Publications

The new Sustainable Development Goals (SDGs) and the 2030 Agenda for Sustainable Development aim to build on the achievements made under the UN Millennium Development Goals (MDGs) by broadening their scope and building upon a consultative process. The MDGs contributed to substantial social progress in eight key areas: poverty; education; gender equality; child mortality; maternal health; disease; the environment; and global partnership. The SDGs not only include a greater number of development goals than the MDGs, but are also global in focus, including advanced economies for the first time. This paper draws attention to the main challenges the 2030 Agenda presents for rich countries, by highlighting a set of critical child specific indicators, evaluating countries’ progress towards meeting the Goals, and highlighting gaps in existing data. The paper will inform UNICEFs Report Card 14, Building the Future: Children and the Sustainable Development Goals in Rich Countries.

 

In this paper we summarize evidence on six perceptions associated with cash transfer programming, using eight rigorous evaluations conducted on large-scale government unconditional cash transfers in sub-Saharan Africa, under the Transfer Project. Specifically, we investigate if transfers: 1) induce higher spending on alcohol or tobacco; 2) are fully consumed (rather than invested); 3) create dependency (reduce participation in productive activities); 4) increase fertility; 5) lead to negative community-level economic impacts (including price distortion and inflation), and 6) are fiscally unsustainable. We present evidence refuting each claim, leading to the conclusion that these perceptions – insofar as they are utilized in policy debates – undercut potential improvements in well-being and livelihood strengthening among the poor, which these programmes can bring about in sub-Saharan Africa, and globally. We conclude by underscoring outstanding research gaps and policy implications for the continued expansion of unconditional cash transfers in the region and beyond.

 

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.

Esta investigación, el segundo de dos estudios de caso, explora la coordinación desde el punto de vista del registro civil y las estadísticas vitales, con especial referencia al registro de los nacimientos en el Perú. Se centra en el papel que puede desempeñar la coordinación para lograr que el registro del nacimiento funcione con eficacia. Aunque la cuestión principal de la que se ocupa este trabajo es la capacidad de las administraciones para prestar el servicio de registro del nacimiento, también se examina la importancia que reside en la comprensión de la coordinación para la mejora de los servicios públicos, especialmente los dirigidos a los niños.

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.

The paper aims to reduce the global knowledge gap pertaining to the impact of disability on school attendance, using cross-nationally comparable and nationally representative data from 18 surveys in 15 countries that are selected among 2,500 surveys and censuses. These selected surveys administered the Washington Group Short Set (WGSS) of disability-screening questions, covering five functional domains of seeing, hearing, mobility, self-care, and remembering, and collected information on educational status. The paper finds that (i) the average disability gap in school attendance stands at 30% in primary and secondary schools in 15 countries; (ii) more than 85% of disabled primary-age children who are out of school have never attended school; (iii) the average marginal effect of disability on primary and secondary school attendance is negative and significant (-30%), and (iv) countries that have reached close to universal primary education report high ratios of disabled to non-disabled out-of-school children and (v) disabled children confront the same difficulties in participating in education, regardless of their individual and socio-economic characteristics.

This paper reports findings from a mixed-methods evaluation of the Government of Zambia’s Child Grant Programme, a poverty-targeted, unconditional transfer given to mothers or primary caregivers of young children aged 0 to 5. Qualitatively, we found that changes in intrahousehold relationships were limited by entrenched gender norms, which indicate men as heads of household and primary decision-makers. However, women’s narratives showed the transfer did increase overall household well-being because they felt increased financial empowerment and were able to retain control over transfers for household investment and savings for emergencies. The study found that women in beneficiary households were making more sole and joint decisions, although impacts translated into relatively modest increases.

Children and adolescents living in relative poverty – regardless of overall material conditions – tend to experience more interpersonal violence, family turmoil, and environmental hazards that increase risk of injury, engage in more health compromising behaviours (e.g., physical inactivity, poor nutrition, smoking), report lower subjective well-being, and exhibit more social skills deficits and emotional and behavioural problems.

Savings play a crucial role in faciliating investment in income-generating activities and the pathway out of poverty for low-income households in developing settings. Yet, there is little evidence of successful programmes that increase savings, particularly those that are simultaneously cost effective, scaleable and  address gender inequalities. This paper examines the impact of the Government of Zambia’s Child Grant Programme (CGP), an unconditional cash transfer targeted to women in households with young children, on women’s savings and participation in non-farm enterprises.

Findings show that the CGP enabled poor women to save more cash and that the impact is larger for women who had lower decision-making power at baseline. The results support the proposition that cash transfers have the potential for long-term sustainable improvements in women’s financial position and household well-being by promoting savings and facilitating productive investments among low-income rural households.

Although child and adolescent inequalities are still less understood than those of adults, we have made progress in understanding the pathways that lead to negative outcomes and the limitations of some ‘adult-specific’ indicators as proxies of young people’s health and well-being. Nonetheless, the academic literature has been able to establish a clear negative relationship between a person’s material circumstances and their health outcomes and behaviours such as being overweight, lack of physical activity, higher levels of smoking and mental health problems, all of which persist throughout a person’s life. The personal and societal toll of these effects is clear, yet policies are still lagging behind, tackling proximal causes rather than ‘the causes of the causes’ of these health inequalities. This paper aims to summarise relevant knowledge on the socio-economic causes of health inequalities in children. It will not only provide a foundation to the Innocenti Report Card 13 in terms of outlining our knowledge regarding the drivers of health inequality but it will also help us shed light on its consequences.

International studies of inequalities in adolescent health tend to focus on the socio-economic gradient in average outcomes rather than their dispersion within countries. Although understanding the extent to which differences in health are related to socio-economic disadvantage is important, focusing exclusively on socio-economic status risks neglecting differences in the distribution of health outcomes within and between countries. To fill this research gap, this study analyses variation in the extent of inequality in the lower half of the distribution in five indicators of adolescent health and well-being – health symptoms, physical activity, healthy eating, unhealthy eating, and life satisfaction – across EU and/or OECD countries that took part in the latest cycle of the Health Behaviour in School-aged Children study.

A large body of literature has established socio-economic gradients in adolescent health, but few studies have investigated the extent to which these gradients are associated with very poor health outcomes. The current analysis examined the extent to which the socio-economic background of adolescents relates to very poor self-reported health and well-being (the so-called ’bottom end’). We examined the following as indicators of adolescent health: psychosomatic health complaints; physical activity; healthy eating; unhealthy eating; and life satisfaction. Adolescents who scored below the mean of the lower half of the distribution of a given indicator fall in the “bottom group” on this indicator. The largest, most persistent and widespread socio-economic gradients are in life satisfaction, physical activity and healthy eating, while the findings are mixed for unhealthy eating and psychosomatic health. Socio-economic inequalities were largely stable, but in a sizeable minority of the countries, socio-economic inequalities in physical activity and healthy eating have widened between 2001/02 and 2013/14, while inequalities in unhealthy eating and life satisfaction have narrowed in several countries.