Cash Transfers and Health: Evidence from Tanzania

52 Pages Posted: 11 Nov 2016

See all articles by David Evans

David Evans

World Bank

Brian Holtemeyer

International Food Policy Research Institute (IFPRI)

Katrina Kosec

International Food Policy Research Institute (IFPRI)

Date Written: November 7, 2016

Abstract

How do conditional cash transfers impact health-related outcomes? This paper examines the 2010 randomized introduction of a program in Tanzania and 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; the study finds no improvements after 1.5 years, but 0.76 fewer sick days per month after 2.5 years, suggesting the importance of looking beyond short-term impacts. Reductions in sick days were largest in villages with more baseline health workers per capita, consistent with improvements being sensitive to capacity constraints. These results are robust to adjustments for multiple hypothesis testing.

Suggested Citation

Evans, David and Holtemeyer, Brian and Kosec, Katrina, Cash Transfers and Health: Evidence from Tanzania (November 7, 2016). World Bank Policy Research Working Paper No. 7882, Available at SSRN: https://ssrn.com/abstract=2867663

David Evans (Contact Author)

World Bank ( email )

1818 H Street, NW
Washington, DC 20433
United States

Brian Holtemeyer

International Food Policy Research Institute (IFPRI) ( email )

1201 Eye St, NW,
Washington, DC 20005
United States

Katrina Kosec

International Food Policy Research Institute (IFPRI) ( email )

1201 Eye St, NW,
Washington, DC 20005
United States

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