Publications

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.

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.

Evidence on interventions for reducing violence against children (VAC) has steadily increased over the years. Yet, gaps remain when it comes to research investment priorities and future studies.

This brief summarizes the key findings from the Evidence Gap Map on interventions to reduce violence against children in low- and middle-income countries. It includes findings from Phase 1 (English-language publications) and Phase 2 (Arabic, Chinese, French, Portuguese and Spanish publications).  All technical details can be reviewed in the main report.

UNICEF supports the Government of Ethiopia to implement a pilot Integrated Safety Net Programme (ISNP) in the Amhara Region from 2019 to 2023. The objective of the programme is to harness the potential synergies that can be realized by integrating social protection policies and programmes. It seeks to test the efficacy of combining cash and services to improve nutrition and health outcomes for children and their households.

This report describes the conceptual framework and methodology for an impact evaluation of the ISNP intervention and presents findings from a baseline study. The baseline study confirms the low socio-economic status of PSNP households in the domains of housing conditions, sanitation, schooling, health seeking, food security, women’s agency, subjective wellbeing, sexual and reproductive health, access to social services, child nutrition and child protection. The PSNP clients are found to be generally worse off than the entirety of rural Amhara – confirming the targeting effectiveness of the PSNP. The study highlights the gaps that the ISNP interventions are meant to address and provides concrete action points for successful implementation.

This research brief is one of a series of five briefs, which provide an overview of available evidence shown in the Campbell-UNICEF Mega-Map of the effectiveness of interventions to improve child welfare in low- and middle-income countries (LMICs). These briefs summarize evidence as mapped against the five goal areas of UNICEF’s 2018–2021 Strategic Plan, although it is anticipated that they will also be useful for others working in the child well-being space. This brief provides an overview of the available evidence related to child health and development.

In this retrospective, we look back at finalist research from six years of the Best of UNICEF Research exercise to gain perspective on its uptake and pathways to longer-term impact. The numerous  examples highlighted here, including six case studies, are drawn from the many interviews conducted in 2018 and 2019 with UNICEF staff, on 37 finalist projects, supplemented by survey responses collected from 410 UNICEF staff, in 2017.

This brief provides a comprehensive summary of the main impacts and related policy implications generated by Malawi’s Social Cash Transfer Programme between 2013 and 2015, including positive impacts on poverty, income multipliers, food security, productivity, education and health

The ability to correct childhood malnutrition, or for children to display ‘catch-up growth’, has important population-level implications for economic and social development. According to most recent estimates, over one third of all children under the age of five in developing countries suffer from some form of nutritional deficiency, with approximately 27% classified as underweight, 31% exhibiting stunting and 10% exhibiting wasting. We contribute to the catch-up growth debate by presenting results from three widely varying population based samples using identical statistical techniques, controlling for endogeneity of lagged health in several different ways, and measuring height in z-scores. Our estimates for these three different populations indicate that while previous health does not track future health perfectly, there is still significant persistence in health status for young children. These estimates do not account for household health-related behaviour.

Child food insecurity is associated with a range of negative developmental consequences, including behaviour problems. While research shows that the phenomenon is both common and consequential, there is a lack of consistency in what is being measured and how. This results in incomplete information affecting our ability to effectively address child food insecurity, its causes and consequences. We present a review of the literature, and advocate for a global system to measure and monitor individual children’s experiences of food insecurity. The conceptual and practical challenges for developing an effective, efficient, and feasible system for global monitoring of child food insecurity are discussed and alternatives are suggested.

The current global financial and economic crisis, which exacerbates the impacts of the energy and food crises that immediately preceded it, has spread to the developing countries endangering recent gains in terms of economic growth and poverty reduction. The effects of the crisis are likely to vary substantially between countries and between individuals within the same country. Children are among the most vulnerable population, particularly in a period of crisis. Especially in least developed countries, where social safety nets programmes are missing or poorly performing and public fiscal space is extremely limited, households with few economic opportunities are at a higher risk of falling into (monetary) poverty, suffering from hunger, removing children from school and into work, and losing access to health services. This study simulates the impacts of the global economic crisis and alternative policy responses on different dimensions of child welfare in Western and Central Africa (WCA) over the period 2009-2011. It is based on country studies for Burkina Faso, Cameroon, and Ghana, which broadly represent the diversity of economic conditions in WCA countries. In order to capture the complex macro-economic effects of the crisis and the various policy responses - on trade, investment, remittances, aid flows, goods and factor markets - and to then trace their consequences in terms of child welfare - monetary poverty, hunger (caloric poverty), school participation, child labour, and access to health services - a combination of macro- and micro-analysis was adopted. The simulations suggest that the strongest effects are registered in terms of monetary poverty and hunger, although large differences between countries emerge.

This study aims to evaluate the potential impacts of the 2008/09 global economic crisis on child poverty in Cameroon. It also explores the potential effects that policy responses to such a crisis could have on children. In order to do this, the study uses a macro-micro methodology. A dynamic computable general equilibrium (CGE) model is used to simulate various scenarios of the economic crisis together with policies which respond to the crisis, taking into account the different transmission channels of the global crisis to the Cameroonian economy. The results of the CGE model are then used in a micro-econometric module in order to evaluate the impacts of the simulated shocks on households in general and children in particular. Five dimensions of child poverty are examined: monetary poverty, caloric poverty, child school participation and child labour, and children’s access to health care services. The study shows that the crisis is projected to lower the real GDP growth rate by 1.3 percentage points in 2009, 0.9 in 2010 and 0.8 in 2011. Four alternative policy responses to the crisis are simulated: a reduction in the VAT levied on the sale of food products; elimination of customs tariffs applied on imports of food products; free access to school canteens for children under the age of 15 in districts where monetary poverty is higher than the national average; and granting cash transfers to poor children.

Le Burkina Faso à vu ses gains économiques, durement acquis ces dernières années, rongés par la crise financière et économique mondiale du 2008-09. Il subit particulièrement les conséquences de la crise économique mondiale vu le lien étroit qu’il entretient avec l’économie globale. La plupart des effets néfastes sont d’abord transmis aux ménages, puis répercutés aux enfants. Ainsi, la situation des enfants dépend principalement du bien-être monétaire et non monétaire de leurs ménages. Par conséquent et étant donné leur plus grande vulnérabilité, les enfants risquent de souffrir davantage et plus longtemps des impacts de la crise. Il est nécessaire et urgent de comprendre et anticiper les effets potentiels de la crise sur les enfants au Burkina Faso, et ensuite de proposer des options de protection sociale pour les contrer. A cette fin, nous proposons une approche macro-micro économique. L’analyse macro-économique fait recours à un modèle d’équilibre général calculable (MEGC) pour simuler l’impact des divers canaux de transmission du choc de crise à l’économie Burkinabé. Les résultats de ces simulations nourrissent ensuite une analyse micro-économétrique qui intègre les comportements microéconomiques des individus et des ménages pour évaluer l'impact de la crise sur le bien-être des enfants.