Effects of cash transfers on Children’s health and social protection in Sub-Saharan Africa: differences in outcomes based on orphan status and household assets

摘要: Background: Unconditional and conditional cash transfer programmes (UCT CCT) show potential to improve the well-being of orphans other children made vulnerable by HIV/AIDS (OVC). We address gap in current understanding about extent which household-based transfers differentially impact individual children’s outcomes, according risk or protective factors such as orphan status household assets. Methods: Data were obtained from a cluster-randomised controlled trial eastern Zimbabwe, with random assignment three study arms – UCT, CCT control. The sample included 5,331 ages 6-17 1,697 households. Generalized linear mixed models specified predict OVC health vulnerability (child chronic illness disability) social protection (birth registration 90% school attendance). Models child-level (age, status); (adults illnesses disabilities, greater size); (including asset-holding). Interactions systematically tested. Results: Orphan was associated decreased likelihood for birth registration, paternal whom both parents’ survival unknown less likely attend school. In UCT arm, fared better compared non-paternal orphans. Effects on outcomes not moderated any factors. High asset-holding child’s increased attendance, but assets did moderate effects Conclusion: Orphaned are at higher poor even when cared family-based settings. each produced direct child- household-level factors, obtain registration. asset-holding, outcomes. Intervention efforts need focus ameliorating additional burden carried orphaned children. These might include caregiver education, incentives based specifically