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

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Author Info

  • 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.

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Bibliographic Info

Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 6321.

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Length: 30 pages
Date of creation: Jan 2012
Date of revision:
Handle: RePEc:iza:izadps:dp6321

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Keywords: cash transfers; conditionality; gender; child health; Africa;

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  1. de Brauw, Alan & Hoddinott, John, 2011. "Must conditional cash transfer programs be conditioned to be effective? The impact of conditioning transfers on school enrollment in Mexico," Journal of Development Economics, Elsevier, Elsevier, vol. 96(2), pages 359-370, November.
  2. Case, Anne & Deaton, Angus, 1998. "Large Cash Transfers to the Elderly in South Africa," Economic Journal, Royal Economic Society, Royal Economic Society, vol. 108(450), pages 1330-61, September.
  3. Sarah Baird & Craig McIntosh & Berk �zler, 2011. "Cash or Condition? Evidence from a Cash Transfer Experiment," The Quarterly Journal of Economics, Oxford University Press, vol. 126(4), pages 1709-1753.
  4. Richard Akresh, 2009. "Flexibility of Household Structure: Child Fostering Decisions in Burkina Faso," Journal of Human Resources, University of Wisconsin Press, vol. 44(4).
  5. Esther Duflo, 2000. "Grandmothers and Granddaughters: Old Age Pension and Intra-household Allocation in South Africa," NBER Working Papers 8061, National Bureau of Economic Research, Inc.
  6. 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, The World Bank, number 2597, August.
  7. Paxson, Christina & Schady, Norbert, 2007. "Does money matter ? The effects of cash transfers on child health and development in rural Ecuador," Policy Research Working Paper Series 4226, The World Bank.
  8. Parker, Susan W. & Wong, Rebeca, 1997. "Household income and health care expenditures in Mexico," Health Policy, Elsevier, Elsevier, vol. 40(3), pages 237-255, June.
  9. Moock, Peter R. & Leslie, Joanne, 1986. "Childhood malnutrition and schooling in the Terai region of Nepal," Journal of Development Economics, Elsevier, Elsevier, vol. 20(1), pages 33-52.
  10. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, Elsevier, vol. 81(3), pages 345-368, September.
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Cited by:
  1. Richard Akresh & Damien de Walque & Harounan Kazianga, 2013. "Cash Transfers and Child Schooling: Evidence from a Randomized Evaluation of the Role of Conditionality," Economics Working Paper Series, Oklahoma State University, Department of Economics and Legal Studies in Business 1301, Oklahoma State University, Department of Economics and Legal Studies in Business.
  2. repec:fpr:export:1342 is not listed on IDEAS
  3. van den Bold, Mara & Quisumbing, Agnes R. & Gillespie, Stuart, 2013. "Women’s empowerment and nutrition: An evidence review:," IFPRI discussion papers, International Food Policy Research Institute (IFPRI) 1294, International Food Policy Research Institute (IFPRI).
  4. Alderman, Harold & Yemtsov, Ruslan, 2013. "How can safety nets contribute to economic growth ?," Policy Research Working Paper Series 6437, The World Bank.

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