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Linking Social Protection Schemes: The Joint Effects of a Public Works and a Health Insurance Programme in Ethiopia

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  • Zemzem Shigute
  • Christoph Strupat
  • Francesco Burchi
  • Getnet Alemu
  • Arjun S. Bedi

Abstract

In developing countries and in particular in sub-Saharan Africa, social protection schemes tend to operate in silos. However, schemes targeting the same geographical areas may have synergies that have not yet been examined, and which are worth scrutinising. This paper contributes to this knowledge gap by examining the joint impacts of two social protection programmes in Ethiopia, that is, the Productive Safety Net Programme and a Community Based Health Insurance Scheme. Based on three rounds of individual level panel data and several rounds of qualitative interviews, we find that individuals covered by both programmes, as opposed to neither or only one of the two programmes, provide greater labour supply, have larger livestock holdings, and have a lower amount of outstanding loans. Furthermore, joint participation is associated with greater use of modern health care facilities as compared to participating only in the safety net programme. These results show that bundling of interventions enhances protection against multiple risks and that linking social protection schemes yields more than the sum of their individual effects.

Suggested Citation

  • Zemzem Shigute & Christoph Strupat & Francesco Burchi & Getnet Alemu & Arjun S. Bedi, 2020. "Linking Social Protection Schemes: The Joint Effects of a Public Works and a Health Insurance Programme in Ethiopia," Journal of Development Studies, Taylor & Francis Journals, vol. 56(2), pages 431-448, February.
    • Handle: RePEc:taf:jdevst:v:56:y:2020:i:2:p:431-448
    DOI: 10.1080/00220388.2018.1563682
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    Cited by:

    1. Alberto Posso & Udeni De Silva Perera & Ankita Mishra, 2021. "Community‐level health programs and child labor: Evidence from Ethiopia," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 2995-3015, December.
    2. Sudha Narayanan & Karthikeya Naraparaju & Nicolas Gerber, 2023. "An assessment of India's multiple national social protection schemes in improving nutrition and health," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(5), pages 1215-1229, October.
    3. Diwakar, Vidya & Shepherd, Andrew, 2022. "Sustaining escapes from poverty," World Development, Elsevier, vol. 151(C).
    4. Nicky Pouw & Katja Bender, 2022. "The Poverty Reduction Effect of Social Protection: The Pros and Cons of a Multidisciplinary Approach," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 34(5), pages 2204-2223, October.
    5. Mussa, Essa Chanie & Otchere, Frank & Vinci, Vincenzo & Reshad, Abduljelil & Palermo, Tia, 2021. "Linking poverty-targeted social protection and Community Based Health Insurance in Ethiopia: Enrolment, linkages, and gaps," Social Science & Medicine, Elsevier, vol. 286(C).
    6. Aleksandrova, Mariya, 2019. "Social protection as a tool to address slow onset climate events: Emerging issues for research and policy," IDOS Discussion Papers 16/2019, German Institute of Development and Sustainability (IDOS).

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