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Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls

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  • Handa, Sudhanshu
  • Peterman, Amber
  • Huang, Carolyn
  • Halpern, Carolyn
  • Pettifor, Audrey
  • Thirumurthy, Harsha

Abstract

There is promising evidence that poverty-targeted cash transfer programs can have positive impacts on adolescent transitions to adulthood in resource poor settings, however existing research is typically from small scale programs in diverse geographic and cultural settings. We provide estimates of the impact of a national unconditional cash transfer program, the Kenya Cash Transfer for Orphans and Vulnerable Children, on pregnancy and early marriage among females aged 12 to 24, four years after program initiation. The evaluation was designed as a clustered randomized controlled trial and ran from 2007 to 2011, capitalizing on the existence of a control group, which was delayed entry to the program due to budget constraints. Findings indicate that, among 1549 females included in the study, while the program reduced the likelihood of pregnancy by five percentage points, there was no significant impact on likelihood of early marriage. Program impacts on pregnancy appear to work through increasing the enrollment of young women in school, financial stability of the household and delayed age at first sex. The Kenyan program is similar in design to most other major national cash transfer programs in Eastern and Southern Africa, suggesting a degree of generalizability of the results reported here. Although the objective of the program is primarily poverty alleviation, it appears to have an important impact on facilitating the successful transition of adolescent girls into adulthood.

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  • Handa, Sudhanshu & Peterman, Amber & Huang, Carolyn & Halpern, Carolyn & Pettifor, Audrey & Thirumurthy, Harsha, 2015. "Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls," Social Science & Medicine, Elsevier, vol. 141(C), pages 36-45.
    • Handle: RePEc:eee:socmed:v:141:y:2015:i:c:p:36-45
    DOI: 10.1016/j.socscimed.2015.07.024
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    17. Helen Elizabeth Denise Burchett & Dylan Kneale & Sally Griffin & Málica de Melo & Joelma Joaquim Picardo & Rebecca S. French, 2022. "Which Structural Interventions for Adolescent Contraceptive Use Have Been Evaluated in Low- and Middle-Income Countries?," IJERPH, MDPI, vol. 19(18), pages 1-31, September.
    18. Zietz, Susannah & de Hoop, Jacobus & Handa, Sudhanshu, 2018. "The role of productive activities in the lives of adolescents: Photovoice evidence from Malawi," Children and Youth Services Review, Elsevier, vol. 86(C), pages 246-255.
    19. Hegdahl, Hanne Keyser & Musonda, Patrick & Svanemyr, Joar & Zulu, Joseph Mumba & Grønvik, Taran & Jacobs, Choolwe & Sandøy, Ingvild Fossgard, 2022. "Effects of economic support, comprehensive sexuality education and community dialogue on sexual behaviour: Findings from a cluster-RCT among adolescent girls in rural Zambia," Social Science & Medicine, Elsevier, vol. 306(C).
    20. Lambon-Quayefio, Monica & Peterman, Amber & Handa, Sudhanshu & Molotsky, Adria & Otchere, Frank & Mvula, Peter & Tsoka, Maxton & de Hoop, Jacobus & Angeles, Gustavo & Kilburn, Kelly & Milazzo, Annamar, 2024. "Unconditional cash transfers and safe transitions to adulthood in Malawi," World Development, Elsevier, vol. 175(C).
    21. de Walque, Damien, 2020. "The use of financial incentives to prevent unhealthy behaviors: A review," Social Science & Medicine, Elsevier, vol. 261(C).
    22. Kelly Kilburn & Lucia Ferrone & Audrey Pettifor & Ryan Wagner & F. Xavier Gómez-Olivé & Kathy Kahn, 2020. "The Impact of a Conditional Cash Transfer on Multidimensional Deprivation of Young Women: Evidence from South Africa’s HTPN 068," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 151(3), pages 865-895, October.
    23. Bozzoli, Carlos G., 2016. "Orphanhood and fertility in young adults: Evidence from South Africa," Economics & Human Biology, Elsevier, vol. 22(C), pages 190-200.
    24. Ayodeji Emmanuel Iyanda & Barbara J. Dinkins & Tolulope Osayomi & Temitope Joshua Adeusi & Yongmei Lu & Joseph R. Oppong, 0. "Fertility knowledge, contraceptive use and unintentional pregnancy in 29 African countries: a cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-11.

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