Community-Based Conditional Cash Transfers in Tanzania : Results from a Randomized Trial

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collection.link.34
https://openknowledge.worldbank.org/handle/10986/2142
collection.name.34
World Bank Studies
dc.contributor.author
Evans, David K.
dc.contributor.author
Hausladen, Stephanie
dc.contributor.author
Kosec, Katrina
dc.contributor.author
Reese, Natasha
dc.date.accessioned
2014-03-06T23:18:14Z
dc.date.available
2014-03-06T23:18:14Z
dc.date.issued
2014-03-04
dc.description.abstract
Given the success of conditional cash transfer (CCT) programs elsewhere, in 2010 the Government of Tanzania rolled out a pilot CCT program in three districts. Its aim was to see if, using a model relying on communities to target beneficiaries and deliver payments, the program could improve outcomes for the poor the way centrally-run CCT programs have in other contexts. The program provided cash payments to poor households, but conditioned payments on complying with certain health and education requirements. Given scarce resources, the Government randomly selected 40 out of 80 eligible villages to receive the pilot program. Households in participating and comparison villages were broadly comparable at baseline. This report describes the program and the results of a rigorous, mixed methods impact evaluation. Two and a half years into the program, participating households were healthier and more educated. Health improvements due to the CCT program were greatest for the poorest half of households—the poorest of the poor. They experienced a half a day per month reduction in sick days on average, and poor children age 0-4 in particular had a full day per month reduction in sick days. In education, the program showed clear positive impacts on whether children had ever attended school and on whether they completed Standard 7. Households were also more likely to buy shoes for children, which can promote both health and school attendance. In response to the program, households also made investments to reduce risk: Participating households were much more likely to finance medical care with insurance and much more likely to purchase health insurance than were their comparison counterparts. The program did not significantly affect savings on aeverage, although it did increase non-bank savings amongst the poorest half of households. Participating households also invested in more livestock assets, which they used to create small enterprises. The program did not, however, have significant impacts on food consumption. On the whole, the results suggest that households focused on reducing risk and on improving their livelihoods rather than principally on increasing consumption. There is also evidence that the project had positive effects on community cohesion.
en
dc.identifier.isbn
978-1-4648-0141-9
dc.identifier.other
10.1596/978-1-4648-0141-9
dc.identifier.uri
http://hdl.handle.net/10986/17220
dc.language.iso
en_US
dc.publisher
Washington, DC: World Bank
dc.relation.ispartofseries
World Bank Study;
dc.rights
CC BY 3.0 IGO
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.subject
cash transfer
dc.subject
conditional cash transfer
dc.subject
education
dc.subject
health
dc.subject
impact evaluation
dc.subject
productivity
dc.subject
randomized trial
dc.subject
safety nets
dc.title
Community-Based Conditional Cash Transfers in Tanzania : Results from a Randomized Trial
en
okr.date.disclosure
2014-03-06
okr.doctype
Publications & Research :: Publication
okr.doctype
Publications & Research
okr.globalpractice
Education
okr.globalpractice
Social Protection and Labor
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/978-1-4648-0141-9
okr.language.supported
en
okr.region.administrative
Africa
okr.region.country
Tanzania
okr.topic
Education
okr.topic
Health, Nutrition and Population
okr.topic
Social Protections and Labor
okr.topic
Social Protections and Labor :: Safety Nets and Transfers
okr.unit
AFRCE

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