Evidence map›Paper›PMID 41340869›Full record

ArticleEnergy for sustainable development : the journal of the International Energy Initiative2025

Voucher-based liquefied petroleum gas subsidies achieve nearly exclusive clean fuel use when affordable delivery is available.

Kendra N Williams, Josiah L Kephart, Magdalena Fandiño-Del-Rio, Laura Nicolaou, Marilú Chiang, Stella M Hartinger, Kirsten Koehler, Steven A Harvey, William Checkley, Cardiopulmonary outcomes and Household Air Pollution (CHAP) trial investigators

Abstract read
In one paragraph

Article in Energy for sustainable development : the journal of the International Energy Initiative, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kendra N WilliamsDepartment of International Health, Social and Behavioral Interventions program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Josiah L KephartDepartment of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Magdalena Fandiño-Del-RioDepartment of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Laura NicolaouCenter for Global Non-Communicable Disease Research and Training, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Marilú ChiangAsociación Benéfica PRISMA, Lima, Perú.
Stella M HartingerFacultad de Salud Publica y Administración, Universidad Peruana Cayetano Heredia, Lima, Perú.
Kirsten KoehlerDepartment of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Steven A HarveyDepartment of International Health, Social and Behavioral Interventions program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
William CheckleyCenter for Global Non-Communicable Disease Research and Training, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Cardiopulmonary outcomes and Household Air Pollution (CHAP) trial investigators

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
Traning Program in Environmental Health SciencesT32ES007141 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 1985 to 2026
$22.2M
UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
Building U.S. Research Capacity Through International Environmental Health Science on Air Pollution, Cardiorespiratory Disease, and Alzheimer’s Disease (Research U01)U01TW010107 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI William Checkley, Stella Maria Hartinger · 2015 to 2026
$3.5M
GEOHealth Hub Peru: Building U.S. Research Capacity Through International Environmental Health Science on Air Pollution, Cardiorespiratory Disease, and Alzheimer’s Disease (Research Training U2R)U2RTW010114 · FIC · EMORY UNIVERSITY · PI William Checkley, Stella Maria Hartinger · 2015 to 2026
$3.3M
FIC NIH HHS D43 TW009340FIC NIH HHS U01 TW010107FIC NIH HHS U2R TW010114NCIPC CDC HHS UF2 CE002402NHLBI NIH HHS T32 HL007534NIEHS NIH HHS T32 ES007141
6 · The paper itself

Abstract

Introduction: Fuel subsidization can promote clean fuel adoption and reduce household air pollution. We investigated whether a voucher-based system could be as effective as a home-based fuel delivery program in achieving exclusive use of liquefied petroleum gas (LPG) within a randomized controlled trial in Puno, Peru. Methods: In the first year of the trial, we delivered unlimited LPG to intervention homes, while comparison group participants continued baseline cooking practices. In the second year, comparison group participants received vouchers covering the cost of two 10 kg LPG tanks per month but did not receive tank delivery. We assessed voucher use and compared LPG use between the voucher and home delivery schemes. We conducted qualitative interviews with 15 women to understand perceptions and use of the vouchers and LPG. Data were collected in 2020 but remain relevant given the unchanged LPG system in Peru. Results: Voucher use was high (97.6% of vouchers were used). Participants receiving vouchers used LPG for 94.3% of cooking minutes, which was only slightly lower than the percent of cooking done with LPG by participants who received free home delivery (98.2%) (p<0.001). Voucher participants cooked with biomass for 84.7 minutes per week, within the range estimated as acceptable for meeting the World Health Organization interim air quality targets (<1-3 hours per week). Facilitators of voucher and LPG use included the ease and speed of cooking with gas, availability of LPG delivery in the region, access to several nearby LPG distributors, owning a second back-up LPG tank, and reinforcement of exclusive LPG use by study fieldworkers. Conclusion: A voucher-based system for providing subsidized LPG, paired with a reliable LPG infrastructure and behavioral motivation, effectively achieved near-exclusive clean fuel adoption. Findings can guide the design of LPG subsidization programs, which are increasingly important amid rising global LPG prices.

Indexed as

clean fuel adoptionfuel subsidieshousehold air pollutionmixed methods researchqualitativevouchers

Identifiers

PMID41340869
PMCPMC12671981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.