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Alternative Cash Transfer Delivery Mechanisms: Impacts on Routine Preventative Health Clinic Visits in Burkina Faso

Author

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  • Akresh, Richard

    (University of Illinois at Urbana-Champaign)

  • de Walque, Damien

    (World Bank)

  • Kazianga, Harounan

    (Oklahoma State University)

Abstract

We conducted a unique randomized experiment to estimate the impact of alternative cash transfer delivery mechanisms on household demand for routine preventative health services in rural Burkina Faso. The two-year pilot program randomly distributed cash transfers that were either conditional or unconditional and the money was given to either mothers or fathers. Families enrolled in the conditional cash transfer schemes were required to obtain quarterly child growth monitoring at local health clinics for all children under five years old. There was not such a requirement under the unconditional programs. Compared with control group households, conditional cash transfers significantly increase the number of preventative health care visits during the previous year, while unconditional cash transfers did not have such an impact. For the conditional cash transfers, money given to mothers or fathers showed beneficial impacts of similar magnitude in increasing routine visits.

Suggested Citation

  • Akresh, Richard & de Walque, Damien & Kazianga, Harounan, 2012. "Alternative Cash Transfer Delivery Mechanisms: Impacts on Routine Preventative Health Clinic Visits in Burkina Faso," IZA Discussion Papers 6321, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp6321
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    References listed on IDEAS

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    Cited by:

    1. Cooper, Jan E. & Benmarhnia, Tarik & Koski, Alissa & King, Nicholas B., 2020. "Cash transfer programs have differential effects on health: A review of the literature from low and middle-income countries," Social Science & Medicine, Elsevier, vol. 247(C).
    2. Senay Sokullu & Christine Valente, 2022. "Individual consumption in collective households: Identification using repeated observations with an application to PROGRESA," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 37(2), pages 286-304, March.
    3. Harold Alderman & Ruslan Yemtsov, 2014. "How Can Safety Nets Contribute to Economic Growth?," The World Bank Economic Review, World Bank, vol. 28(1), pages 1-20.
    4. Alderman, Harold, 2014. "Can transfer programs be made more nutrition sensitive?:," IFPRI discussion papers 1342, International Food Policy Research Institute (IFPRI).
    5. Muñoz, Juan Sebastián, 2018. "The economics behind the math gender gap: Colombian evidence on the role of sample selection," Journal of Development Economics, Elsevier, vol. 135(C), pages 368-391.
    6. Schleicher, Michael & Souares, Aurélia & Pacere, Athanase Narangoro & Sauerborn, Rainer & Klonner, Stefan, 2016. "Decentralized versus Statistical Targeting of Anti-Poverty Programs: Evidence from Burkina Faso," Working Papers 0623, University of Heidelberg, Department of Economics.
    7. van den Bold, Mara & Quisumbing, Agnes R. & Gillespie, Stuart, 2013. "Women’s empowerment and nutrition: An evidence review:," IFPRI discussion papers 1294, International Food Policy Research Institute (IFPRI).
    8. David K. Evans & Anna Popova, 2017. "Cash Transfers and Temptation Goods," Economic Development and Cultural Change, University of Chicago Press, vol. 65(2), pages 189-221.
    9. Fiorella Benedetti & Pablo Ibarrarán & Patrick J. McEwan, 2016. "Do Education and Health Conditions Matter in a Large Cash Transfer? Evidence from a Honduran Experiment," Economic Development and Cultural Change, University of Chicago Press, vol. 64(4), pages 759-793.
    10. Akresh, Richard & de Walque, Damien & Kazianga, Harounan, 2013. "Cash transfers and child schooling : evidence from a randomized evaluation of the role of conditionality," Policy Research Working Paper Series 6340, The World Bank.
    11. World Bank, 2020. "Assessing Public Financing for Nutrition in Sri Lanka (2014–2018)," World Bank Publications - Reports 33419, The World Bank Group.
    12. Sophie Nadeau & Rifat Hasan, 2015. "Early Childhood Development," World Bank Publications - Reports 23871, The World Bank Group.
    13. Cecilia Rossel & Denise Courtoisie & Magdalena Marsiglia, 2019. "How could conditional cash transfer programme conditionalities reinforce vulnerability? Non‐compliers and policy implementation gaps in Uruguay's Family Allowances," Development Policy Review, Overseas Development Institute, vol. 37(1), pages 3-18, January.
    14. Brent, Robert J., 2013. "A cost-benefit framework for evaluating conditional cash-transfer programs," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 4(2), pages 159-180, August.
    15. Günther Fink & Peter C. Rockers, 2017. "Financial Incentives, Targeting, and Utilization of Child Health Services: Experimental Evidence from Zambia," Health Economics, John Wiley & Sons, Ltd., vol. 26(10), pages 1307-1321, October.
    16. Jean A. Junior & Arlene M. Katz & Roy Ahn, 2016. "The Perspectives of Young Women in Rural Western Kenya on Unconditional Cash Transfers," Poverty & Public Policy, John Wiley & Sons, vol. 8(1), pages 72-94, March.
    17. Independent Evaluation Group, 2014. "Social Safety Nets and Gender : Learning from Impact Evaluations and World Bank Projects," World Bank Publications - Books, The World Bank Group, number 21365.
    18. El-Kogali,Safaa El Tayeb & Krafft,Caroline Gould & Abdelkhalek,Touhami & Benkassmi,Mohamed & Chavez,Monica I. & Bassett,Lucy Katherine & Ejjanoui,Fouzia & El-Kogali,Safaa El Tayeb & Krafft,Caroline Go, 2016. "Inequality of opportunity in early childhood development in Morocco over time," Policy Research Working Paper Series 7670, The World Bank.
    19. Owusu-Addo, Ebenezer & Renzaho, Andre M.N. & Smith, Ben J., 2018. "Evaluation of cash transfer programs in sub-Saharan Africa: A methodological review," Evaluation and Program Planning, Elsevier, vol. 68(C), pages 47-56.
    20. repec:fpr:export:1342 is not listed on IDEAS
    21. Peterman, Amber & Schwab, Benjamin & Roy, Shalini & Hidrobo, Melissa & Gilligan, Daniel, 2015. "Measuring women’s decisionmaking: Indicator choice and survey design experiments from cash and food transfer evaluations in Ecuador, Uganda, and Yemen:," IFPRI discussion papers 1453, International Food Policy Research Institute (IFPRI).
    22. Sophie Nadeau & Rifat Hasan, 2016. "Early Childhood Development," World Bank Publications - Reports 24575, The World Bank Group.

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    More about this item

    Keywords

    gender; conditionality; cash transfers; child health; Africa;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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