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Money and my mind: Maternal cash transfers and mental health

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  • Edward N. Okeke

Abstract

This paper documents important mental health spillovers in the context of a program that offered pregnant women modest cash incentives to use pre‐ and perinatal health care services. Program participation was randomized and the payments were made after the birth of the child (and after the completion of an endline mental health assessment). I present causal evidence that the program led to improvements in mothers' mental health. The effect size ranges from a 1–3 percentage point reduction in postpartum depression measured using the Edinburgh Postnatal Depression Scale. I present suggestive evidence that these beneficial effects on mental health may be related to program‐induced improvements in child health. These results provide novel evidence that programs designed to improve birth outcomes may generate unanticipated spillover effects on mental health.

Suggested Citation

  • Edward N. Okeke, 2021. "Money and my mind: Maternal cash transfers and mental health," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2879-2904, November.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:11:p:2879-2904
    DOI: 10.1002/hec.4398
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    1. Lund, Crick & Breen, Alison & Flisher, Alan J. & Kakuma, Ritsuko & Corrigall, Joanne & Joska, John A. & Swartz, Leslie & Patel, Vikram, 2010. "Poverty and common mental disorders in low and middle income countries: A systematic review," Social Science & Medicine, Elsevier, vol. 71(3), pages 517-528, August.
    2. Benedicte Apouey & Andrew E. Clark, 2015. "Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health," Health Economics, John Wiley & Sons, Ltd., vol. 24(5), pages 516-538, May.
    3. N. Meltem Daysal & Mircea Trandafir & Reyn van Ewijk, 2015. "Saving Lives at Birth: The Impact of Home Births on Infant Outcomes," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 28-50, July.
    4. Powell-Jackson, Timothy & Mazumdar, Sumit & Mills, Anne, 2015. "Financial incentives in health: New evidence from India's Janani Suraksha Yojana," Journal of Health Economics, Elsevier, vol. 43(C), pages 154-169.
    5. Strulik, Holger, 2019. "An economic theory of depression and its impact on health behavior and longevity," Journal of Economic Behavior & Organization, Elsevier, vol. 158(C), pages 269-287.
    6. Bhalotra, Sonia & Chakravarty, Abhishek & Gulesci, Selim, 2020. "The price of gold: Dowry and death in India," Journal of Development Economics, Elsevier, vol. 143(C).
    7. Federico A. Bugni & Ivan A. Canay & Azeem M. Shaikh, 2018. "Inference Under Covariate-Adaptive Randomization," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 113(524), pages 1784-1796, October.
    8. Mark Tomlinson & Crick Lund, 2012. "Why Does Mental Health Not Get the Attention It Deserves? An Application of the Shiffman and Smith Framework," PLOS Medicine, Public Library of Science, vol. 9(2), pages 1-4, February.
    9. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    10. Johnston, David W. & Schurer, Stefanie & Shields, Michael A., 2013. "Exploring the intergenerational persistence of mental health: Evidence from three generations," Journal of Health Economics, Elsevier, vol. 32(6), pages 1077-1089.
    11. Carol Propper & John Rigg & Simon Burgess, 2007. "Child health: evidence on the roles of family income and maternal mental health from a UK birth cohort," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1245-1269.
    12. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    13. Simon Heß, 2017. "Randomization inference with Stata: A guide and software," Stata Journal, StataCorp LP, vol. 17(3), pages 630-651, September.
    14. James G. MacKinnon & Matthew D. Webb, 2017. "Wild Bootstrap Inference for Wildly Different Cluster Sizes," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 32(2), pages 233-254, March.
