Relationships in the Implementation of Conditional Cash Transfers: The Provision of Health in the Oportunidades-Prospera Programme in Puebla, Mexico

2020 ◽  
pp. 1-18
Author(s):  
Viviana Ramírez
Keyword(s):  
Conditional Cash Transfer ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Front Line ◽  
Preventive Healthcare ◽  
Monetary Transfers ◽  
Relationship Of ◽  
Line Officers ◽  
Use Of Health Services ◽  
Programme Delivery

This article explores interactions between the front-line officers and recipients of Oportunidades-Prospera, a conditional cash transfer (CCT) in Mexico. Like other CCTs, Oportunidades-Prospera provided monetary transfers to families with the requirement of following certain conditions, including receiving preventive healthcare and workshops. This produced constant and compulsory physician-recipient interactions. This article examines these through observations of programme delivery and interviews with physicians at health centres of two localities of Puebla. The results show that officers’ strategies of implementation and attitudes towards recipients were influenced by the programme’s use of health services as conditionalities, promoting a relationship of authority and obedience. This, however, was exacerbated by the officer’s job position. Those with a permanent contract systematically fostered authoritarian interactions compared to officers with temporary contracts. Ultimately, this study reveals factors that influence officer-recipient relationships in CCTs and their centrality for programme delivery and for the success of social policies more broadly.

CCTs through a wellbeing lens: The importance of the relationship between front-line officers and participants in the Oportunidades/Prospera programme in Mexico

2016 ◽  
Vol 15 (3) ◽  
pp. 451-464 ◽  
Author(s):  
Viviana Ramírez
Keyword(s):  
Social Relationships ◽  
Policy Design ◽  
Essential Element ◽  
Implementation Process ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Front Line ◽  
The Social ◽  
Line Officers

This article explores the social relationships created in the delivery of conditional cash transfer (CCT) programmes using a wellbeing lens. Most CCTs influence people's lives in overarching terms, including income, health and education. Their implementation process, however, also places policy participants in new and constant interactions with the front-line officers that implement the programmes. Wellbeing scholarship brings to our attention the centrality of social relationships in people's lives. This literature widely agrees that the quality of our relationships with others is possibly the most essential element of a good life. Therefore, given the recent entrance of wellbeing to the realm of policy, an exploration of the relationships created in policy contexts using a wellbeing lens is a necessary next step. This article examines this in the context of the Oportunidades/Prospera programme in Mexico, one of the most successfully regarded CCTs in Latin America. It presents primary qualitative data about the officer–recipient relationship during the delivery of the health conditionalities and explores its implications on the wellbeing of recipients. The article concludes that the relationships created during policy implementation have far-reaching effects on wellbeing and need to be better acknowledged in policy design and evaluation.

Anti-Poverty Transfers and Poverty Reduction

2018 ◽  
Author(s):  
Armando Barrientos
Keyword(s):  
Poverty Reduction ◽  
Conditional Cash Transfer ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Political Crisis ◽  
Transfer Program ◽  
Policy Initiatives ◽  
Poverty And Inequality ◽  
Bolsa Familia ◽  
Conditional Cash Transfer Program

This chapter examines the role that public policy initiatives—specifically anti-poverty transfers—have played in the reduction of poverty and inequality in Brazil. A number of anti-poverty initiatives are considered in turn, and not just the widely known Bolsa Familia conditional cash transfer program. The analysis establishes that such transfers—including conditional cash transfers—have proved surprisingly effective, even helping to tackle long-standing income inequality. It is recognized that explicit anti-poverty initiatives were not the only drivers of the reduced incidence of poverty and inequality: factors such as growth and improved access to labor markets also played a role. However, progress is now threatened by the recent economic and political crisis.

scholarly journals The Association between Conditional Cash Transfer Programmes and Cohort Fertility: Evidence from Brazil

2021 ◽  
Vol 46 ◽  
Author(s):  
Camila Ferreira Soares ◽  
Everton Emanuel Campos de Lima
Keyword(s):  
Social Inequalities ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Parity Progression ◽  
Monetary Transfers ◽  
Bolsa Familia ◽  
History Of ◽  
Cohort Fertility ◽  
Reproductive Cycles ◽  
The Relationship

Brazil’s Bolsa Família Programme (BFP) aims to combat poverty and social inequalities through monetary transfers to families. A much-discussed indirect effect of the programme was its correlation to the fertility of the beneficiary families. In this paper, we use a cohort fertility approach with parity progression ratios that differs from existing literature, which mainly used period fertility measures, to better understand the relationship between fertility and the BFP. This study analyses the relationship between the BFP and the reproduction of Brazilian women. We use data from the 2010 Brazilian micro-censuses, the only census after the start of the BFP in 2004, to reconstruct the childbirth history of women with incomplete reproductive cycles (women aged 25 to 29), and estimate parity progression ratios (PPRs) and cohort fertility rates (CFR). In addition, we estimate propensity score matching (PSM) models comparing fertility outcomes of beneficiaries and non-beneficiaries of the programme. Our results show distinct differences in CFRs and PPRs. On average, BFP beneficiaries had more children than women not covered by the programme. This finding remained consistent even after controlling for educational gradients and other covariates. Our empirical findings show that women opt for a “rational” strategy, where they tend to have children in more rapid succession up until three children. These findings contradict the recent literature that has not found any correlation between BFP and fertility. The results also suggest that cohort analyses may fill certain gaps left by previous studies of period fertility. This paper is one of a few that have analysed the relationship between a conditional income transfer programme and cohort measures in Brazil.

