Improving Children’s Health and Nutrition Outcomes in Ethiopia: Qualitative midline evaluation of the ISNP in Amhara

Improving Children’s Health and Nutrition Outcomes in Ethiopia: Qualitative midline evaluation of the ISNP in Amhara

AUTHOR(S)
Maja Gavrilovic; Erin Cullen; Essa Chanie Mussa; Frank Otchere; Tia Palermo; Sarah Quinones; Vincenzo Vinci

Published: 2022 Innocenti Research Briefs

Integrated social protection programmes are increasingly being pursued as more effective and efficient ways to improve children’s health and nutrition outcomes. UNICEF Ethiopia is implementing a pilot Integrated Safety Net Programme (ISNP) in the Amhara region of Ethiopia aimed at integrating a cash transfer (through the Productive Safety Net Programme (PSNP)), a health insurance (the Community Based Health Insurance (CBHI)), social and behaviour change communication (on nutrition, feeding practices, sexual and reproductive health, gender equality, and child marriage), and case management (for malnourished and out of school children).

The ISNP implementation began in early 2019. Knowing that integration comes with its own challenges in terms of planning, coordination, harmonization of systems and tools, and the alignment of budgets, this qualitative study sought to understand the status of implementation, emerging challenges, and potential remedial actions to ensure the intervention achieves the stated objectives. The study shows that while there is progress, more action is needed in terms of implementing the planned management information system (MIS), ensuring adequate and well trained frontline workers are in place, further improving harmonization of targeting tools, and increasing budgetary allocation.

Improving Children’s Health and Nutrition Outcomes in Ethiopia: A qualitative mid-line evaluation of the Integrated Safety Net Programme in Amhara

Improving Children’s Health and Nutrition Outcomes in Ethiopia: A qualitative mid-line evaluation of the Integrated Safety Net Programme in Amhara

AUTHOR(S)
Maja Gavrilovic; Erin Cullen; Essa Chanie Mussa; Frank Otchere; Tia Palermo; Sarah Quinones; Vincenzo Vinci

Published: 2022 Innocenti Research Report

Integrated social protection programmes are increasingly being pursued as more effective and efficient ways to improve children’s health and nutrition outcomes. UNICEF Ethiopia is implementing a pilot Integrated Safety Net Programme (ISNP) in the Amhara region of Ethiopia aimed at integrating a cash transfer (through the Productive Safety Net Programme (PSNP)), a health insurance (the Community Based Health Insurance (CBHI)), social and behaviour change communication (on nutrition, feeding practices, sexual and reproductive health, gender equality, and child marriage), and case management (for malnourished and out of school children).

The ISNP implementation began in early 2019. Knowing that integration comes with its own challenges in terms of planning, coordination, harmonization of systems and tools, and the alignment of budgets, this qualitative study sought to understand the status of implementation, emerging challenges, and potential remedial actions to ensure the intervention achieves the stated objectives. The study shows that while there is progress, more action is needed in terms of implementing the planned management information system (MIS), ensuring adequate and well trained frontline workers are in place, further improving harmonization of targeting tools, and increasing budgetary allocation.

Promoting Gender-Transformative Change through Social Protection: An analytical approach

Promoting Gender-Transformative Change through Social Protection: An analytical approach

Published: 2022 Innocenti Research Report

Social protection can reduce income poverty and food and economic insecurity, address financial barriers to accessing social services, and promote positive development outcomes throughout the life course – particularly for women and girls. But can it address preexisting gender inequalities through the design, implementation and financing of its programmes?

To strengthen the evidence base ‘what works’, ‘how’ and ‘why’ for social protection to contribute to gender equality, this report proposes and presents an analytical approach to evidence generation on gender-responsive social protection for gender-transformative change. It builds on the Gender-Responsive Age-Sensitive Social Protection (GRASSP) conceptual framework, and on the theoretical, conceptual and empirical literature on gender and social protection. Structured as a socio-ecological framework, our approach presents three interconnected change pathways – at the individual, household and societal level – through which gender-responsive social protection can contribute to gender-transformative results, along with tailored design and implementation features, and underpinned by a set of change levers that existing evidence suggests can strengthen the gender-responsiveness of social protection systems.

