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Cash Transfers and Health: Evidence from Tanzania

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  • David K Evans
  • Brian Holtemeyer
  • Katrina Kosec

Abstract

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.

Suggested Citation

  • David K Evans & Brian Holtemeyer & Katrina Kosec, 2019. "Cash Transfers and Health: Evidence from Tanzania," The World Bank Economic Review, World Bank, vol. 33(2), pages 394-412.
    • Handle: RePEc:oup:wbecrv:v:33:y:2019:i:2:p:394-412.
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    File URL: http://hdl.handle.net/10.1093/wber/lhx001
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    Cited by:

    1. Putthi Cheat Lim & Tiziana Lembo & Katie Hampson & Joel Changalucha & Maganga Sambo & Sayantan Ghosal, 2022. "Tackling barriers to collective action for effective vaccination campaigns: rabies in rural Africa as an example," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-9, December.
    2. Natalia Guerrero & Oswaldo Molina & Diego Winkelried, 2020. "Conditional cash transfers, spillovers, and informal health care: Evidence from Peru," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 111-122, February.
    3. Evans, David K. & Holtemeyer, Brian & Kosec, Katrina, 2019. "Cash transfers increase trust in local government," World Development, Elsevier, vol. 114(C), pages 138-155.
    4. Evans, David K. & Gale, Charles & Kosec, Katrina, 2023. "The educational impacts of cash transfers in Tanzania," Economics of Education Review, Elsevier, vol. 92(C).

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