Do Conditional Cash Transfers Empower Women? Insights from Brazil’s Bolsa Família

2020 ◽  
Vol 62 (2) ◽  
pp. 53-74
Author(s):  
Natasha Borges Sugiyama ◽  
Wendy Hunter
Keyword(s):  
Well Being ◽  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Three Dimensions ◽  
Transfer Programs ◽  
Conditional Cash Transfer Programs ◽  
Bolsa Familia ◽  
The Relationship

ABSTRACTConditional cash transfer programs (CCTs) have emerged as an important social welfare innovation across the Global South in the last two decades. That poor mothers are typically the primary recipients of the grants renders easy, but not necessarily correct, the notion that CCTs empower women. This article assesses the relationship between the world’s largest CCT, Brazil’s Bolsa Família, and women’s empowerment. To systematize and interpret existing research, including our own, it puts forth a three-part framework that examines the program’s effects on economic independence, physical health, and psychosocial well-being. Findings suggest that women experience some improved status along all three dimensions, but that improvements are far from universal. A core conclusion is that the broader institutional context in which the Bolsa Família is embedded—that is, ancillary services in health and social assistance—is crucial for conditioning the degree of empowerment obtained.

Conditional Cash Transfers and the Effect on Recent Murder Rates in Brazil and Mexico

2014 ◽  
Vol 56 (01) ◽  
pp. 55-72 ◽  
Author(s):  
Justin Earl Lance
Keyword(s):  
Time Series ◽  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Level Data ◽  
Municipal Level

Abstract This article examines whether conditional cash transfer (CCT) programs have had a significant effect on reducing murder rates in Mexico and Brazil, using time-series municipal-level data on murders in both countries. The findings, over the period 2005–8, show that the greater the proportion of beneficiaries enrolled in a CCT program in each municipality, the lower the number of murders. There are, however, important differences between the two countries, with a much larger effect in Brazil than in Mexico. This holds even when controlling for GDP and levels of development.

scholarly journals Influence of publicly funded conditional cash transfer programms on utilization patterns of healthcare services for acute childhood illness

2019 ◽  
Vol 12 (4) ◽  
pp. 339-343
Author(s):  
Rajan Srinivasan ◽  
Santhosh K Ganesan ◽  
Prasanna S Premkumar ◽  
Gagandeep Kang
Keyword(s):  
Tamil Nadu ◽  
Healthcare Services ◽  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Adjusted Relative Risk ◽  
Childhood Illnesses ◽  
Presenting Symptoms ◽  
Immunization Services

Abstract Background Conditional cash transfers are widespread and effective for utilization of targeted health services, but there is little evidence of their influence on the utilization of non-targeted or extended general healthcare services. Using data from a population-based health utilization survey, we evaluated the influence of conditional cash transfers for maternal and immunization services on the utilization of healthcare services for acute childhood illnesses. Methods Participants included mothers or primary caretakers of children <2 y of age residing in 2407 households in urban Vellore, Tamil Nadu, India. Mothers of children with illness in the preceding month were interviewed on presenting symptoms, provider choice and beneficiary status of maternal and immunization-based conditional cash transfer programs. Results Of 2407 children <2 y of age, about 48% reported being beneficiaries of maternal and immunization-based conditional cash transfers. Beneficiary status was associated with an increased use of public services (adjusted relative risk [aRR] 3.14 [95% confidence interval {CI} 1.96 – 5.02]) but not the use of private services (aRR 1.42 [95% CI 0.97 – 2.08]) relative to home or informal care. Conclusions Our findings indicate financial incentives for use of maternal and immunization services could have an indirect, non-targeted effect on utilization of formal healthcare for acute childhood illnesses.

scholarly journals Cumulative Impacts of Conditional Cash Transfer Programs: Experimental Evidence from Indonesia

2020 ◽  
Vol 12 (4) ◽  
pp. 88-110
Author(s):  
Nur Cahyadi ◽  
Rema Hanna ◽  
Benjamin A. Olken ◽  
Rizal Adi Prima ◽  
Elan Satriawan ◽  
...  
Keyword(s):  
Human Capital ◽  
Capital Accumulation ◽  
Conditional Cash Transfer ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Capital Investments ◽  
Cumulative Impacts ◽  
Transfer Programs ◽  
Conditional Cash Transfer Programs ◽  
Human Capital Investments

