Cash Transfers and Health : Evidence from Tanzania

How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already...

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Main Authors: Evans, David K., Holtemeyer, Brian, Kosec, Katrina
Format: Journal Article
Published: Published by Oxford University Press on behalf of the World Bank 2020
Subjects:
Online Access:http://hdl.handle.net/10986/34868
id okr-10986-34868
recordtype oai_dc
spelling okr-10986-348682021-04-23T14:02:10Z Cash Transfers and Health : Evidence from Tanzania Evans, David K. Holtemeyer, Brian Kosec, Katrina CASH TRANSFERS POVERTY HEALTH HEALTH INSURANCE CONDITIONAL CASH TRANSFER SCHOOL ATTENDANCE How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already complying with program health conditions and by non-compliers—disappeared after 2.5 years, largely due to compliers reducing above-minimal visits. The study finds significant increases in take-up of health insurance and the likelihood of seeking treatment when ill. Health improvements were concentrated among children ages 0–5 years rather than the elderly, and took time to materialize; the study finds no improvements after 1.5 years, but 0.76 fewer sick days per month after 2.5 years, suggesting the importance of looking beyond short-term impacts. Reductions in sick days were largest in villages with more baseline health workers per capita, consistent with improvements being sensitive to capacity constraints. These results are robust to adjustments for multiple hypothesis testing. 2020-12-03T21:58:19Z 2020-12-03T21:58:19Z 2019-06 Journal Article World Bank Economic Review 1564-698X http://hdl.handle.net/10986/34868 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Published by Oxford University Press on behalf of the World Bank Publications & Research Publications & Research :: Journal Article Africa Africa Eastern and Southern (AFE) Tanzania
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic CASH TRANSFERS
POVERTY
HEALTH
HEALTH INSURANCE
CONDITIONAL CASH TRANSFER
SCHOOL ATTENDANCE
spellingShingle CASH TRANSFERS
POVERTY
HEALTH
HEALTH INSURANCE
CONDITIONAL CASH TRANSFER
SCHOOL ATTENDANCE
Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
Cash Transfers and Health : Evidence from Tanzania
geographic_facet Africa
Africa Eastern and Southern (AFE)
Tanzania
description How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years—due to more visits by those already complying with program health conditions and by non-compliers—disappeared after 2.5 years, largely due to compliers reducing above-minimal visits. The study finds significant increases in take-up of health insurance and the likelihood of seeking treatment when ill. Health improvements were concentrated among children ages 0–5 years rather than the elderly, and took time to materialize; the study finds no improvements after 1.5 years, but 0.76 fewer sick days per month after 2.5 years, suggesting the importance of looking beyond short-term impacts. Reductions in sick days were largest in villages with more baseline health workers per capita, consistent with improvements being sensitive to capacity constraints. These results are robust to adjustments for multiple hypothesis testing.
format Journal Article
author Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
author_facet Evans, David K.
Holtemeyer, Brian
Kosec, Katrina
author_sort Evans, David K.
title Cash Transfers and Health : Evidence from Tanzania
title_short Cash Transfers and Health : Evidence from Tanzania
title_full Cash Transfers and Health : Evidence from Tanzania
title_fullStr Cash Transfers and Health : Evidence from Tanzania
title_full_unstemmed Cash Transfers and Health : Evidence from Tanzania
title_sort cash transfers and health : evidence from tanzania
publisher Published by Oxford University Press on behalf of the World Bank
publishDate 2020
url http://hdl.handle.net/10986/34868
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