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Can mHealth campaigns improve CCT outcomes? Experimental evidence from sms-nudges in Indonesia

Author

Listed:
  • Lenel, Friederike
  • Priebe, Jan
  • Satriawan, Elan
  • Syamsulhakim, Ekki

Abstract

Employing a clustered RCT this paper examines the short-term impact of a 12-month mHealth BCC campaign on health practices & outcomes among CCT beneficiaries in Indonesia. Our analysis reveals that the intervention led to substantial improvements in maternal health behavior (postnatal care, child vaccinations, hygiene practices) & outcomes (anemia rates). Adopting a heterogeneous treatment effect framework, we further show that improvements in maternal hygiene practices and anemia rates are closely linked to health knowledge gained by mothers through the sms campaign. In contrast, we provide suggestive evidence that improvements in other health indicators are more likely to be related to the reminder and nudge components of the intervention.

Suggested Citation

  • Lenel, Friederike & Priebe, Jan & Satriawan, Elan & Syamsulhakim, Ekki, 2022. "Can mHealth campaigns improve CCT outcomes? Experimental evidence from sms-nudges in Indonesia," Journal of Health Economics, Elsevier, vol. 86(C).
    • Handle: RePEc:eee:jhecon:v:86:y:2022:i:c:s0167629622001023
    DOI: 10.1016/j.jhealeco.2022.102687
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    1. Teresa Molina Millán & Tania Barham & Karen Macours & John A Maluccio & Marco Stampini, 2019. "Long-Term Impacts of Conditional Cash Transfers: Review of the Evidence," The World Bank Research Observer, World Bank, vol. 34(1), pages 119-159.
    2. Pedro Carneiro & Lucy Kraftman & Giacomo Mason & Lucie Moore & Imran Rasul & Molly Scott, 2021. "The Impacts of a Multifaceted Prenatal Intervention on Human Capital Accumulation in Early Life," American Economic Review, American Economic Association, vol. 111(8), pages 2506-2549, August.
    3. Patricio Ramírez-Correa & Elizabeth E. Grandón & Jorge Alfaro-Pérez & Giselle Painén-Aravena, 2019. "Personality Types as Moderators of the Acceptance of Information Technologies in Organizations: A Multi-Group Analysis in PLS-SEM," Sustainability, MDPI, vol. 11(14), pages 1-15, July.
    4. Frank Schilbach & Heather Schofield & Sendhil Mullainathan, 2016. "The Psychological Lives of the Poor," American Economic Review, American Economic Association, vol. 106(5), pages 435-440, May.
    5. Najy Benhassine & Florencia Devoto & Esther Duflo & Pascaline Dupas & Victor Pouliquen, 2015. "Turning a Shove into a Nudge? A "Labeled Cash Transfer" for Education," American Economic Journal: Economic Policy, American Economic Association, vol. 7(3), pages 86-125, August.
    6. Guanais, F.C., 2013. "The combined effects of the expansion of primary health care and conditional cash transfers on infant mortality in Brazil, 1998-2010," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 2000-2006.
    7. Hsu, Chia-Lin & Chang, Chi-Ya & Yansritakul, Chutinart, 2017. "Exploring purchase intention of green skincare products using the theory of planned behavior: Testing the moderating effects of country of origin and price sensitivity," Journal of Retailing and Consumer Services, Elsevier, vol. 34(C), pages 145-152.
    8. Brollo, Fernanda & Kaufmann, Katja Maria & Ferrara, Eliana La, 2017. "Learning about the Enforcement of Conditional Welfare Programs: Evidence from Brazil," CAGE Online Working Paper Series 317, Competitive Advantage in the Global Economy (CAGE).
    9. Levere,Michael Benjamin & Acharya,Gayatri & Bharadwaj,Prashant, 2016. "The role of information and cash transfers on early childhood development : evidence from Nepal," Policy Research Working Paper Series 7931, The World Bank.
    10. Mecheva, Margarita de Vries & Rieger, Matthias & Sparrow, Robert & Prafiantini, Erfi & Agustina, Rina, 2021. "Snacks, nudges and asymmetric peer influence: Evidence from food choice experiments with children in Indonesia," Journal of Health Economics, Elsevier, vol. 79(C).
    11. 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.
    12. David S. Lee, 2009. "Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 76(3), pages 1071-1102.
    13. Bahety, Girija & Bauhoff, Sebastian & Patel, Dev & Potter, James, 2021. "Texts don’t nudge: An adaptive trial to prevent the spread of COVID-19 in India," Journal of Development Economics, Elsevier, vol. 153(C).
