Role of cash in conditional cash transfer programmes for child health, growth, and development:: an analysis of Mexico's Oportunidades

Role of cash in conditional cash transfer programmes for child health, growth, and development:: an analysis of Mexico's Oportunidades
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DOI:
10.1016/s0140-6736(08)60382-7
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发表时间:
2008-03-08
期刊:
影响因子:
168.9
通讯作者:
Neufeld, Lynnette M.
Neufeld, Lynnette M.
中科院分区:
医学1区
文献类型:
--
作者:
Fernald, Lia C. H.;Gertler, Paul J.;Neufeld, Lynnette M.

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背景许多国家的政府实施了有条件现金转移支付(CCT)计划,旨在通过健康、营养和教育方面的干预措施,为贫困家庭提供更多选择。参加有条件现金援助方案的家庭收到现金,以换取遵守某些条件:预防性保健要求和营养补充、教育以及旨在改善健康结果和促进积极行为改变的监测。我们的目的是分解的现金转移的影响,从其他程序components.Methods在1998年开始在墨西哥的干预,低收入社区(n=506)被随机分配到参加一个CCT方案(Oportuniadades,以前Progresa)立即或18个月后。2003年,对终生参加该方案的24-68个月的儿童(n= 2 449)进行了各种结果评估。我们使用线性和逻辑回归,以确定每个结果的影响大小,这是与现金转移增加一倍,同时控制了广泛的协变量,包括家庭社会经济地位的措施。20,95%氯0。09-0 . 30; p
Background Many governments have implemented conditional cash transfer (CCT) programmes with the goal of improving options for poor families through interventions in health, nutrition, and education. Families enrolled in CCT programmes receive cash in exchange for complying with certain conditions: preventive health requirements and nutrition supplementation, education, and monitoring designed to improve health outcomes and promote positive behaviour change. Our aim was to disaggregate the effects of cash transfer from those of other programme components.Methods In an intervention that began in 1998 in Mexico, low-income communities (n=506) were randomly assigned to be enrolled in a CCT programme (Oportuniadades, formerly Progresa) immediately or 18 months later. In 2003, children (n=2449) aged 24-68 months who had been enrolled in the programme their entire lives were assessed for a wide variety of outcomes. We used linear and logistic regression to determine the effect size for each outcome that is associated with a doubling of cash transfers while controlling for a wide range of covariates, including measures of household socioeconomic status.Findings A doubling of cash transfers was associated with higher height-for-age Z score (beta 0 . 20, 95% Cl 0 . 09-0 . 30; p