Cash transfers and health: Evidence from Tanzania

How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already...

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Autores principales: Evans, David K., Holtemeyer, Brian, Kosec, Katrina
Formato: Journal Article
Lenguaje:Inglés
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://hdl.handle.net/10568/146550
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author Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
author_browse Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
author_facet Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
author_sort Evans, David K.
collection Repository of Agricultural Research Outputs (CGSpace)
description How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already complying with program health conditions and by non-compliers—disappeared after 2.5 years, largely due to compliers reducing above-minimal visits. The study finds significant increases in take-up of health insurance and the likelihood of seeking treatment when ill. Health improvements were concentrated among children ages 0–5 years rather than the elderly, and took time to materialize; the study finds no improvements after 1.5 years, but 0.76 fewer sick days per month after 2.5 years, suggesting the importance of looking beyond short-term impacts. Reductions in sick days were largest in villages with more baseline health workers per capita, consistent with improvements being sensitive to capacity constraints. These results are robust to adjustments for multiple hypothesis testing.
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spelling CGSpace1465502025-02-24T06:46:14Z Cash transfers and health: Evidence from Tanzania Evans, David K. Holtemeyer, Brian Kosec, Katrina health insurance health social protection randomized controlled trials capacity development cash transfers social safety nets resilience public health How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already complying with program health conditions and by non-compliers—disappeared after 2.5 years, largely due to compliers reducing above-minimal visits. The study finds significant increases in take-up of health insurance and the likelihood of seeking treatment when ill. Health improvements were concentrated among children ages 0–5 years rather than the elderly, and took time to materialize; the study finds no improvements after 1.5 years, but 0.76 fewer sick days per month after 2.5 years, suggesting the importance of looking beyond short-term impacts. Reductions in sick days were largest in villages with more baseline health workers per capita, consistent with improvements being sensitive to capacity constraints. These results are robust to adjustments for multiple hypothesis testing. 2019-06 2024-06-21T09:07:29Z 2024-06-21T09:07:29Z Journal Article https://hdl.handle.net/10568/146550 en https://hdl.handle.net/10986/25682 https://www.cgdev.org/publication/education-impacts-cash-transfers-children-multiple-indicators-vulnerability https://www.cgdev.org/blog/are-cash-transfers-right-tool-get-most-vulnerable-school https://blogs.worldbank.org/impactevaluations/cash-transfers-and-health-it-matters-when-you-measure-and-it-matters-how-many-health-care-workers https://doi.org/10.1093/heapol/czz172 https://doi.org/10.2499/p15738coll2.134760 Limited Access Oxford University Press Evans, David K.; Holtemeyer, Brian; and Kosec, Katrina. 2019. Cash transfers and health: Evidence from Tanzania. World Bank Economic Review 33(2): 394–412. https://doi.org/10.1093/wber/lhx001
spellingShingle health insurance
health
social protection
randomized controlled trials
capacity development
cash transfers
social safety nets
resilience
public health
Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
Cash transfers and health: Evidence from Tanzania
title Cash transfers and health: Evidence from Tanzania
title_full Cash transfers and health: Evidence from Tanzania
title_fullStr Cash transfers and health: Evidence from Tanzania
title_full_unstemmed Cash transfers and health: Evidence from Tanzania
title_short Cash transfers and health: Evidence from Tanzania
title_sort cash transfers and health evidence from tanzania
topic health insurance
health
social protection
randomized controlled trials
capacity development
cash transfers
social safety nets
resilience
public health
url https://hdl.handle.net/10568/146550
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