising subsidies, reaching the underserved. New Delhi: Council on Energy, Environment and Water; 2014. Jain A, Agrawal S, Ganesan K. Rationalising subsidies, reaching the underserved. New Delhi: Council on Energy, Environment and Water; 2014.
24.
go back to reference Pine K, et al. Adoption and use of improved biomass stoves in rural Mexico. Energy for Sustainable Development. 2011;15(2):176–83.CrossRef Pine K, et al. Adoption and use of improved biomass stoves in rural Mexico. Energy for Sustainable Development. 2011;15(2):176–83.CrossRef
26.
go back to reference Kumar P, Kaushalendra Rao R, Reddy NH. Sustained uptake of LPG as cleaner cooking fuel in rural India: role of affordability, accessibility, and awareness. World Dev Perspect. 2016;4:33–7.CrossRef Kumar P, Kaushalendra Rao R, Reddy NH. Sustained uptake of LPG as cleaner cooking fuel in rural India: role of affordability, accessibility, and awareness. World Dev Perspect. 2016;4:33–7.CrossRef
28.
go back to reference Slaski, X. and M. Thurber, Research note: cookstoves and obstacles to technology adoption by the poor. Program on energy and sustainable development, working paper, 2009. 89. Slaski, X. and M. Thurber, Research note: cookstoves and obstacles to technology adoption by the poor. Program on energy and sustainable development, working paper, 2009. 89.
33.
go back to reference Jauregui E, et al. Using the RE-AIM framework to evaluate physical activity public health programs in México. BMC Public Health. 2015;15(1):1–9.CrossRef Jauregui E, et al. Using the RE-AIM framework to evaluate physical activity public health programs in México. BMC Public Health. 2015;15(1):1–9.CrossRef
34.
go back to reference Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89 Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89
35.
go back to reference Jain, A. and S. Agrawal, Improving Effectiveness of Domestic LPG Subsidy and Distribution in India. Jain, A. and S. Agrawal, Improving Effectiveness of Domestic LPG Subsidy and Distribution in India.
36.
go back to reference Koorts H, Gillison F. Mixed method evaluation of a community-based physical activity program using the RE-AIM framework: practical application in a real-world setting. BMC Public Health. 2015;15:1102.CrossRefPubMedPubMedCentral Koorts H, Gillison F. Mixed method evaluation of a community-based physical activity program using the RE-AIM framework: practical application in a real-world setting. BMC Public Health. 2015;15:1102.CrossRefPubMedPubMedCentral
37.
go back to reference Chambers DA, Glasgow RE, Stange KC. The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013;8(1):1–11.CrossRef Chambers DA, Glasgow RE, Stange KC. The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013;8(1):1–11.CrossRef
38.
go back to reference Mohammed S. Personal communication networks and the effects of an entertainment-education radio soap opera in Tanzania. J Health Commun. 2001;6(2):137–54.CrossRefPubMed Mohammed S. Personal communication networks and the effects of an entertainment-education radio soap opera in Tanzania. J Health Commun. 2001;6(2):137–54.CrossRefPubMed
39.
go back to reference Ramirez S, et al. Diffusion of non-traditional cookstoves across western Honduras: a social network analysis. Energy Policy. 2013; Ramirez S, et al. Diffusion of non-traditional cookstoves across western Honduras: a social network analysis. Energy Policy. 2013;
40.
go back to reference O’malley, A.J., et al., Egocentric social network structure, health, And pro-social behaviors in a national panel study of Americans. 2012. O’malley, A.J., et al., Egocentric social network structure, health, And pro-social behaviors in a national panel study of Americans. 2012.
41.
go back to reference Burt, R.S., Structural holes versus network closure as social capital. Social capital: Theory and research, 2001: p. 31–56. Burt, R.S., Structural holes versus network closure as social capital. Social capital: Theory and research, 2001: p. 31–56.
42.
go back to reference Burt RS. Network items and the general social survey. Soc Networks. 1984;6(4):293–339.CrossRef Burt RS. Network items and the general social survey. Soc Networks. 1984;6(4):293–339.CrossRef
43.
go back to reference Yin RK. Case study research. Design and methods: Sage publications; 2013. Yin RK. Case study research. Design and methods: Sage publications; 2013.
Metadata
Title
Adoption and sustained use of cleaner cooking fuels in rural India: a case control study protocol to understand household, network, and organizational drivers
Authors
Praveen Kumar
Amar Dhand
Rachel G. Tabak
Ross C. Brownson
Gautam N. Yadama
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2017
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/s13690-017-0244-2

Keynote webinar | Spotlight on adolescent vaping

  • Live
  • Webinar | 29-01-2025 | 18:00 (CET)

Growing numbers of young people are using e-cigarettes, despite warnings of respiratory effects and addiction. How can doctors tackle the epidemic, and what health effects should you prepare to manage in your clinics?

Watch it live: Wednesday 29th January, 18:00-19:30 CET
 

Prof. Ann McNeill
Dr. Debbie Robson
Benji Horwell
Developed by: Springer Medicine
Join the webinar

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Read more