Do Cash Transfers Improve Dietary Diversity in Zambia?

This paper investigates whether participation in Zambia’s social cash transfer programme (SCTP) improves household dietary diversity among ultra-poor rural households. While cash transfers are widely implemented across sub-Saharan Africa as social protection measures, empirical evidence regarding their impact on nutritional status remains mixed. This study focuses on dietary diversity, a proxy for nutrition quality, and uses data from the 2015 Rural Agricultural Livelihood Survey (RALS). The analysis employs propensity score matching to control for demographic differences between recipient and non-recipient households, followed by a regression analysis to examine the association between SCTP participation and dietary diversity scores. The findings reveal no statistically significant association between receiving social cash transfers and higher household dietary diversity. In contrast, positive predictors of dietary diversity included household remittances, own production of animal-source foods, and maize sales. Notably, households that relied on foraging exhibited significantly lower dietary diversity, suggesting foraging may be a coping strategy among food-insecure households. These results imply that while the SCTP may enhance household income stability, it does not necessarily translate into improved diet quality. This study contributes to the ongoing policy debate on the effectiveness of cash-based interventions in improving nutrition outcomes. It highlights the need to complement cash transfers with interventions that support food production and access, particularly in rural settings where market and infrastructure limitations persist.