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The mental health impact for adolescents ageing out of South Africa’s child support grant

Author

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  • Khumalo, Tsepang
  • Burger, Ronelle
  • von Fintel, Marisa

Abstract

While the benefits of cash transfers are well documented, little attention has been given to the negative effects of their cessation, particularly on mental health. We examined this question using South African longitudinal survey data comprising 7899 unique adolescents tracked as they age out of the Child Support Grant, the country’s largest cash transfer. We find that loss of the Child Support Grant leads to a decline in mental health equivalent to 0.42 of a standard deviation in the CES-D score, robust across model specifications and falsification tests. Increased job search activity points to resource mobilisation as a plausible mechanism, consistent with the Conservation of Resources framework. Effects are concentrated among adolescents in urban areas and households with lower and less diversified income. The results point to a neglected aspect of social protection: how and when cash transfers are withdrawn, particularly when this coincides with critical life stages.

Suggested Citation

  • Khumalo, Tsepang & Burger, Ronelle & von Fintel, Marisa, 2026. "The mental health impact for adolescents ageing out of South Africa’s child support grant," Journal of Development Economics, Elsevier, vol. 183(C).
  • Handle: RePEc:eee:deveco:v:183:y:2026:i:c:s030438782600146x
    DOI: 10.1016/j.jdeveco.2026.103863
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    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • 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
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • N27 - Economic History - - Financial Markets and Institutions - - - Africa; Oceania

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