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Can conditional cash transfers improve maternal health and birth outcomes?: Evidence from El Salvador's Comunidades Solidarias Rurales

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  • de Brauw, Alan
  • Peterman, Amber

Abstract

Although conditional cash transfers (CCTs) are traditionally evaluated in relation to child schooling and nutrition outcomes, there is growing interest in specifically examining maternal and reproductive health impacts. However, since data collection is not typically designed to evaluate these outcomes and sample sizes are often limited, there is a lack of rigorous evidence as to whether and through which pathways these effects may be realized. This paper uses regression discontinuity design and a unique implicit threshold to evaluate the impact of El Salvador's CCT program Comunidades Solidarias Rurales on a range of maternal and reproductive health outcomes: (1) prenatal care, (2) skilled attendance at birth, (3) birth in a health facility, and (4) postnatal care, using data collected by the International Food Policy Research Institute and its collaborators from women who entered the program in 2006 and 2007. Results indicate that robust impacts are found on outcomes at time of birth (skilled attendance and birth in facility), while no impacts are found on healthseeking behavior pre- and postbirth (prenatal and postnatal care). Potential impact pathways as well as the implications of these findings for program design are discussed in the conclusion.

Suggested Citation

  • de Brauw, Alan & Peterman, Amber, 2011. "Can conditional cash transfers improve maternal health and birth outcomes?: Evidence from El Salvador's Comunidades Solidarias Rurales," IFPRI discussion papers 1080, International Food Policy Research Institute (IFPRI).
  • Handle: RePEc:fpr:ifprid:1080
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    1. Baird, Sarah & McIntosh, Craig & Ozler, Berk, 2009. "Designing cost-effective cash transfer programs to boost schooling among young women in Sub-Saharan Africa," Policy Research Working Paper Series 5090, The World Bank.
    2. Kenneth Y. Chay & Patrick J. McEwan & Miguel Urquiola, 2005. "The Central Role of Noise in Evaluating Interventions That Use Test Scores to Rank Schools," American Economic Review, American Economic Association, vol. 95(4), pages 1237-1258, September.
    3. Jens Ludwig & Douglas L. Miller, 2007. "Does Head Start Improve Children's Life Chances? Evidence from a Regression Discontinuity Design," The Quarterly Journal of Economics, Oxford University Press, vol. 122(1), pages 159-208.
    4. Gustavo J. Bobonis, 2011. "The Impact of Conditional Cash Transfers on Marriage and Divorce," Economic Development and Cultural Change, University of Chicago Press, vol. 59(2), pages 281-312.
    5. Edwin Leuven & Mikael Lindahl & Hessel Oosterbeek & Dinand Webbink, 2007. "The Effect of Extra Funding for Disadvantaged Pupils on Achievement," The Review of Economics and Statistics, MIT Press, vol. 89(4), pages 721-736, November.
    6. Guy Stecklov & Paul Winters & Jessica Todd & Ferdinando Regalia, 2006. "Demographic Externalities from Poverty Programs in Developing Countries: Experimental Evidence from Latin America," Working Papers 2006-01, American University, Department of Economics.
    7. Sarah Baird & Ephraim Chirwa & Craig McIntosh & Berk Özler, 2010. "The short‐term impacts of a schooling conditional cash transfer program on the sexual behavior of young women," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 55-68, September.
    8. Gustavo J. Bobonis & Melissa González-Brenes & Roberto Castro, 2013. "Public Transfers and Domestic Violence: The Roles of Private Information and Spousal Control," American Economic Journal: Economic Policy, American Economic Association, vol. 5(1), pages 179-205, February.
    9. Sudhanshu Handa & Benjamin Davis, 2006. "The Experience of Conditional Cash Transfers in Latin America and the Caribbean," Development Policy Review, Overseas Development Institute, vol. 24(5), pages 513-536, September.
    10. Guido Imbens & Karthik Kalyanaraman, 2012. "Optimal Bandwidth Choice for the Regression Discontinuity Estimator," Review of Economic Studies, Oxford University Press, vol. 79(3), pages 933-959.
    11. 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.
    12. van der Klaauw, Wilbert, 2008. "Breaking the link between poverty and low student achievement: An evaluation of Title I," Journal of Econometrics, Elsevier, vol. 142(2), pages 731-756, February.
    13. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    14. de Brauw, Alan & Gilligan, Daniel, 2011. "Using the regression discontinuity design with implicit partitions: The impacts of comunidades solidarias rurales on schooling in El Salvador," IFPRI discussion papers 1116, International Food Policy Research Institute (IFPRI).
    15. Hahn, Jinyong & Todd, Petra & Van der Klaauw, Wilbert, 2001. "Identification and Estimation of Treatment Effects with a Regression-Discontinuity Design," Econometrica, Econometric Society, vol. 69(1), pages 201-209, January.
    16. Jose Urquieta & Gustavo Angeles & Thomas Mroz & Hector Lamadrid-Figueroa & Bernardo Hernández, 2009. "Impact of Oportunidades on Skilled Attendance at Delivery in Rural Areas," Economic Development and Cultural Change, University of Chicago Press, vol. 57(3), pages 539-558, April.
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    Cited by:

    1. Joshi, Shareen & Sivaram, Anusuya, 2014. "Does it Pay to Deliver? An Evaluation of India’s Safe Motherhood Program," World Development, Elsevier, vol. 64(C), pages 434-447.
    2. Alan de Brauw, 2012. "Evaluación de Impactos Usando Regresión Discontinua con Índice Implícito: Evaluando el Programa de Transferencias de El Salvador Comunidades Solidarias Rurales," One Pager Spanish 167, International Policy Centre for Inclusive Growth.
    3. Alan de Brauw, 2012. "Regression Discontinuity Impacts with an Implicit Index: Evaluating El Salvador?s Comunidades Solidarias Rurales Transfer Programme," One Pager 167, International Policy Centre for Inclusive Growth.

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    Keywords

    conditional cash transfer; maternal health;

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