Shortfalls in Social Spending in Low- and Middle-income Countries: COVID-19 and Shrinking Finance for Social Spending

Shortfalls in Social Spending in Low- and Middle-income Countries: COVID-19 and Shrinking Finance for Social Spending

Published: 2022 Innocenti Research Report

Financing quality social services will require increased public investment and greater mobilization of both domestic and international resources in the post-COVID era. Currently, low- and middle-income countries invest, on average, just one third of their total government expenditure in social spending on education, health and social protection. However, the fiscal space to enhance social spending remains constrained in many parts of the world. Given the scale of the challenge facing many countries, a renewed focus on financing social spending is needed to address widening inequalities.

This policy brief is the second in a series that assesses key issues affecting social spending as part of UNICEF’s work on Public Finance for Children. The brief examines how recent trends are impacting on the financing available for, and directed to, social spending in low- and middle-income countries in different regions, using secondary analysis of public expenditure data collected by international organizations. It calculates median spending figures by region and income group, using World Bank regional aggregates for domestic spending.

 

Cash transfers – Past, present and future: Evidence and lessons learned from the Transfer Project

Cash transfers – Past, present and future: Evidence and lessons learned from the Transfer Project

AUTHOR(S)
Nyasha Tirivayi; Jennifer Waidler; Frank Otchere

Published: 2021 Innocenti Research Briefs

Since 2009, the Transfer Project has generated rigorous evidence on the impacts of cash transfers in sub-Saharan Africa and has supported their expansion. The Transfer Project is a collaborative network comprising UNICEF (Innocenti, Regional and Country Offices), Food and Agriculture Organization of the United Nations, the University of North Carolina at Chapel Hill, national governments and researchers. It aims to “provide evidence on the effectiveness of cash transfer programmes, inform the development and design of cash transfer policy and programmes, and promote learning across SSA on the design and implementation of research and evaluations on cash transfers”.

This brief summarizes the current evidence and lessons learned from the Transfer Project after more than a decade of research. It also introduces new frontiers of research.

Non-contributory Social Protection and Adolescents in Lower- and Middle-Income Countries: A review of government programming and impacts

Non-contributory Social Protection and Adolescents in Lower- and Middle-Income Countries: A review of government programming and impacts

AUTHOR(S)
Cristina Cirillo; Tia Palermo; Francesca Viola

Published: 2021 Innocenti Working Papers

Adolescents face unique vulnerabilities related to their health, schooling and the intensification of gender socialization. As the next generation next in line to become adults, their transition has major implications for the future health, economic growth and well-being of nations. Yet, children and adolescents have low rates of social protection coverage globally – a missed opportunity for investment.

This report examines how social protection can promote adolescent well-being and facilitate safe and productive transitions to adulthood in lower- and middle-income countries. Focusing on government, non-contributory programmes, the following questions are examined: 1) whether and how current non-contributory social  protection programmes are adolescent-sensitive and 2) what is the impact of non-contributory social protection programmes on adolescents.

The Difference a Dollar a Day Makes: A Study of UNICEF Jordan’s Hajati Programme

The Difference a Dollar a Day Makes: A Study of UNICEF Jordan’s Hajati Programme

Published: 2021 Innocenti Research Report
What difference does a dollar a day make? For the poorest households in Jordan, many of whom escaped conflict in the Syrian Arab Republic, UNICEF Jordan’s Hajati humanitarian cash transfer programme helps them keep their children in school, fed and clothed – all for less than one dollar per day. In fact, cash transfers have the potential to touch on myriad of child and household well-being outcomes beyond food security and schooling.
Economic Crisis and Child Well-being in the West and Central Africa Region

Economic Crisis and Child Well-being in the West and Central Africa Region

Published: 2021 Innocenti Research Report
The COVID-19 pandemic that swept over the world from early 2020 has triggered both health and economic shocks of unprecedented proportions in recent memory. Some estimates suggest that the consequences of these shocks will likely erase most of the progress made in global development over the past two decades. Many countries now risk falling further behind the attainment of national and international development goals, including the UN’s Sustainable Development Goals. Children are particularly vulnerable to the effects of these shocks due to their persistent higher levels of vulnerability, and the reality that school closures and other COVID-19 containment measures can be more damaging to children. 

