Unconditional cash transfers for reducing poverty and vulnerabilities: effect on use of health services and health outcomes in low- and middle-income countries

Pega, Frank; Pabayo, Roman; Benny, Claire; Lee, Eun-Young; Lhachimi, Stefan K.; Liu, Sze Yan

doi:10.1002/14651858.cd011135.pub3

Cited by 36 publications

(28 citation statements)

References 159 publications

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“…Evidence suggests that CTPs and other social protection measures (such as social benefits, access-to-fair-credit schemes, and active labour market programmes) can improve mental health 14 , 15 , 16 , 17 , 18 and reduce suicide rates. 19 , 20 , 21 , 22 Among young people, evidence suggests that CTPs in east Africa reduced symptoms of depression by as much as 38%.…”

Section: The Role Of Cash Transfer Programmes (Ctps) In Supporting Yo...mentioning

confidence: 99%

Integrating youth mental health into cash transfer programmes in response to the COVID-19 crisis in low-income and middle-income countries

Bauer

Garman

McDaid

et al. 2021

The Lancet Psychiatry

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Section: The Role Of Cash Transfer Programmes (Ctps) In Supporting Yo...mentioning

confidence: 99%

Integrating youth mental health into cash transfer programmes in response to the COVID-19 crisis in low-income and middle-income countries

Bauer

Garman

McDaid

et al. 2021

The Lancet Psychiatry

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“…Upon appraisal completion, 51.4% ( N = 36) of reviews were rated as high quality (JBI score = 8–11) and 48.6% were rated as moderate quality (JBI score = 4–7). Ten reviews received the highest quality score (Baird et al, 2013; Brody et al, 2015; Chinen et al, 2017; Doocy & Tappis, 2017; Kristjansson et al, 2015; Langer et al, 2018; Pega et al, 2015; Pega et al, 2017; Tripney et al, 2013; Waddington et al, 2014) and eight reviews received the lowest moderate quality score (Bassani et al, 2013; Buller et al, 2018; Dammert et al, 2018; Glassman et al, 2013; Halim et al, 2015; Kabeer et al, 2012; Kennedy et al, 2020; Skeen et al, 2017). Figure 5 presents the number of reviews by quality score.…”

Section: Resultsmentioning

confidence: 99%

Impact of social protection on gender equality in low‐ and middle‐income countries: A systematic review of reviews

Perera¹,

Bakrania²,

Ipince³

et al. 2022

Campbell Systematic Reviews

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Background More than half of the global population is not effectively covered by any type of social protection benefit and women's coverage lags behind. Most girls and boys living in low‐resource settings have no effective social protection coverage. Interest in these essential programmes in low and middle‐income settings is rising and in the context of the COVID‐19 pandemic the value of social protection for all has been undoubtedly confirmed. However, evidence on whether the impact of different social protection programmes (social assistance, social insurance and social care services and labour market programmes) differs by gender has not been consistently analysed. Evidence is needed on the structural and contextual factors that determine differential impacts. Questions remain as to whether programme outcomes vary according to intervention implementation and design. Objectives This systematic review aims to collect, appraise, and synthesise the evidence from available systematic reviews on the differential gender impacts of social protection programmes in low and middle‐income countries. It answers the following questions: What is known from systematic reviews on the gender‐differentiated impacts of social protection programmes in low and middle‐income countries? What is known from systematic reviews about the factors that determine these gender‐differentiated impacts? What is known from existing systematic reviews about design and implementation features of social protection programmes and their association with gender outcomes? Search Methods We searched for published and grey literature from 19 bibliographic databases and libraries. The search techniques used were subject searching, reference list checking, citation searching and expert consultations. All searches were conducted between 10 February and 1 March 2021 to retrieve systematic reviews published within the last 10 years with no language restrictions. Selection Criteria We included systematic reviews that synthesised evidence from qualitative, quantitative or mixed‐methods studies and analysed the outcomes of social protection programmes on women, men, girls, and boys with no age restrictions. The reviews included investigated one or more types of social protection programmes in low and middle‐income countries. We included systematic reviews that investigated the effects of social protection interventions on any outcomes within any of the following six core outcome areas of gender equality: economic security and empowerment, health, education, mental health and psychosocial wellbeing, safety and protection and voice and agency. Data Collection and Analysis A total of 6265 records were identified. After removing duplicates, 5250 records were screened independently and simultaneously by two reviewers based on title and abstract and 298 full texts were assessed for eligibility. Another 48 records, identified through the initial scoping exercise, consultations with experts and citation searching, were also screened. The review includes 70 hi...

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“…Previous studies have reported that women facing poverty, psychosocial stress, poor nutrition, and substance use during pregnancy have a higher risk of adverse birth outcomes. [39][40][41][42][43][44] Other studies have reported that both conditional 45 and unconditional 46 cash transfers can have a positive impact on the use of health services and certain health outcomes in low-and middle-income countries. Recent public programs have implemented unconditional cash transfer for pregnant Black and Pacific Islander women in San Francisco and for low-income women in Manitoba under the assumption that the benefit of cash on promoting financial stability and alleviating risk is independent of any conditionality imposed.…”

Section: Discussionmentioning

confidence: 99%

Risk of Adverse Birth Outcomes in Two Cohorts of Pregnant Women With HIV in Zambia

et al. 2022

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Background: A trial of progesterone to prevent preterm birth among HIV-infected Zambian women [Improving Pregnancy Outcomes with Progesterone (IPOP)] found no treatment effect, but the risk of the primary outcome was among the lowest ever documented in women with HIV. In this secondary analysis, we compare the risks of preterm birth (<37 weeks), stillbirth, and a composite primary outcome comprising the two in IPOP versus an observational pregnancy cohort [Zambian Preterm Birth Prevention Study (ZAPPS)] in Zambia, to evaluate reasons for the low risk in IPOP.Methods: Both studies enrolled women before 24 gestational weeks, during August 2015-September 2017 (ZAPPS) and February 2018-January 2020 (IPOP). We used linear probability and log-binomial regression to estimate risk differences and risk ratios (RR), before and after restriction and standardization with inverse probability weights. Results:The unadjusted risk of composite outcome was 18% in ZAPPS (N = 1450) and 9% in IPOP (N = 791) (RR = 2.0; 95% CI = 1.6, 2.6). After restricting and standardizing the ZAPPS cohort to the distribution of IPOP baseline characteristics, the risk remained higher in ZAPPS (RR = 1.6; 95% CI = 1.0, 2.4). The lower risk of preterm/stillbirth in IPOP was only partially explained by measured risk factors. Conclusions: Possible benefits in IPOP of additional monetary reimbursement, more frequent visits, and group-based care warrant further investigation.

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Unconditional cash transfers for reducing poverty and vulnerabilities: effect on use of health services and health outcomes in low- and middle-income countries

Cited by 36 publications

References 159 publications

Integrating youth mental health into cash transfer programmes in response to the COVID-19 crisis in low-income and middle-income countries

Integrating youth mental health into cash transfer programmes in response to the COVID-19 crisis in low-income and middle-income countries

Impact of social protection on gender equality in low‐ and middle‐income countries: A systematic review of reviews

Risk of Adverse Birth Outcomes in Two Cohorts of Pregnant Women With HIV in Zambia

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