The review found that CTs can be effective in tackling structural determinants of health such as financial poverty , education , household resilience , child labour , social capital and social cohesion , civic participation , and birth registration .
The review further found that CTs modify intermediate determinants such as nutrition , dietary diversity , child deprivation , sexual risk behaviours , teen pregnancy and early marriage .
In conjunction with their influence on SDoH , there is moderate evidence from the review that CTs impact on health and quality of life outcomes .
The review also found many factors relating to intervention design features , macro-economic stability , household dynamics and community acceptance of programs that could influence the effectiveness of CTs .
The external validity of the review findings is strong as the findings are largely consistent with those from Latin America .
Cash transfers ( CTs ) are now high on the agenda of most governments in low- and middle-income countries .
Within the field of health promotion , CTs constitute a healthy public policy initiative as they have the potential to address the social determinants of health ( SDoH ) and health inequalities .
A systematic review was conducted to synthesis e the evidence on CTs ' impacts on SDoH and health inequalities in sub-Saharan Africa , and to identify the barriers and facilitators of effective CTs .
The impact of Zambia’s unconditional child grant on schooling and work: results from a large-scale social experiment
ABSTRACT This article reports on the impact on child schooling and work of the Government of Zambia ’s Child Grant Program ( CGP ) , an unconditional cash transfer programme targeted to households with children under age 3 years in three districts of the country . Although the CGP ’s focus is on very young children , we look to see if the programme has impacts on older children who are not the explicit target group . We use data from a large-scale social experiment involving 2519 households , half of whom were r and omised out to a delayed-entry control group , that was implemented to assess the impact of the programme . We find that the CGP has no discernible impact on school enrolment of children age 7–14 . However , when we break the sample by older ( 11–14 ) and younger ( 7–10 ) children – based on the grade structure of the Zambian schooling system – we find a significant impact among children age 11–14 , which coincides with the exact age range where a sharp drop-out begins to occur in Zambia with point estimates in the range of 7–8 percentage points . Finally , we provide evidence on the potential pathways through which the unconditional cash transfer impacts on enrolment . Households in the CGP spend more on education , and in particular on uniforms and shoes , two items cited as key barriers to school enrolment in study areas
The review found that CTs can be effective in tackling structural determinants of health such as financial poverty , education , household resilience , child labour , social capital and social cohesion , civic participation , and birth registration .
The review further found that CTs modify intermediate determinants such as nutrition , dietary diversity , child deprivation , sexual risk behaviours , teen pregnancy and early marriage .
In conjunction with their influence on SDoH , there is moderate evidence from the review that CTs impact on health and quality of life outcomes .
The review also found many factors relating to intervention design features , macro-economic stability , household dynamics and community acceptance of programs that could influence the effectiveness of CTs .
The external validity of the review findings is strong as the findings are largely consistent with those from Latin America .
Cash transfers ( CTs ) are now high on the agenda of most governments in low- and middle-income countries .
Within the field of health promotion , CTs constitute a healthy public policy initiative as they have the potential to address the social determinants of health ( SDoH ) and health inequalities .
A systematic review was conducted to synthesis e the evidence on CTs ' impacts on SDoH and health inequalities in sub-Saharan Africa , and to identify the barriers and facilitators of effective CTs .