Crowding-out or crowding-in? Effects of LEAP 1000 unconditional cash transfer program on household and community support among women in rural Ghana

Milliano, Marlous de; Barrington, Clare; Ángeles, Gustavo; Gbedemah, C.

doi:10.1016/j.worlddev.2021.105466

Cited by 16 publications

(9 citation statements)

References 41 publications

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“…Again, while this finding is not new in the public health literature (Penchansky and Thomas, 1981;Macha et al, 2012;McIntyre et al, 2013;Kusi et al, 2015;WHO, 2015), it raises concern about the adequacy of the bimonthly cash transfer package to LEAP beneficiaries. Contrary to previous research that associated improvement in the living conditions of the beneficiaries of the cash transfers and the free NHIS enrolment (Alatinga et al, 2020;de Milliano et al, 2021), we found that the bimonthly stipends transferred to the beneficiaries fall far below the country's 2023 daily minimum wage of GHS 14.88. Coupled with the current cost of living crisis in the country, we associate with the position of the beneficiaries that the stipends they receive are insufficient to cater for their basic needs.…”

Section: Discussioncontrasting

confidence: 99%

“…Since inception, the programme has served as an important conduit through which its members enjoy financial risk protection against the costs of health care services (ILO, 2014; Agyemang-Duah et al, 2019). A related study found that the LEAP 1000 cash transfer programme implemented in 10 districts in northern Ghana increased both emotional and instrumental support for pregnant women and mothers of children under one year living in poverty (de Milliano et al, 2021). Similarly, LEAP beneficiaries reported that the cash transferred to them had improved their material and psychological well-being, increased food security and nutrition and removed the financial risk against the costs of primary health care (Alatinga et al, 2020).…”

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confidence: 99%

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Barriers to health care access and utilization among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP): the perspective of users and service providers in north-western Ghana

Domapielle

Dassah

Dordaa

et al. 2023

Prim Health Care Res Dev

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Aim: This article draws on the poverty and access to health care framework to explore the barriers to access and utilization of primary health care among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP) in Ghana. Background: Although many developing countries have made progress in extending primary health care to their populations following the Alma-Ata Declaration of 1978, the establishment of the Millennium Development Goals, and the Sustainable Development Goals (SDGs), barriers remain pervasive, particularly among vulnerable population groups. Previous studies have hardly paid in-depth attention to this important indicator for measuring progress toward achieving SDG 3. Methodology: To this end, we conducted a case study of access to health care services and utilization among aged indigents enrolled on the LEAP programme in the Daffiama Bussie Issa District of the Upper West. We collected and analyzed qualitative data from indigents aged 65 years and above, health care providers, and staff of the LEAP and the National Health Insurance Scheme (NHIS). Findings: Our analysis found geographic inaccessibility of health care, high costs of drugs and related services, exclusion of essential services from NHIS benefits package, and irregular transfer of cash to negatively influence access and utilization of health care among aged LEAP beneficiaries in the district. In addition to the need to strengthen the economy, provide health infrastructure and human resources for health in rural areas, the government needs to review the beneficiaries’ bimonthly stipends to reflect the daily minimum wage, eliminate the delay in payments, and review the benefits package of the NHIS to include essential services and medical devices commonly used by aged people. Yet implementing these recommendations has affordability implications that require innovation to mobilize additional resources and create the desired fiscal space and institutions that can sustainably implement universal coverage programmes such as the LEAP.

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Section: Discussioncontrasting

confidence: 99%

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confidence: 99%

Barriers to health care access and utilization among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP): the perspective of users and service providers in north-western Ghana

Domapielle

Dassah

Dordaa

et al. 2023

Prim Health Care Res Dev

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“…However, the latter study provided health insurance directly, whereas Ghana LEAP 1000 provided only a premium fee waiver, which households still had to act upon to enroll. Moreover, cash-plus programs have been found to improve social support ( de Milliano et al, 2021 ), which may in itself alleviate stress ( Ozbay et al, 2007 ). Alternatively, impacts on stress and broader mental health may also depend on pre-existing characteristics of the intervention population.…”

Section: Discussionmentioning

confidence: 99%

Impacts of cash transfer and “cash plus” programs on self- perceived stress in Africa: Evidence from Ghana, Malawi, and Tanzania

Maara¹,

Cirillo²,

Ángeles³

et al. 2023

SSM - Population Health

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“…Likewise, Schober (2019) found that CCTs increased participation in various political activities such as voting, contacting public officials, community activism and civic engagement. Moreover, de Milliano et al (2021) found that the beneficiaries of the Livelihood Empowerment against Poverty 1000 programme in Ghana were more likely to participate in community groups and local ceremonies or gatherings.…”

Section: Review Of Literaturementioning

confidence: 99%

Does Social Welfare Programmes Influence Households Trust in Local Administration and Their Political Participation? Evidence from the MGNREG Scheme in India

Goyal

Kumar

2022

Indian Journal of Human Development

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The prime purpose of this study is to investigate the effect of receiving employment benefits under the Mahatma Gandhi National Rural Employment Guarantee (MGNREG) scheme on the household’s trust in the local administration and their political participation. The present study is based on primary data collected through a structured schedule from selected districts of Haryana, India. In order to analyse the collected data, the ordered logistic regression method was used. The major findings of the study indicated that MGNREG beneficiaries expressed a lower level of trust and unfavourable attitude towards local administration. They were also found less interested in participating in the village-level meetings. Thus, it appeared that simply being a beneficiary of the MGNREG programme was not adequate to influence public trust in local administration. Finally, the policy measures were suggested to the policymakers to strengthen the relationship between MGNREG beneficiaries and the local administration.

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Crowding-out or crowding-in? Effects of LEAP 1000 unconditional cash transfer program on household and community support among women in rural Ghana

Cited by 16 publications

References 41 publications

Barriers to health care access and utilization among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP): the perspective of users and service providers in north-western Ghana

Barriers to health care access and utilization among aged indigents under the Livelihood Empowerment Against Poverty Programme (LEAP): the perspective of users and service providers in north-western Ghana

Impacts of cash transfer and “cash plus” programs on self- perceived stress in Africa: Evidence from Ghana, Malawi, and Tanzania

Does Social Welfare Programmes Influence Households Trust in Local Administration and Their Political Participation? Evidence from the MGNREG Scheme in India

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