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.

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.

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.
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).
Ujana Salama: Cash Plus Model on Youth Well-Being and Safe, Healthy Transitions – Midline Findings

Ujana Salama: Cash Plus Model on Youth Well-Being and Safe, Healthy Transitions – Midline Findings

Published: 2021 Innocenti Research Briefs
This brief provides midline findings from the impact evaluation of a cash plus model targeting youth 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 programme aims to improve livelihood opportunities and facilitate a safe transition to adulthood. The 'plus' component included training on livelihoods and sexual and reproductive health (SRH)-HIV, mentoring and productive grants, as well as linkages to youth-friendly health services. The impact evaluation is a longitudinal, mixed methods study. The midline analysis was conducted immediately after training (before mentoring, disbursement of productive grants and health facility strengthening).
Cite this publication | No. of pages: 4 | Thematic area: Social protection | Tags: cash transfers, social protection
Ujana Salama: Cash Plus Model on Youth Well-Being and Safe, Healthy Transitions – Round 3 Findings

Ujana Salama: Cash Plus Model on Youth Well-Being and Safe, Healthy Transitions – Round 3 Findings

Published: 2021 Innocenti Research Briefs

“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 brief summarizes 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 full report is available here.


 

Cite this publication | No. of pages: 6 | Thematic area: Social protection | Tags: cash transfers, social protection
Best of UNICEF Research and Evaluation 2020

Best of UNICEF Research and Evaluation 2020

Published: 2020 Miscellanea

Evidence and objective assessment are needed more than ever to help enhance the rights and well-being of the world’s children. Researching the changing world around us and evaluating progress are two sides of the same coin, both critical to reimagining a better future for children. In recognition of this, UNICEF celebrates and showcases innovative and influential research and evaluations from our offices around the world every year. For 2020, Innocenti and the Evaluation Office joined forces to find the most rigorous UNICEF studies with greatest influence on policies and programmes that benefit children.

How Effective are Cash Transfers in Mitigating Shocks for Vulnerable Children? Evidence on the impact of the Lesotho Child Grant Programme on multidimensional deprivation

How Effective are Cash Transfers in Mitigating Shocks for Vulnerable Children? Evidence on the impact of the Lesotho Child Grant Programme on multidimensional deprivation

AUTHOR(S)
Alessandro Carraro; Lucia Ferrone

Published: 2020 Innocenti Working Papers
Shocks can pressure families into negative coping strategies with significant drawbacks for children’s lives and development, particularly for children living in disadvantaged households who are at greater risk of falling into a poverty trap. This paper investigates if unconditional cash transfers can be effective in protecting children against unexpected negative life events. Using two waves of data, we found that the Lesotho Child Grant Programme reduced the incidence and intensity of multidimensional deprivation for children living in labour-constrained female-headed households that experienced negative economic or demographic shocks. Programme design in shock-prone contexts should seek to reinforce and widen the protective effect of the cash transfer for the most vulnerable.
The Difference a Dollar a Day Can Make: Lessons from UNICEF Jordan's Hajati cash transfer programme

The Difference a Dollar a Day Can Make: Lessons from UNICEF Jordan's Hajati cash transfer programme

Published: 2020 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.
Cash Transfers, Public Works and Child Activities: Mixed Methods Evidence from the United Republic of Tanzania

Cash Transfers, Public Works and Child Activities: Mixed Methods Evidence from the United Republic of Tanzania

AUTHOR(S)
Jacobus de Hoop; Margaret W. Gichane; Valeria Groppo; Stephanie Simmons Zuilkowski

Published: 2020 Innocenti Working Papers
This paper examines the impact of the United Republic of Tanzania’s Productive Social Safety Net (PSSN) on child work and education. Targeting extremely poor households, the programme provides cash transfers that are partly conditional on the use of health and education services, along with a public works component. We relied on a cluster-randomized evaluation design, assigning villages to one of three study arms: cash transfers only; cash transfers combined with public works (i.e., the joint programme); and control. We complemented the quantitative analysis with findings from in-depth interviews and focus group discussions with children and caregivers, involving a subsample of participants from all three study arms. Due to household investment of PSSN benefits in livestock, the programme caused a shift from work for pay outside the household to work within the household,
mostly in livestock herding. The programme improved child education outcomes. These findings were echoed in the qualitative data – participants referred to working on family farms as being both safer for children and more beneficial for the family. Participants further discussed the importance of PSSN funds in paying for schooling costs. Impacts were generally no different for communities that received cash only and communities that received both cash and public works components. School dropout, however, decreased in villages where the joint programme was implemented but remained unchanged in villages receiving cash only.
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