IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0178076.html
   My bibliography  Save this article

Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?

Author

Listed:
  • Sylvia Shangani
  • Don Operario
  • Becky Genberg
  • Kipruto Kirwa
  • Miriam Midoun
  • Lukoye Atwoli
  • David Ayuku
  • Omar Galárraga
  • Paula Braitstein

Abstract

Background: Orphaned and vulnerable adolescents (OVA) in sub-Saharan Africa are at greater risk for adverse psychological outcomes compared with their non-OVA counterparts. Social interventions that provide cash transfers (CTs) have been shown to improve health outcomes among young people, but little is known about their impact on the psychological wellbeing of OVA. Objective: Among OVA in western Kenya, we assessed the association between living in a household that received monthly unconditional government CTs and psychological wellbeing. Methods: We examined the likelihood of depression, anxiety, post-traumatic stress symptoms (PTSS) and positive future outlook among 655 OVA aged between 10 and 18 years who lived in 300 randomly selected households in western Kenya that either received or did not receive unconditional monthly CTs. Results: The mean age was 14.0 (SD 2.4) years and 329 (50.2%) of the participants were female while 190 (29.0%) were double orphans whose biological parents were both deceased. After adjusting for socio-demographic, caregiver, and household characteristics and accounting for potential effects of participant clustering by sub-location of residence, OVA living in CT households were more likely to have a positive future outlook (odds ratio [OR] 1.47, 95% confidence interval [CI] 1.08, 1.99), less likely to be anxious (OR 0.57, 95% CI 0.42, 0.78), and less likely to have symptoms of post-traumatic stress (OR 0.50, 95% CI 0.29, 0.89). We did not find statistically significant differences in odds of depression by CT group. Conclusion: OVA in CT households reported better psychological wellbeing compared to those in households not receiving CTs. CT interventions may be effective for improving psychological wellbeing among vulnerable adolescents in socioeconomically deprived households.