Conditional cash transfers provide income and promote human capital investments. Yet evaluating their longitudinal impacts is hard, as most experimental evaluations treat control locations after a few years. We examine such impacts in Indonesia after six years, where the program rollout left the experiment largely intact. We find static effects on many targeted indicators: childbirth using trained professionals increased dramatically, and under-15 children not in school fell by half. We observe impacts requiring cumulative investments: stunting fell by 23 percent. While human capital accumulation increased, the transfers did not lead to transformative economic change for recipient households. (JEL I21, I38, J13, J24, O15)

scholarly journals The Impact of Conditional Cash Transfer (CCT) to Socio-Economic of Poor Families; A Case Study

2018 ◽  
Vol 7 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Moh. Dulkiah ◽  
Avid Leonardo Sari ◽  
Irwandi Irwandi
Keyword(s):  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Economic Life ◽  
Cash Transfer ◽  
Political Dimension ◽  
Economic Dimension ◽  
Indonesian Government ◽  
Poor Families ◽  
The Impact

Poverty is a multidimensional problem such as political dimension, social dimension, environmental dimension, economic dimension and asset dimension. Indonesian government creates program to alleviate poverty. Program Keluarga Harapan (PKH) is one of Indonesian government program. Program Keluarga Harapan (PKH) is a social protection program through the provision of conditional cash transfers to very poor families. This program focuses on improving the quality of life to achieve social welfare through behavioral changes to education and health. The article aims to explore the impact of Conditional Cash Transfer (CCT) on the socio-economic of poor families in Linggo Sari Baganti district,  Pesisir Selatan regency. Data were collected from interviews, observations, and documentation by referring to descriptive research method with a qualitative approach. Research findings evaluate the provision of Conditional Cash Transfers. It has not been effective in improving the socio-economic life of poor families in Linggo Sari Baganti district, Pesisir Selatan regency.

Dampak Sosial Ekonomi pada Keluaga Penerima Manfaat (KPM) Program Keluarga Harapan (PKH) Exit Mandiri di Kecamatan Pagelaran Kabuoaten Pringsewu dalam Perspektif The Most Significant Change Technique (MSCt)

2020 ◽  
Vol 2 (3) ◽  
pp. 373-382
Author(s):  
Ainun Oktavia Sari ◽  
◽  
Rahayu Sulistyowati ◽  
Ita Prihantika ◽  
◽  
...  
Keyword(s):  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Transfer Program ◽  
Change Technique ◽  
Most Significant Change ◽  
Significant Change ◽  
The Impact

The Conditional Cash Transfer (CCT) is a conditional social cash transfer program that provides assistance to Very Poor Households (RTSM) appointed as participants in the Conditional Cash Transfer program which is related to improving the quality of human life through education and health. This study aims to analyze the impact of Conditional Cash Transfers on ex-families who receive of Conditional Cash Transfers who go out independently in Pagelaran District with indicators of changes in economic conditions, changes in health quality, and changes in the quality of education. In evaluating the impact of this program, the researcher used the impact evaluation theory using The Most Significant Change technique (MSC) which is a participatory monitoring and evaluation technique that aims to obtain information about the most important changes in family life resulting from participation in poverty programs. The results of this study indicate that the Conditional Cash Transfer in Pagelaran District has a changing impact on the Former Beneficiary Family both positive and negative. Seen from the positive impact, the Former Beneficiary Family have experienced changes for the better, especially in the fields of economy and education. However, there has been change in the health sector because the informant of the Former Beneficiary Family in Pagelaran District was the recipient of assistance in the education sector. However, the negative side is the lack of compliance of former recipient families when they become participants in education.

Conditional Cash Transfers: The Case of Progresa/Oportunidades

2017 ◽  
Vol 55 (3) ◽  
pp. 866-915 ◽  
Author(s):  
Susan W. Parker ◽  
Petra E. Todd
Keyword(s):  
Conditional Cash Transfer ◽  
Multiple Hypothesis Testing ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Cash Transfer ◽  
Multiple Hypothesis ◽  
Poor Families ◽  
Program Effects ◽  
Development Evaluation

Conditional cash transfer (CCT) programs innovate by conditioning transfers to poor families on investments in the human capital of children and other family members. The Mexican CCT program Progresa/Oportunidades began in 1997 and has served as a model for many of the now over sixty countries with CCTs around the world, in large part due to its initial evaluation with an experimental design and numerous follow-up studies. This article reviews the literature on the development, evaluation, and findings of Progresa/Oportunidades, summarizing what is known about program effects, taking into account corrections for multiple-hypothesis testing. ( JEL H23, I18, I28, I32, I38, O15)

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