The Impact of Clubfoot Intervention on Dimensions of Human Flourishing: Evidence from the Organization Hope Walks in Ethiopia

We study the impact of clubfoot disability and its treatment on multiple dimensions of human flourishing among children. Working with Hope Walks, a faith-based development organization that funds clubfoot interventions in numerous countries, we use a quasi difference-indifferences approach on data collected from 564 children in Ethiopia. To generate counterfactuals to clubfoot status and treatment, we use outcomes from nearest-age siblings of children born with clubfoot nested within a family-level fixed effect. We find that clubfoot status (early treatment) results in a disability (restoration) of -1.44σ (0.91σ) in physical mobility, -1.17σ (0.79σ) in mental health, -1.07σ (0.64σ) in social inclusion, -0.48σ (0.98σ) in an education index, -0.76σ (0.42σ) in religious faith, and -1.19σ (0.79σ) in an aggregate index of human flourishing (all p < 0.05). We attribute the large, broad, and significant impacts from clubfoot treatment to (i) a highly effective medical intervention that is (ii) carried out in an impoverished setting with scarce existing support for children born with disabilities, which (3) generates spillover effects into multiple facets of human flourishing.