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Behavioral Change Promotion, Cash Transfers and Early Childhood Development : Experimental Evidence from a Government Program in a Low-Income Setting

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  • Premand,Patrick
  • Barry,Oumar

Abstract

Signs of development delays and malnutrition are widespread among young children in low-income settings. Social protection programs such as cash transfers are increasingly combined with behavioral change promotion or parenting interventions to improve early childhood development. This paper disentangles the effects of behavioral change promotion from cash transfers to poor households through an experiment embedded in a government program in Niger. The study is also designed to identify within-community spillovers from the behavioral change intervention. The findings show that behavioral change promotion affects a range of practices related to nutrition, health, stimulation, and child protection. Local spillovers on parenting practices are also found. Moderate gains in children's socio-emotional development are observed, but there are no improvements in anthropometrics or cognitive development. Cash transfers alone do not alter parenting practices or improve early childhood development. Cash transfers improve welfare and food security at the household level, and the behavioral intervention induces intra-household reallocations toward children.

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  • Premand,Patrick & Barry,Oumar, 2020. "Behavioral Change Promotion, Cash Transfers and Early Childhood Development : Experimental Evidence from a Government Program in a Low-Income Setting," Policy Research Working Paper Series 9368, The World Bank.
    • Handle: RePEc:wbk:wbrwps:9368
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    Cited by:

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    3. Björkman Nyqvist, Martina & Jayachandran, Seema & Zipfel, Céline, 2023. "A Mother’s Voice: Impacts of Spousal Communication Training on Child Health Investments," CEPR Discussion Papers 17916, C.E.P.R. Discussion Papers.
    4. Barrera,Oscar & Macours,Karen & Premand,Patrick & Vakis,Renos, 2020. "Texting Parents about Early Child Development : Behavioral Changes and Unintended Social Effects," Policy Research Working Paper Series 9492, The World Bank.
    5. Patrick Premand & Dominic Rohner, 2024. "Cash and Conflict: Large-Scale Experimental Evidence from Niger," American Economic Review: Insights, American Economic Association, vol. 6(1), pages 137-153, March.
    6. Lenel, Friederike & Priebe, Jan & Satriawan, Elan & Syamsulhakim, Ekki, 2022. "Can mHealth campaigns improve CCT outcomes? Experimental evidence from sms-nudges in Indonesia," Journal of Health Economics, Elsevier, vol. 86(C).
    7. Patrick Premand & Pascale Schnitzer, 2021. "Efficiency, Legitimacy, and Impacts of Targeting Methods: Evidence from an Experiment in Niger," The World Bank Economic Review, World Bank, vol. 35(4), pages 892-920.

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    More about this item

    Keywords

    Disability; Services&Transfers to Poor; Access of Poor to Social Services; Economic Assistance; Health Care Services Industry; Social Protections&Assistance; Early Childhood Development; Reproductive Health; Nutrition; Early Child and Children's Health;
    All these keywords.

    JEL classification:

    • 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
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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