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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.

Conditional Cash Transfer (CCT) programs, started in the late 1990s in Latin America, have become the antipoverty program of choice in many developing countries in the region and beyond. This paper reviews the literature on their long-term impacts on human capital and related outcomes observed after children have reached a later stage of their life cycle, focusing on two life-cycle transitions. The first includes children exposed to CCTs in utero or during early childhood who have reached school ages. The second includes children exposed to CCTs during school ages who have reached young adulthood. Most studies find positive long-term effects on schooling, but fewer find positive impacts on cognitive skills, learning, or socio-emotional skills. Impacts on employment and earnings are mixed, possibly because former beneficiaries were often still too young. A number of studies find estimates that are not statistically different from zero, but for which it is often not possible to be confident that this is due to an actual lack of impact rather than to the methodological challenges facing all long-term evaluations. Developing further opportunities for analyses with rigorous identification strategies for the measurement of long-term impacts should be high on the research agenda. As original beneficiaries age, this should also be increasingly possible, and indeed important before concluding whether or not CCTs lead to sustainable poverty reduction.

This article assesses the role of conditionality in cash transfer programs using a unique experiment targeted at adolescent girls in Malawi. The program featured two distinct interventions: unconditional transfers (UCT arm) and transfers conditional on school attendance (CCT arm). Although there was a modest decline in the dropout rate in the UCT arm in comparison with the control group, it was only 43% as large as the impact in the CCT arm at the end of the 2-year program. The CCT arm also outperformed the UCT arm in tests of English reading comprehension. However, teenage pregnancy and marriage rates were substantially lower in the UCT than the CCT arm, entirely due to the impact of UCTs on these outcomes among girls who dropped out of school.

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.

Conditional Cash Transfers (CCTs) have been shown to increase human capital investments, but their standard features make them expensive. We use a large randomized experiment in Morocco to estimate an alternative government-run program, a \"labeled cash transfer\" (LCT): a small cash transfer made to fathers of school-aged children in poor rural communities, not conditional on school attendance but explicitly labeled as an education support program. We document large gains in school participation. Adding conditionality and targeting mothers made almost no difference in our context. The program increased parents' belief that education was a worthwhile investment, a likely pathway for the results.

Most impact evaluations of Conditional Cash Transfers (CCTs) and Unconditional Cash Transfers (UCTs) focus on the returns to increased human capital investments that will be reaped largely or exclusively in the future (e.g., when current children have increased productivities as adults). But the objectives of these programs are not only to increase human capital investments with implications for future levels and distributions of income but also to alleviate current poverty and reduce current inequality. The current distributional gains from such programs depend on the degree of inequality aversion in the social welfare function. Simulations show that, for a range of inequality aversion parameters, the welfare gains from current redistribution for the Mexican PROGRESA CCT program can be as large, or possibly much larger, than the estimated present discounted value of future earnings from human capital investments in lower and upper secondary schooling. These, moreover, are underestimates of the gains from redistribution because, in addition to current gains, such gains will be augmented in the future through the distribution of the returns on the human capital investments induced by cash transfer programs. Therefore, to fully evaluate such programs, it is critical to incorporate the distributional gains, not only the impacts on human capital investments.

This paper summarizes evidence on six perceptions associated with cash transfer programming, using eight rigorous evaluations conducted on large-scale government unconditional cash transfers in sub-Saharan Africa under the Transfer Project. Specifically, it investigates if transfers: 1) induce higher spending on alcohol or tobacco; 2) are fully consumed (rather than invested); 3) create dependency (reduce participation in productive activities); 4) increase fertility; 5) lead to negative community-level economic impacts (including price distortion and inflation); and 6) are fiscally unsustainable. The paper presents evidence refuting each claim, leading to the conclusion that these perceptions—insofar as they are utilized in policy debates—undercut potential improvements in well-being and livelihood strengthening among the poor, which these programs can bring about in sub-Saharan Africa, and globally. It concludes by underscoring outstanding research gaps and policy implications for the continued expansion of unconditional cash transfers in the region and beyond.

Abstract Although the economic impact of guaranteed income (GI) (recurring, unconditional, and unrestricted cash transfers intended to supplement the income of participants) is well studied, much less is known about how GI may affect health, especially in the context of high-income countries like the United States and Canada. We searched 5 electronic databases for terms related to “guaranteed income” and “cash transfer” through April 23, 2022. Among 5340 records originally identified, 25 met our inclusion criteria and represented 16 unique GI initiatives. Most included studies used a quantitative approach (n = 22; 88%), were published between 2000 and 2022 (n = 21; 84%), and were conducted in the United States (n = 15; 60%). Health outcomes included maternal and child health (eg, preterm births, breastfeeding initiation), healthcare utilization (eg, hospital admissions), mental health (eg, depression), physical health (eg, body mass index), and behavioral health (eg, substance use). Maternal, infant, and child health were the most highly represented health outcomes. Guaranteed-income initiatives generally had significant positive impacts on health outcomes, especially among the most vulnerable recipients. Data were absent on neighborhood-level health outcomes, chronic and infectious diseases, potential unintended consequences, and long-term impacts of GI on health. Studies on the impact of GI on health suggest GI has the potential to positively affect many, but not all, health outcomes. Rigorous assessment of health outcomes is still needed, and additional health outcomes should be considered in the design and evaluation of GI initiatives.

This study investigates the extent to which the benefit levels of the North Korean Defector Settlement Support System (NKDSSS) have changed and differentially impacted the various groups of North Korean Defectors (NKDs). It employs a historical approach to policy analysis and uses datasets compiled, summarized, and converted with the Consumer Price Index by the author. Findings suggest a portion of Unconditional Cash Transfers decreased through the first pro-work reform period (2005-2014) and Conditional Cash Transfers conditioned on job preparation decreased through the second pro-work reform period (2015-2019). The changes may generate a blind spot of poverty and enhance inequality among the NKDs. For the NKDSSS to accomplish its goals of promoting socio-economic integration of NKDs in South Korea and preparing for a peaceful Korean unification, supplemental policies are required. KCI Citation Count: 0

The impacts of cash transfers on women empowerment vary significantly with transfer context and design, including beneficiary targeting, transfer magnitude, timing, and conditions. Our study contributes to this literature by examining a maternal cash transfer programme in India where pregnant and lactating women received a substantial amount of money, in instalments, after fulfilling conditions related to maternal and infant health which required visits to public health centres. Using a matched-pair difference-in-differences design, we find that the programme reduced Intimate Partner Violence (IPV), particularly physical violence and subsequent injuries. Additionally, we find increases in women’s participation in household decision-making, physical mobility, interaction with peers and health workers, economic standing, healthcare access, and less tolerant attitudes towards IPV, which not only indicate an improvement in women’s position in the household but are also pathways for reduced IPV. Also, we document positive effects on the birth registration and primary education only for female children of eligible women.