Beneficiaries’ perceptions and reported use of unconditional cash transfers intended to prevent acute malnutrition in children in poor rural communities ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-05-30

AUTHORS

Audrey Tonguet-Papucci, Freddy Houngbe, Palamanga Lompo, Wambi Maurice Evariste Yameogo, Jean-François Huneau, Myriam Ait Aissa, Patrick Kolsteren

ABSTRACT

BackgroundAcute malnutrition is a public health issue worldwide, and particularly in the Eastern region of Burkina Faso. Following a needs assessment, unconditional seasonal, multiannual cash transfers were implemented as a safety net to prevent childhood undernutrition. The objectives of this study were to explore the types of purchases made by beneficiaries of this cash transfer program and to understand the perceived effects of and changes induced by regular cash transfers in the daily lives of women, and at the household and community level.MethodsThe design of this study was a two-arm cluster randomized controlled trial. Qualitative data were collected each month during the cash transfer period for two years, leading to a total of more than 300 interviews and focus group discussions with various participants: beneficiary mothers, heads of households, mothers-in-law, co-wives, key members of the community, and participants of the control group.ResultsThe two main types of expenses reported were food and health care for the child and the whole family. The program was also associated with positive perceived changes at the household level, mainly related to gender equality and improvement of women’s status, and has promoted an increase in dignity and social integration of the poorest at the community level through cash sharing. Unexpected effects of this program included some women planning new pregnancies and some individuals not expecting the transfers to end.ConclusionAlthough the transfers were unconditional, the cash was mainly used to improve the children’s and households’ food security and health, which correspond to two main underlying causes of undernutrition. Therefore, spending mainly in these areas can help to prevent undernutrition in children.Trial registrationClinicalTrials.gov, identifier: NCT01866124, registered May 7, 2013. More... »

PAGES

527

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12889-017-4453-y

DOI

http://dx.doi.org/10.1186/s12889-017-4453-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085704919

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28558709


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