    14. Dammert, Ana C. & Galdo, Jose C. & Galdo, Virgilio, 2014. "Preventing dengue through mobile phones: Evidence from a field experiment in Peru," Journal of Health Economics, Elsevier, vol. 35(C), pages 147-161.
    15. Miriam Bruhn & David McKenzie, 2009. "In Pursuit of Balance: Randomization in Practice in Development Field Experiments," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 200-232, October.
    16. Jeffrey R. Kling & Jeffrey B. Liebman, 2004. "Experimental Analysis of Neighborhood Effects on Youth," Working Papers 1, Princeton University, Department of Economics, Industrial Relations Section..
    17. Roy, Shalini & Hidrobo, Melissa & Hoddinott, John F. & Ahmed, Akhter, 2021. "Transfers, behavior change communication, and intimate partner violence: Post-program evidence from rural Bangladesh," IFPRI book chapters, in: Securing food for all in Bangladesh, chapter 15, pages 549-590, International Food Policy Research Institute (IFPRI).
    18. Orazio Attanasio & Helen Baker-Henningham & Raquel Bernal & Costas Meghir & Diana Pineda & Marta Rubio-Codina, 2022. "Early Stimulation and Nutrition: The Impacts of a Scalable Intervention," Journal of the European Economic Association, European Economic Association, vol. 20(4), pages 1395-1432.
    19. Marie Gaarder & Amanda Glassman & Jessica Todd, 2010. "Conditional cash transfers and health: unpacking the causal chain," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 2(1), pages 6-50.
    20. Vivi Alatas & Abhijit Banerjee & Rema Hanna & Benjamin A. Olken & Ririn Purnamasari & Matthew Wai-Poi, 2019. "Does Elite Capture Matter? Local Elites and Targeted Welfare Programs in Indonesia," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 334-339, May.
    21. Suahasil Nazara & Sri Kusumastuti Rahayu, 2013. "Program Keluarga Harapan (PKH): Indonesian Conditional Cash Transfer Programme," Policy Research Brief (Arab) 42, International Policy Centre for Inclusive Growth.
    22. Julia R G Raifman & Heather E Lanthorn & Slawa Rokicki & Günther Fink, 2014. "The Impact of Text Message Reminders on Adherence to Antimalarial Treatment in Northern Ghana: A Randomized Trial," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-10, October.
    23. Michael Levere & Gayatri Acharya & Prashant Bharadwaj, 2016. "The Role of Information and Cash Transfers on Early Childhood Development: Evidence from Nepal," NBER Working Papers 22640, National Bureau of Economic Research, Inc.
    24. Paul Gertler, 2004. "Do Conditional Cash Transfers Improve Child Health? Evidence from PROGRESA's Control Randomized Experiment," American Economic Review, American Economic Association, vol. 94(2), pages 336-341, May.
    25. 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.
    26. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    27. Colella, Fabrizio & Lalive, Rafael & Sakalli, Seyhun Orcan & Thoenig, Mathias, 2019. "Inference with Arbitrary Clustering," IZA Discussion Papers 12584, Institute of Labor Economics (IZA).
    28. Richard H. Thaler, 2018. "From Cashews to Nudges: The Evolution of Behavioral Economics," American Economic Review, American Economic Association, vol. 108(6), pages 1265-1287, June.
    29. repec:pri:indrel:dsp01m613mx58m is not listed on IDEAS
    30. Nur Cahyadi & Rema Hanna & Benjamin A. Olken & Rizal Adi Prima & Elan Satriawan & Ekki Syamsulhakim, 2020. "Cumulative Impacts of Conditional Cash Transfer Programs: Experimental Evidence from Indonesia," American Economic Journal: Economic Policy, American Economic Association, vol. 12(4), pages 88-110, November.
    31. Damon Jones & David Molitor & Julian Reif, 2019. "What do Workplace Wellness Programs do? Evidence from the Illinois Workplace Wellness Study," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(4), pages 1747-1791.
    32. Premand, Patrick & Barry, Oumar, 2022. "Behavioral change promotion, cash transfers and early childhood development: Experimental evidence from a government program in a low-income setting," Journal of Development Economics, Elsevier, vol. 158(C).
    33. Sedlmayr, Richard & Shah, Anuj & Sulaiman, Munshi, 2020. "Cash-plus: Poverty impacts of alternative transfer-based approaches," Journal of Development Economics, Elsevier, vol. 144(C).
