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Using conditionality as a solution to the problem of low uptake of essential services among disadvantaged communities: A social determinants view

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  • Forde, I.
  • Bell, R.
  • Marmot, M.G.

Abstract

Conditional cash transfer schemes, which use cash to incentivize uptake of basic health and educational services, are well established among social planners inlowand middle-income countries and are now taking hold in high-income countries. Weappraised these schemes within a social determinants framework and found some encouraging signs in their first decade of operation. Success, however, has been inconsistent, and it is unclear whether conditional cash transfer schemes can reliably secure meaningful improvements in participants' health and nutritional status or educational attainment. Conditional cash transfer schemes' objectives will not be met unless they are transformed in 3 ways: transferring power as well as resources, emphasizing entitlements alongside conditionality, and avoiding the trap of incoherent or residualized policy.

Suggested Citation

  • Forde, I. & Bell, R. & Marmot, M.G., 2011. "Using conditionality as a solution to the problem of low uptake of essential services among disadvantaged communities: A social determinants view," American Journal of Public Health, American Public Health Association, vol. 101(8), pages 1365-1369.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300140_3
    DOI: 10.2105/AJPH.2011.300140
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    Cited by:

    1. Michael Marmot & Ruth Bell & Angela Donkin, 2013. "Tackling Structural and Social Issues to Reduce Inequities in Children’s Outcomes in Low- to Middle-income Countries," Papers indipa708, Innocenti Discussion Papers.
    2. Ma, Zhao & Bauchet, Jonathan & Steele, Diana & Godoy, Ricardo & Radel, Claudia & Zanotti, Laura, 2017. "Comparison of Direct Transfers for Human Capital Development and Environmental Conservation," World Development, Elsevier, vol. 99(C), pages 498-517.
    3. Krishna Andréia Feitosa Petrola & Ítalo Barroso Bezerra & Érico Alexandro Vasconcelos de Menezes & Paola Calvasina & Maria Vieira de Lima Saintrain & Anya Pimentel G. F. Vieira-Meyer, 2016. "Provision of Oral Health Care to Children under Seven Covered by Bolsa Família Program. Is This a Reality?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
    4. Skovdal, Morten & Robertson, Laura & Mushati, Phyllis & Dumba, Lovemore & Sherr, Lorraine & Nyamukapa, Constance & Gregson, Simon, 2013. "Acceptability of conditions in a community-led cash transfer programme for orphaned and vulnerable children in Zimbabwe," LSE Research Online Documents on Economics 52945, London School of Economics and Political Science, LSE Library.
    5. Sheliza Ladhani & Kathleen C. Sitter, 2020. "Conditional cash transfers: A critical review," Development Policy Review, Overseas Development Institute, vol. 38(1), pages 28-41, January.
    6. Debosree Banerjee & Stephan Klasen, 2022. "Conditional cash transfers to mothers, intrahousehold allocations: the role of unobservability," International Journal of Economic Policy Studies, Springer, vol. 16(1), pages 275-296, February.

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