This quarterly digest synthesizes the latest research findings in adolescent well-being over the last three months. This edition includes compelling research, resources, news and events that address the issue of adolescent health from many perspectives.
This paper develops an econometric strategy to operationalize the United Nations Children’s Fund (UNICEF’s) conceptual framework for nutrition, estimating the effects on child stunting that additional investments in water, sanitation, and hygiene (WASH) intervention packages have across population groups (poor and non-poor) and residence (urban and rural). Moving away from estimating single intervention marginal returns, the empirical framework is tested in Tunisia; a country with notable but uneven progress in child nutrition. A successful reduction of stunting will involve mapping the distinctive most effective intervention packages by residence and socioeconomic status, moving away from universal policies.
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.
Rachel Sabates-Wheeler; Abdul-Gafaru Abdulai; Nikhil Wilmink; Richard de Groot; Tayllor Spadafora
Inequality can have wide-ranging effects on communities, families and children. Income inequality (measured through the Gini index) was found to have an association with higher levels of peer violence in 35 countries (Elgar et al. 2009) and to influence the use of alcohol and drunkenness among 11- and 13-year olds (Elgar et al. 2005). On a macro level, countries with greater income inequality among children have lower levels of child well-being and higher levels of child poverty (Toczydlowska et al. 2016). More worrying still is that growing inequality reinforces the impact of socio-economic status (SES) on children’s outcomes, limiting social mobility. Concern about growing inequality features prominently on the current international development agenda. Goal 10 of the Sustainable Development Goals (SDGs) calls specifically to reduce inequality within and among countries, while the concept of ‘leaving no one behind’ reflects the spirit of greater fairness in society. But with a myriad of measures and definitions of inequality used in literature, the focus on children is often diluted. This brief contributes to this debate by presenting child-relevant distributional measures that reflect inequality of outcomes as well as opportunity for children in society, over time.
Intimate partner violence (IPV) is widespread globally, with an estimated one-third of women aged 15 years and over experiencing physical and/or sexual violence at the hands of an intimate partner during their lifetimes. Economic empowerment, or the financial standing of women, is often thought to protect against IPV, signalling sufficient economic autonomy to leave abusive situations or to prevent abuse. Asset ownership is one measure of economic empowerment, and can convey substantial agency as a wealth store, especially for large productive assets, such as agricultural land or home ownership. Despite the important implications of IPV reduction for policy and programming, evidence of this relationship is scarce.We hope this research will advance our global understanding of this potential.
Unconditional cash transfers are on the rise in Sub-Saharan Africa, with recent estimates indicating a doubling of programmes between 2010 and 2014. This brief provides an overview of the comprehensive impacts across eight domains of two unconditional cash transfer programmes implemented by the Zambian Government: The Child Grant Programme (CGP) and the Multiple Category Targeting Programme (MCP). Although the primary objective of these programmes is poverty mitigation rather than economic empowerment, we document protective and productive outcomes in order to assess whether these programmes generate transformative effects and have the potential to offer a sustained pathway out of poverty for poor households.
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.
Keetie Roelen; Stephen Devereux; Abdul-Gafaru Abdulai; Bruno Martorano; Tia Palermo; Luigi Peter Ragno
The annual workshop of the Transfer Project, “The State of Evidence on Social Cash Transfers in Africa” focused on new challenges arising from moving from fragmented programmes to integrated social protection systems, combining cash transfers with complementary (also referred to as ‘plus’) interventions, as well as the assessment of social protection in emergency contexts.