Cash Transfers and Health: Evidence from Tanzania

by David K. Evans, Brian Holtemeyer, Katrina Kosec
World Bank Group, Africa Region, Office of the Chief Economist, November 2016

52 pp. 1.3 MB
https://openknowledge.worldbank.org/bitstream/handle/10986/25682/WPS7882.pdf?
sequence=1&isAllowed=y

How do cash transfers conditioned on health clinic visits and school attendance impact health-related outcomes? Examining the 2010 randomized introduction of a program in Tanzania, this paper finds nuanced impacts. An initial surge in clinic visits after 1.5 years – due to more visits by those already complying with program health conditions and by non-compliers – disappeared after 2.5 years, largely due to compliers reducing above-minimal visits. The study finds significant increases in take-up of health insurance and the likelihood of seeking treatment when ill. Health improvements were concentrated among children ages 0–5 years rather than the elderly, and took time to materialize.

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