Broken Pumps and Promises

Incentivizing Impact in Environmental Health

  • Evan A. Thomas

Table of contents

  1. Front Matter
    Pages i-xi
  2. Evan A. Thomas
    Pages 1-4
  3. Kristi Yuthas, Evan A. Thomas
    Pages 5-17
  4. Claire Chase, Aidan Coville
    Pages 19-29
  5. Johanna Koehler, Patrick Thomson, Robert Hope
    Pages 57-76
  6. Alex H. Johnson, Joe S. Whitworth
    Pages 77-98
  7. Evan A. Thomas, Christina Barstow, Thomas Clasen
    Pages 99-134
  8. James M. Hodge, Thomas F. Clasen
    Pages 135-146
  9. Ken Newcombe, Tara Ramanathan, Nithya Ramanathan, Erin Ross
    Pages 171-177
  10. Michael Ronan Nique, Helene Smertnik
    Pages 179-194
  11. Kathleen O’Reilly, Elizabeth Louis, Evan A. Thomas, Antara Sinha
    Pages 195-209
  12. Dexter Gauntlett, Michael Ronan Nique, Helene Smertnik
    Pages 217-229
  13. Lorenzo Bernasconi Kohn, Saskia Bruysten
    Pages 231-238
  14. Back Matter
    Pages 239-240

About this book


This volume highlights some of the challenges in delivering effective environmental health interventions, and presents examples of emergent theories and case studies that can help close the gap between intent and impact. These include impact crediting systems, objective evidence gathering tools, and social businesses that service environmental health. The case studies presented cross disciplines, scales, organizational and national boundaries and can defy easy categorization. A water project may be designed for a health impact, but financed with a climate change tool, and leverage high tech cell phone sensors. A cookstove program may be primarily concerned with employment and capacity building, but balance environmental and health concerns.

Presently, the impact of interventions may not always be aligned to the intent sought. In this book, readers will discover alternative ways to move the mindset of funders and implementers toward pay-for-performance models of humanitarian and environmental interventions. Undergraduate and graduate students taking courses in social enterprise, social entrepreneurship, global health, appropriate technology, international development and development engineering would benefit from these increasingly non-traditional case studies that challenge commonly accepted presentations of poverty reduction and social enterprise.


developing countries environmental health pay for performance models poverty reduction social entrepreneurship technological innovations

Editors and affiliations

  • Evan A. Thomas
    • 1
  1. 1.Department of Mechanical and Materials EPortland State UniversityPORTLANDUSA

Bibliographic information