scholarly journals The Impact of Conditional Cash Transfers on Marriage and Divorce

2011 ◽  
Vol 59 (2) ◽  
pp. 281-312 ◽  
Author(s):  
Gustavo J. Bobonis
BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032161
Author(s):  
Neha Batura ◽  
Jolene Skordis ◽  
Tom Palmer ◽  
Aloyce Odiambo ◽  
Andrew Copas ◽  
...  

IntroductionA wealth of evidence from a range of country settings indicates that antenatal care, facility delivery and postnatal care can reduce maternal and child mortality and morbidity in high-burden settings. However, the utilisation of these services by pregnant women, particularly in low/middle-income country settings, is well below that recommended by the WHO. The Afya trial aims to assess the impact, cost-effectiveness and scalability of conditional cash transfers to promote increased utilisation of these services in rural Kenya and thus retain women in the continuum of care during pregnancy, birth and the postnatal period. This protocol describes the planned economic evaluation of the Afya trial.Methods and analysisThe economic evaluation will be conducted from the provider perspective as a within-trial analysis to evaluate the incremental costs and health outcomes of the cash transfer programme compared with the status quo. Incremental cost-effectiveness ratios will be presented along with a cost-consequence analysis where the incremental costs and all statistically significant outcomes will be listed separately. Sensitivity analyses will be undertaken to explore uncertainty and to ensure that results are robust. A fiscal space assessment will explore the affordability of the intervention. In addition, an analysis of equity impact of the intervention will be conducted.Ethics and disseminationThe study has received ethics approval from the Maseno University Ethics Review Committee, REF MSU/DRPI/MUERC/00294/16. The results of the economic evaluation will be disseminated in a peer-reviewed journal and presented at a relevant international conference.Trial registration numberNCT03021070


2016 ◽  
Vol 80 ◽  
pp. 33-47 ◽  
Author(s):  
Ximena V. Del Carpio ◽  
Norman V. Loayza ◽  
Tomoko Wada

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.


2011 ◽  
Vol 5 (5) ◽  
pp. 218
Author(s):  
Budi Hidayat ◽  
Hendratno Tuhiman ◽  
Rudy Prawiradinata ◽  
Pungky Sumadi

Program keluarga harapan (PKH) yang berbasis bantuan tunai bersyarat (conditional cash transfers, CCT) di bidang pendidikan dan kesehatan telah diluncurkan Pemerintah Indonesia sejak Juli 2007 di 348 kecamatan dari 48 kabupaten/kota di 7 provinsi, namun dampaknya dalam mengurangi angka kemiskinan dan meningkatkan kualitas sumber daya manusia warga miskin belum pernah dievaluasi. Studi ini mengevaluasi dampak awal PKH terhadap penggunaan layanan kesehatan preventif. Evaluasi ini menggunakan rancangan eksperimen, intervensi program PKH berbasis rumah tangga dengan pengukuran sebelum dan sesudah intervensi pada kelompok perlakuan dan kontrol yang sebelumnya dipilih acak pada tingkat kecamatan.Data diperoleh dari survei dasar CCT tahun 2007 dan survei lanjutan PKH tahun 2008 yang dikumpulkan di 6 provinsi. Hasil estimasi metode double-difference menunjukkan dampak program intervensi PKH pada kenaikan sejumlah indikator pelayanan kesehatan preventif seperti kunjungan posyandu, pemantauan tumbuh kembang anak, dan imunisasi. Temuan ini penting sebagai dasar pengambilan keputusan untuk melanjutkan program. Namun karena evaluasi awal ini memiliki sejumlah keterbatasan, hasil studi ini harus ditafsirkan hati-hati dan divalidasi lebih lanjut dengan data survei PKH tahun 2009 menggunakan berbagai metode analisisKata kunci: Evaluasi dampak, bantuan tunai bersyarat, program keluarga harapan, pelayanan kesehatan preventifAbstractFamily hope program (PKH), a conditional cash transfers (CCT)-based program in education and health, has been launched by the Government of Indonesia since 2007 in 348 sub-districts of 48 regencies/cities in 7 provinces, but its impact on the reduction of poverty and improvement of poor human resources has not been evaluated. This study valuates initial impact of the PKH on the utilization of preventive healthcare services. This evaluation applies experimental design, a household-based intervention program with measurements prior to and after-intervention in both treatment and control groups that previously were chosen randomly at the sub-district level. The data were obtained from CCT baseline surveys 2007 and PKH follow-up survey 2008 in 6 provinces. Double-difference estimates show the impact of PKH on the increase of preventive health care services indicators such as visit to posyandu, child growth monitoring, and immunization. These findings are important for decision making to continue the program. However, as this initial evaluation has a number of limitations, this study should be interpreted with caution and be validated further by PKH survey 2009 data using different methods of analysis.Key words: Impact evaluation, conditional cash transfers, family hope program, preventive health services


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