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 .
Cash Transfers to Increase Antenatal Care Utilization in Kisoro, Uganda: A Pilot Study.
The World Health Organization recommends four antenatal visits for pregnant women in developing countries . Cash transfers have been used to incentivize participation in health services . We examined whether modest cash transfers for participation in antenatal care would increase antenatal care attendance and delivery in a health facility in Kisoro , Ug and a. Twenty-three villages were r and omized into four groups : 1 ) no cash ; 2 ) 0.20 United States Dollars ( USD ) for each of four visits ; 3 ) 0.40 USD for a single first trimester visit only ; 4 ) 0.40 USD for each of four visits . Outcomes were three or more antenatal visits and delivery in a health facility . Chi-square , analysis of variance , and generalized estimating equation analyses were performed to detect differences in outcomes . Women in the 0.40 USD/visit group had higher odds of three or more antenatal visits than the control group ( OR 1.70 , 95 % CI : 1.13 - 2.57 ) . The odds of delivering in a health facility did not differ between groups . However , women with more antenatal visits had higher odds of delivering in a health facility ( OR 1.21 , 95 % CI : 1.03 - 1.42 ) . These findings are important in an area where maternal mortality is high , utilization of health services is low , and re sources are scarce
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 .