Suggested Citation

  • Sylvia Shangani & Don Operario & Becky Genberg & Kipruto Kirwa & Miriam Midoun & Lukoye Atwoli & David Ayuku & Omar Galárraga & Paula Braitstein, 2017. "Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.
  • Handle: RePEc:plo:pone00:0178076
    DOI: 10.1371/journal.pone.0178076
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178076
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0178076&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0178076?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ssewamala, Fred M. & Han, Chang-Keun & Neilands, Torsten B., 2009. "Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: Findings from a randomized clinical trial in rural Uganda," Social Science & Medicine, Elsevier, vol. 69(2), pages 191-198, July.
    2. Ramlatu Attah & Valentina Barca & Andrew Kardan & Ian MacAuslan & Fred Merttens & Luca Pellerano, 2016. "Can Social Protection Affect Psychosocial Wellbeing and Why Does This Matter? Lessons from Cash Transfers in Sub-Saharan Africa," Journal of Development Studies, Taylor & Francis Journals, vol. 52(8), pages 1115-1131, August.
    3. Ssewamala, F.M. & Han, C.-K. & Neilands, T.B. & Ismayilova, L. & Sperber, E., 2010. "Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 483-488.
    4. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    5. Sara Pavanello & Carol Watson & W. Onyango-Ouma & Paul Bukuluki, 2016. "Effects of Cash Transfers on Community Interactions: Emerging Evidence," Journal of Development Studies, Taylor & Francis Journals, vol. 52(8), pages 1147-1161, August.
    6. Maxine Molyneux & With Nicola Jones & Fiona Samuels, 2016. "Can Cash Transfer Programmes Have ‘Transformative’ Effects?," Journal of Development Studies, Taylor & Francis Journals, vol. 52(8), pages 1087-1098, August.
    7. Nyambedha, Erick Otieno & Wandibba, Simiyu & Aagaard-Hansen, Jens, 2003. "Changing patterns of orphan care due to the HIV epidemic in western Kenya," Social Science & Medicine, Elsevier, vol. 57(2), pages 301-311, July.
    8. Winnie Mwasiaji, 2015. "Scaling up Cash Transfer Programmes in Kenya," One Pager 286, International Policy Centre for Inclusive Growth.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nabunya, Proscovia & Ssewamala, Fred M. & Ilic, Vilma, 2014. "Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda," Children and Youth Services Review, Elsevier, vol. 44(C), pages 417-421.
    2. Audrey Pereira & UNICEF Office of Research - Innocenti, 2016. "Cash Transfers Improve the Mental Health and Well-being of Youth: Evidence from the Kenyan Cash Transfer for Orphans and Vulnerable Children," Papers inores801, Innocenti Research Briefs.
    3. Nabunya, Proscovia & Ssewamala, Fred M. & Ilic, Vilma, 2014. "Reprint of “Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda”," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 182-186.
    4. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    5. Song-Iee Hong & Chang-Keun Han, 2014. "Asset Impacts on Life Satisfaction in an Asset-Rich Country: Focusing on Older Adults in Singapore," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 118(1), pages 125-140, August.
    6. Franziska Gassmann & Bruno Martorano & Jennifer Waidler, 2022. "How Social Assistance Affects Subjective Wellbeing: Lessons from Kyrgyzstan," Journal of Development Studies, Taylor & Francis Journals, vol. 58(4), pages 827-847, April.
    7. Dennis Puorideme, 2023. "An Ethnographic-Discourse Analysis of the Socio-political Effects of Interaction Between Cash Transfer Programme Authorities, Caregivers and Non-beneficiaries," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 35(3), pages 483-519, June.
    8. Kilburn, Kelly & Handa, Sudhanshu & Angeles, Gustavo & Mvula, Peter & Tsoka, Maxton, 2017. "Short-term impacts of an unconditional cash transfer program on child schooling: Experimental evidence from Malawi," Economics of Education Review, Elsevier, vol. 59(C), pages 63-80.
    9. Shiyou Wu & Mimi V. Chapman & Meihua Zhu & Xiafei Wang, 2020. "Household Assets, the Role of Government Assistance, and Depression Among Low-Income Families in Shanghai," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 571-584, June.
    10. Roelen, Keetie & Delap, Emily & Jones, Camilla & Karki Chettri, Helen, 2017. "Improving child wellbeing and care in Sub-Saharan Africa: The role of social protection," Children and Youth Services Review, Elsevier, vol. 73(C), pages 309-318.
    11. Alik-Lagrange, Arthur & Dreier, Sarah K. & Lake, Milli & Porisky, Alesha, 2021. "Social protection and state-society relations in environments of low and uneven state capacity," LSE Research Online Documents on Economics 110766, London School of Economics and Political Science, LSE Library.
    12. Francesco Burchi & Markus Loewe & Daniele Malerba & Julia Leininger, 2022. "Disentangling the Relationship Between Social Protection and Social Cohesion: Introduction to the Special Issue," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 34(3), pages 1195-1215, June.
    13. Baird, Sarah & McIntosh, Craig & Özler, Berk, 2019. "When the money runs out: Do cash transfers have sustained effects on human capital accumulation?," Journal of Development Economics, Elsevier, vol. 140(C), pages 169-185.
    14. Della Guardia, Anne & Lake, Milli & Schnitzer, Pascale, 2022. "Selective inclusion in cash transfer programs: Unintended consequences for social cohesion," World Development, Elsevier, vol. 157(C).
    15. Francesco Burchi & Federico Roscioli, 2022. "Can Integrated Social Protection Programmes Affect Social Cohesion? Mixed-Methods Evidence from Malawi," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 34(3), pages 1240-1263, June.
    16. Kumar, Tanu, 2021. "The housing quality, income, and human capital effects of subsidized homes in urban India," Journal of Development Economics, Elsevier, vol. 153(C).
    17. Ebenezer Owusu‐Addo & Andre M. N. Renzaho & Paul Sarfo‐Mensah & Yaw A. Sarpong & William Niyuni & Ben J. Smith, 2023. "Sustainability of cash transfer programs: A realist case study," Poverty & Public Policy, John Wiley & Sons, vol. 15(2), pages 173-198, June.
    18. García, Sandra & Harker, Arturo & Cuartas, Jorge, 2019. "Building dreams: The short-term impacts of a conditional cash transfer program on aspirations for higher education," International Journal of Educational Development, Elsevier, vol. 64(C), pages 48-57.
    19. Pouw, Nicky R.M. & Rohregger, Barbara & Schüring, Esther & Alatinga, Kennedy A. & Kinuthia, Bethuel & Bender, Katja, 2020. "Social protection in Ghana and Kenya through an inclusive development Lens. Complex effects and risks," World Development Perspectives, Elsevier, vol. 17(C).
    20. Darejan Dvalishvili & Fred. M. Ssewamala & Proscovia Nabunya & Ozge Sensoy Bahar & Samuel Kizito & Flavia Namuwonge & Phionah Namatovu, 2022. "Impact of Family-Based Economic Empowerment Intervention, Suubi+Adherence (2012–2018) on Multidimensional Poverty for Adolescents Living with HIV (ALWHIV) in Uganda," IJERPH, MDPI, vol. 19(21), pages 1-17, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0178076. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.