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Randomized Controlled Trial
. 2015 Sep:141:36-45.
doi: 10.1016/j.socscimed.2015.07.024. Epub 2015 Jul 26.

Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls

Sudhanshu Handa  1 , Amber Peterman  2 , Carolyn Huang  3 , Carolyn Halpern  4 , Audrey Pettifor  5 , Harsha Thirumurthy  6
Affiliations
Randomized Controlled Trial

Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls

Sudhanshu Handa et al. Soc Sci Med. 2015 Sep.

Abstract

There is promising evidence that poverty-targeted cash transfer programs can have positive impacts on adolescent transitions to adulthood in resource poor settings, however existing research is typically from small scale programs in diverse geographic and cultural settings. We provide estimates of the impact of a national unconditional cash transfer program, the Kenya Cash Transfer for Orphans and Vulnerable Children, on pregnancy and early marriage among females aged 12 to 24, four years after program initiation. The evaluation was designed as a clustered randomized controlled trial and ran from 2007 to 2011, capitalizing on the existence of a control group, which was delayed entry to the program due to budget constraints. Findings indicate that, among 1549 females included in the study, while the program reduced the likelihood of pregnancy by five percentage points, there was no significant impact on likelihood of early marriage. Program impacts on pregnancy appear to work through increasing the enrollment of young women in school, financial stability of the household and delayed age at first sex. The Kenyan program is similar in design to most other major national cash transfer programs in Eastern and Southern Africa, suggesting a degree of generalizability of the results reported here. Although the objective of the program is primarily poverty alleviation, it appears to have an important impact on facilitating the successful transition of adolescent girls into adulthood.

Keywords: Adolescent girls; Cash transfers; Early marriage; Kenya; Pregnancy.

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Figures

Figure 1
Figure 1
Conceptual Framework for cash transfers and girls safe transition to adulthood. Notes: Modified from UNICEF et al. 2015
See this image and copyright information in PMC

References

    1. Alam A, Baez JE, Del Carpio XV. Does cash for school influence young women’s behavior in the longer term? Washington D.C.: World Bank; 2010.
    1. Anderson S. The Economics of Dowry and Brideprice. The Journal of Economic Perspectives. 2007;21(4):151–174.
    1. Baird S, McIntosh C, Ozler B. Cash or condition? Evidence from a cash transfer experiment. Quarterly Journal of Economics. 2011;126:1709–1753.
    1. Baird S, de Hoop J, Ozler B. Income Shocks and Adolescent Mental Health. Journal of Human Resources. 2013;48(2):370–403.
    1. Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. The Lancet. 2007;369(9568):1220–1231. - PubMed

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