    34. Abhijit Banerjee & Marcella Alsan & Emily Breza & Arun G. Chandrasekhar & Abhijit Chowdhury & Esther Duflo & Paul Goldsmith-Pinkham & Benjamin A. Olken, 2020. "Messages on COVID-19 Prevention in India Increased Symptoms Reporting and Adherence to Preventive Behaviors Among 25 Million Recipients with Similar Effects on Non-recipient Members of Their Communiti," NBER Working Papers 27496, National Bureau of Economic Research, Inc.
    35. Margaret Triyana, 2016. "Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia," American Economic Journal: Economic Policy, American Economic Association, vol. 8(4), pages 255-288, November.
    36. Céline Langendorf & Thomas Roederer & Saskia de Pee & Denise Brown & Stéphane Doyon & Abdoul-Aziz Mamaty & Lynda W-M Touré & Mahamane L Manzo & Rebecca F Grais, 2014. "Preventing Acute Malnutrition among Young Children in Crises: A Prospective Intervention Study in Niger," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-15, September.
    37. Fricke, Hans & Kalogrides, Demetra & Loeb, Susanna, 2018. "It’s too annoying: Who drops out of educational text messaging programs and why," Economics Letters, Elsevier, vol. 173(C), pages 39-43.
    38. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597, December.
    39. Filmer, Deon & Schady, Norbert, 2009. "Are there diminishing returns to transfer size in conditional cash transfers ?," Policy Research Working Paper Series 4999, The World Bank.
    40. Sarah Baird & Craig McIntosh & Berk Özler, 2011. "Cash or Condition? Evidence from a Cash Transfer Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(4), pages 1709-1753.
    41. Cornelius Christian & Lukas Hensel & Christopher Roth, 2019. "Income Shocks and Suicides: Causal Evidence From Indonesia," The Review of Economics and Statistics, MIT Press, vol. 101(5), pages 905-920, December.
    42. Madison T Little & Keetie Roelen & Brittany C L Lange & Janina I Steinert & Alexa R Yakubovich & Lucie Cluver & David K Humphreys, 2021. "Effectiveness of cash-plus programmes on early childhood outcomes compared to cash transfers alone: A systematic review and meta-analysis in low- and middle-income countries," PLOS Medicine, Public Library of Science, vol. 18(9), pages 1-24, September.
    43. Erica M. Field & Elisa M. Maffioli, 2021. "Are Behavioral Change Interventions Needed to Make Cash Transfer Programs Work for Children? Experimental Evidence from Myanmar," NBER Working Papers 28443, National Bureau of Economic Research, Inc.
    44. Christopher Doss & Erin M. Fahle & Susanna Loeb & Benjamin N. York, 2019. "More Than Just a Nudge: Supporting Kindergarten Parents with Differentiated and Personalized Text Messages," Journal of Human Resources, University of Wisconsin Press, vol. 54(3), pages 567-603.
    45. Karlan, Dean & Knight, Ryan & Udry, Christopher, 2015. "Consulting and capital experiments with microenterprise tailors in Ghana," Journal of Economic Behavior & Organization, Elsevier, vol. 118(C), pages 281-302.
    46. Suahasil Nazara & Sri Kusumastuti Rahayu, 2013. "Program Keluarga Harapan (PKH): Indonesian Conditional Cash Transfer Programme," Policy Research Brief 42, International Policy Centre for Inclusive Growth.
    47. Fiala, Nathan, 2018. "Returns to microcredit, cash grants and training for male and female microentrepreneurs in Uganda," World Development, Elsevier, vol. 105(C), pages 189-200.
    48. Sarah Baird & Francisco H.G. Ferreira & Berk Özler & Michael Woolcock, 2014. "Conditional, unconditional and everything in between: a systematic review of the effects of cash transfer programmes on schooling outcomes," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 6(1), pages 1-43, January.
    49. Conley, T. G., 1999. "GMM estimation with cross sectional dependence," Journal of Econometrics, Elsevier, vol. 92(1), pages 1-45, September.
    50. 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.
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    More about this item

    Keywords

    CCT; mHealth; Information; Indonesia;
    All these keywords.

    JEL classification:

    • D80 - Microeconomics - - Information, Knowledge, and Uncertainty - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General
    • 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

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