    15. Perry, Cynthia D., 2008. "Does treating maternal depression improve child health management The case of pediatric asthma," Journal of Health Economics, Elsevier, vol. 27(1), pages 157-173, January.
    16. Cook, Scott J. & Blas, Betsabe & Carroll, Raymond J. & Sinha, Samiran, 2017. "Two Wrongs Make a Right: Addressing Underreporting in Binary Data from Multiple Sources," Political Analysis, Cambridge University Press, vol. 25(2), pages 223-240, April.
    17. Mark M. Pitt & Mark R. Rosenzweig & Mohammad Nazmul Hassan, 2012. "Human Capital Investment and the Gender Division of Labor in a Brawn-Based Economy," American Economic Review, American Economic Association, vol. 102(7), pages 3531-3560, December.
    18. Tonei, Valentina, 2019. "Mother’s mental health after childbirth: Does the delivery method matter?," Journal of Health Economics, Elsevier, vol. 63(C), pages 182-196.
    19. Seema Jayachandran, 2015. "The Roots of Gender Inequality in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 7(1), pages 63-88, August.
    20. Pamela Y. Collins & Vikram Patel & Sarah S. Joestl & Dana March & Thomas R. Insel & Abdallah S. Daar & Isabel A. Bordin & E. Jane Costello & Maureen Durkin & Christopher Fairburn & Roger I. Glass & Wa, 2011. "Grand challenges in global mental health," Nature, Nature, vol. 475(7354), pages 27-30, July.
    21. Gissele Gajate-Garrido, 2013. "The Impact of Adequate Prenatal Care on Urban Birth Outcomes: An Analysis in a Developing Country Context," Economic Development and Cultural Change, University of Chicago Press, vol. 62(1), pages 95-130.
    22. Mark Tomlinson & Crick Lund, 2012. "Why Does Mental Health Not Get the Attention It Deserves? An Application of the Shiffman and Smith Framework," Working Papers id:4819, eSocialSciences.
    23. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    24. Jonathan de Quidt & Johannes Haushofer, 2016. "Depression for Economists," NBER Working Papers 22973, National Bureau of Economic Research, Inc.
    25. Okeke, Edward N. & Chari, A.V., 2018. "Health care at birth and infant mortality: Evidence from nighttime deliveries in Nigeria," Social Science & Medicine, Elsevier, vol. 196(C), pages 86-95.
    26. repec:hal:pseose:halshs-01155641 is not listed on IDEAS
    27. Benjamin M Hunter & Sean Harrison & Anayda Portela & Debra Bick, 2017. "The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-37, March.
    28. Siwan Anderson, 2007. "The Economics of Dowry and Brideprice," Journal of Economic Perspectives, American Economic Association, vol. 21(4), pages 151-174, Fall.
    29. Okeke, Edward N. & Abubakar, Isa S., 2020. "Healthcare at the beginning of life and child survival: Evidence from a cash transfer experiment in Nigeria," Journal of Development Economics, Elsevier, vol. 143(C).
    30. Johannes Haushofer & Jeremy Shapiro, 2016. "The Short-term Impact of Unconditional Cash Transfers to the Poor: ExperimentalEvidence from Kenya," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1973-2042.
    31. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239.
    32. Grépin, Karen A. & Habyarimana, James & Jack, William, 2019. "Cash on delivery: Results of a randomized experiment to promote maternal health care in Kenya," Journal of Health Economics, Elsevier, vol. 65(C), pages 15-30.
    33. Avraham Ebenstein & Steven Leung, 2010. "Son Preference and Access to Social Insurance: Evidence from China's Rural Pension Program," Population and Development Review, The Population Council, Inc., vol. 36(1), pages 47-70, March.
    34. Victoria Baranov & Sonia Bhalotra & Pietro Biroli & Joanna Maselko, 2017. "Maternal Depression, Women’s Empowerment, and Parental Investment: Evidence from a Large Randomized Control Trial," CHILD Working Papers Series 60 JEL Classification: I1, Centre for Household, Income, Labour and Demographic Economics (CHILD) - CCA.
    35. Carol Propper & John Rigg & Simon Burgess, 2007. "Child health: evidence on the roles of family income and maternal mental health from a UK birth cohort," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1245-1269, November.
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