The Health and Poverty Effects of a Large-scale Cookstove Initiative in Rwanda

描述（由申请人提供）：本项目将评估私营部门炉灶和燃料分配干预对接触空气污染物、健康和贫困的影响。私营社会企业Inyenyeri将在未来三年内向卢旺达西部的5万多户家庭提供免费炉灶，并开展燃料颗粒业务。我们将建立一项随机对照试验，1)评估这种干预对家庭主要厨师暴露于一氧化碳、颗粒物（PM）和多环芳烃（PAH）的影响，2)模拟暴露与心血管疾病风险之间的剂量-反应关系。我们将在两年内对180个家庭进行六次接触监测和健康评估，其中三分之一将随机分配到对照组。我们将在基线、12个月和24个月对1,400个家庭的样本进行社会经济调查，以衡量消费、健康、时间使用和排放暴露，以模拟采用炉灶对时间分配、创收活动、入学率和家庭贫困的影响。

DESCRIPTION (provided by applicant): This project will evaluate the impact of a private sector cookstove and fuel distribution intervention on exposure to airborne pollutants, health and poverty. Inyenyeri, a private social entrepreneurship venture, will provide free cookstoves to over 50,000 households in Western Rwanda and implement a fuel pellet business over the next three years. We will build a randomized control trial 1) to assess the impact of this intervention on exposure to carbon monoxide, particulate matter (PM) and polycyclic aromatic hydrocarbons (PAH) of the primary household cook, and 2) to model the dose-response relationship between exposure and cardiovascular disease risk. We will conduct exposure monitoring and health assessments six times over two years in 180 households, one-third of which we will randomized out to the control arm. We will conduct a socioeconomic survey in a sample of 1,400 households at baseline, 12 and 24 months to measure consumption, health, time use, and emissions exposure to model the impact of cookstove adoption on time allocation, income generating activities, school enrollment and household poverty.