This report examines the effect of previous economic crises on children’s well-being in UNICEF’s West and Central Africa Region (WCAR) and makes projections regarding the potential impacts of COVID-19-induced economic crises on priority indicators for the region. 
Ujana Salama: Mpango wa nyongeza ya fedha (cash plus) unaohusu ustawi na mabadiliko salama kwa vijana  - Matokeo ya mzunguko wa3 tathimini

Ujana Salama: Mpango wa nyongeza ya fedha (cash plus) unaohusu ustawi na mabadiliko salama kwa vijana - Matokeo ya mzunguko wa3 tathimini

Published: 2021 Innocenti Research Briefs

Mradi wa nyongeza ya fedha “Cash plus’ wa majaribio unaohusu Ustawi na Mabadiliko Salama kwa Vijana unaotekelezwa Tanzania, kwa kifupi “Ujana Salama”, unalenga kuimarisha maisha ya vijana wa vijijini. Vijana hawa kutoka kaya maskini wanakabiliwa na changamoto nyingi za kiafya na kiuchumi, zikiwemo kukatisha masomo shuleni, mimba za utotoni, maradhi yaambukizwayo kwa njia ya ngono, ukatili, unyanyasaji na unyonyaji.

Ujana Salama: Mradi wa nyongeza ya fedha (cash plus) unaohusu ustawi na mabadiliko salama kwa vijana - Matokeo ya tatihimini ya kati

Ujana Salama: Mradi wa nyongeza ya fedha (cash plus) unaohusu ustawi na mabadiliko salama kwa vijana - Matokeo ya tatihimini ya kati

Published: 2021 Innocenti Research Briefs
Mradi huu wa majaribio wa ‘Cash Plus’ unaohusu Ustawi na Mabadiliko Salama na Yenye Afya kwa Vijana nchini Tanzania, kwa ufupi “Ujana Salama”, unalenga kuimarisha maisha ya vijana wa vijijini. Vijana hawa wa umri wa balehe wanatoka katika kaya maskini na wanakabiliwa na hatari nyingi za kiafya na kiuchumi. Mradi huu unatekelezwa na Mfuko wa Maendeleo ya Jamii Tanzania (Tanzania Social Action Fund (TASAF)) na kuendeshwa kupitia Mpango wa Kunusuru Kaya Maskini (Productive Social Safety Net (PSSN)). Mpango huo unawalenga vijana wa umri wa balehe katika kaya zinazonufaika na Mpango wa Kunusuru Kaya Maskini (ruzuku inayojumuisha uhawilishaji pesa, Ujenzi au ukarabati wa miundombinu na kuimarisha njia za kujiingizia kipato katika kaya). Msaada wa kiufundi unatolewa na UNICEF Tanzania na Tume ya Kudhibiti UKIMWI Tanzania (TACAIDS).
COVID-19 and the Looming Debt Crisis: Protecting and Transforming Social Spending for Inclusive Recoveries

COVID-19 and the Looming Debt Crisis: Protecting and Transforming Social Spending for Inclusive Recoveries

Published: 2021 Innocenti Research Report

Compounding the COVID-19 pandemic is a looming debt crisis for low- and middle-income countries where a growing debt burden threatens to crowd out social spending for children.

This policy brief explores whether the current support from the international community is enough to maintain spending on basic services during COVID-19. It highlights countries that are most at risk due to high levels of poverty, as well as those less likely to benefit from the G20 Debt Standstill (DSSI). It concludes that a new international debt restructuring architecture, which encompasses the needs of poorer countries, is crucial to protecting children’s rights in the wake of COVID-19. 

A Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood Round 3 Report

A Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood Round 3 Report

Published: 2021 Innocenti Research Report

“Ujana Salama” (‘Safe Youth’ in Swahili) is a cash plus programme targeting adolescents in households receiving the United Republic of Tanzania’s Productive Social Safety Net (PSSN). Implemented by the Tanzania Social Action Fund (TASAF), with technical assistance of the Tanzania Commission for AIDS (TACAIDS) and UNICEF Tanzania, the ‘plus’ component includes in-person training, mentoring, grants and health services. The impact evaluation studies the differential impact of the integrated programme (cash plus intervention targeting adolescents) with respect to the PSSN only. It is a mixed methods study, including baseline (2017), Round 2 (2018), Round 3 (2019) and Round 4 (2021) surveys. This report provides findings from the Round 3 survey, which was conducted one year after the training, three months after the mentorship period, and one to two months after grant disbursement. The previous report (Round 2) is available here.

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