Cash transfers and child nutritional outcomes: a systematic review and meta-analysis
| Autor: | Natalia E Winder-Rossi, Atif Khurshid, Shahira Ahmed Malm, James Manley, Sheila Murthy, Yarlini Balarajan, Jessica Owens, David Stewart, Luke Harman |
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| Rok vydání: | 2020 |
| Předmět: |
Cash transfers
050204 development studies Impact evaluation lcsh:Infectious and parasitic diseases systematic review Environmental health 0502 economics and business medicine Humans lcsh:RC109-216 050207 economics Child Poverty Wasting Growth Disorders Health policy Original Research lcsh:R5-920 business.industry Health Policy Incidence (epidemiology) 05 social sciences Public Health Environmental and Occupational Health Sample size determination Child Preschool Meta-analysis child health medicine.symptom lcsh:Medicine (General) business |
| Zdroj: | BMJ Global Health, Vol 5, Iss 12 (2020) BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | BackgroundCash transfer (CT) programmes are implemented widely to alleviate poverty and provide safety nets to vulnerable households with children. However, evidence on the effects of CTs on child health and nutrition outcomes has been mixed. We systematically reviewed evidence of the impact of CTs on child nutritional status and selected proximate determinants.MethodsWe searched articles published between January 1997 and September 2018 using Agris, Econlit, Eldis, IBSS, IDEAS, IFPRI, Google Scholar, PubMed and World Bank databases. We included studies using quantitative impact evaluation methods of CTs with sample sizes over 300, targeted to households with children under 5 years old conducted in countries with gross domestic product per capita below US$10 000 at baseline. We conducted meta-analysis using random-effects models to assess the impact of CT programmes on selected child nutrition outcomes and meta-regression analysis to examine the association of programme characteristics with effect sizes.ResultsOut of 2862 articles identified, 74 articles were eligible for inclusion. We find that CTs have significant effects of 0.03±0.03 on height-for-age z-scores (pConclusionWe found that CT programmes targeted to households with young children improved linear growth and contributed to reduced stunting. We found that the likely pathways were through increased dietary diversity, including through the increased consumption of animal-source foods and reduced incidence of diarrhoea. With heightened interest in nutrition-responsive social protection programmes to improve child nutrition, we make recommendations to inform the design and implementation of future programmes. |
| Databáze: | OpenAIRE |
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