Publications

Education has been a priority for Ghana since its independence, with current expenditures representing double the average for Africa and other developing nations. Prior to the COVID-19 pandemic, the Government aimed to enhance the quality of education and teacher attendance, including improving school infrastructure and providing textbooks and incentive packages to attract more teachers to rural and remote areas. However, the disruption of the pandemic forced school closures and economic consequences, threatening to push millions of vulnerable children out of the education system, widen inequalities and impede progress on the country’s development goals. The Ghana Time to Teach research project set out to capture teachers’ voices and provide a comprehensive understanding of teacher attendance in pre-tertiary schools in the country. Although data collection for this study was completed before the onset of COVID-19, it provides valuable insights into how the national education system can be strengthened to improve teacher motivation, attendance, and time on task. Detailed findings, analysis and policy implications can be found in the report.

Experience with urban social assistance programmes is still limited. Many of the existing urban programmes are extensions or duplicates of rural programmes, but urban-sensitive social protection needs to reflect the distinct vulnerabilities of the urban poor. Furthermore, applying a child lens requires identifying and addressing the specific risks and multiple deprivations that are experienced by half of urban children in developing countries. As a result, designing social assistance for urban contexts faces challenges such as accurately targeting the poor (given the spatial geography of urban poverty) and setting appropriate payment levels (given the high and variable costs of urban living). Geographic targeting (e.g. informal settlements), proxy means testing (if urban-sensitive) and categorical targeting (e.g. street children) are popular mechanisms in urban areas, but community-based targeting is often inappropriate (because of urban social fragmentation) while self-targeting can be unethical (e.g. where wages below market rates are paid in public works projects) and might contradict rights-based approaches. These are relevant challenges to address when designing urban social protection programmes. We apply these reflections to Ghana. The country is a relevant case study because it is growing and urbanizing rapidly.  But as the result of urbanization, urban poverty and deprivations are rising even though national poverty rates have halved. Anti-poverty policies and social protection interventions remain biased towards the rural poor. The ‘urbanization of poverty’ in Ghana has created problems such as overcrowded housing, limited access to sanitation, and outbreaks of communicable diseases. This paper provides guidance on the critical questions to ask to design in Ghana a successful urban social protection programme with a child lens.

Cash transfers have been successful in reducing food insecurity, increasing consumption, building resiliency against economic shocks, improving productivity and increasing school enrolment. Despite the many successes of cash transfer programmes, they can also fall short of achieving longer-term and second-order impacts related to nutrition, learning and health outcomes. A recent study highlights how so-called ‘Cash Plus’ programmes, which offer additional components or linkages to existing services on top of regular cash payments, may help address such shortcomings.

The rise of social protection into the limelight of social policy has opened up space for understanding how it can act as a key interface between states and citizens. This paper rethinks social protection through the lens of citizenship. It considers how the design and implementation of social protection can be shifted away from discretionary and technocratic forms, to forms which stimulate vulnerable citizens to make justice-based claims for their rights and demand accountability for the realization of those rights. It puts forward a conceptual framework for social protection with three modalities through which citizens can be engaged: as shapers and makers; as users and choosers; and as passive consumers.

The broad-ranging benefits of cash transfers are now widely recognized. However, the evidence base highlights that they often fall short in achieving longer-term and second-order impacts related to nutrition, learning outcomes and morbidity. In recognition of these limitations, several ‘cash plus’ initiatives have been introduced, whereby cash transfers are combined with one or more types of complementary support. This paper aims to identify key factors for successful implementation of these increasingly popular ‘cash plus’ programmes, based on (i) a review of the emerging evidence base of ‘cash plus’ interventions and (ii) an examination of three case studies, namely, Chile Solidario in Chile, IN-SCT in Ethiopia and LEAP in Ghana. The analysis was guided by a conceptual framework proposing a menu of ‘cash plus’ components. The assessment of three case studies indicated that effective implementation of ‘cash plus’ components has indeed contributed to greater impacts of the respective programmes. Such initiatives have thereby addressed some of the non-financial and structural barriers that poor people face and have reinforced the positive effects of cash transfer programmes. In design of such programmes, further attention should be paid to the constraints faced by the most vulnerable and how such constraints can be overcome. We conclude with recommendations regarding the provision of complementary support and cross-sectoral linkages based on lessons learned from the case studies. More research is still needed on the impact of the many variations of ‘cash plus’ programming, including evidence on the comparative roles of individual ‘plus’ components, as well as the knowledge, attitudes and behaviour pathways which influence these impacts.

 

Childhood malnutrition remains a significant global health concern. In order to implement effective policies to address the issue, it is crucial to first understand the mechanisms underlying malnutrition. This paper uses a unique dataset from Northern Ghana to explain the underlying causes of childhood malnutrition. It adopts an empirical framework to model inputs in the production of health and nutrition, as a function of child, household and community characteristics. The findings suggest that child characteristics are important in explaining inputs and nutritional outcomes, and that maternal agency and health contribute to improved health status. Household resources in the form of consumption are positively associated with food intake and nutritional outcomes. Simulations show that income growth, improving maternal care and avoiding sudden price shocks have a positive but rather limited effect on the reduction of malnutrition. Effects are greater in children under two. Hence, policies that address underlying determinants simultaneously, and target the youngest population of children, could have the largest effect on reducing malnutrition in this population.

The Sustainable Development Goal (SDG) target 1.2 implies that both monetary and non-monetary or multidimensional (MD) child poverty would be measured and monitored, and that the associated indicators would be defined nationally. However, very few countries routinely measure child MD poverty. This paper seeks to provide some guidance on the topic by presenting and comparing two approaches which are now some of the most widely used. The first approach is the Multiple Overlapping Deprivation Analysis (MODA) which was developed by UNICEF. MODA is a child specific MD poverty measure rooted in the rights-based framework of the Convention on the Rights of the Child (CRC). The second measure we present and compare is the Multidimensional Poverty Index (MPI) developed by the Oxford Poverty and Human Development Initiative which has computed the MPI for over 100 countries using a universal global standard. We compare the global version of the measures, applying them to four countries: Cambodia, Ghana, Mali, Mongolia. The two approaches, while sharing many similarities, do not lead to the same results. In deciding on their individual strategy to measure and track SDG Target 1.2, countries will need to reflect on both the underlying purpose of the target, and to evaluate the inevitable trade-offs between the two approaches.

Vulnerable populations in sub-Saharan African countries often face high levels of food insecurity which disproportionately affect households living in poverty and children are particularly at risk. This review of eight social cash transfer programme evaluations has shown that cash transfers have an impact on several different dimensions of food security. However, few evaluations include child-specific questions and to make stronger links between food security and nutrition status individual-level indicators are needed. Despite limitations, there is good evidence that cash transfers have a large impact on food security.