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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Social acceptability and perceived impact of a community-led cash transfer programme in Zimbabwe

Authors: Morten Skovdal, Phyllis Mushati, Laura Robertson, Shungu Munyati, Lorraine Sherr, Constance Nyamukapa, Simon Gregson

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Cash transfer programmes are increasingly recognised as promising and scalable interventions that can promote the health and development of children. However, concerns have been raised about the potential for cash transfers to contribute to social division, jealousy and conflict at a community level. Against this background, and in our interest to promote community participation in cash transfer programmes, we examine local perceptions of a community-led cash transfer programme in Eastern Zimbabwe.

Methods

We collected and analysed data from 35 individual interviews and three focus group discussions, involving 24 key informants (community committee members and programme implementers), 24 cash transfer beneficiaries, of which four were youth, and 14 non-beneficiaries. Transcripts were subjected to thematic analysis and coding to generate concepts.

Results

Study participants described the programme as participatory, fair and transparent – reducing the likelihood of jealousy. The programme was perceived to have had a substantial impact on children’s health and education, primarily through aiding parents and guardians to better cater for their children’s needs. Moreover, participants alluded to the potential of the programme to facilitate more transformational change, for example by enabling families to invest money in assets and income generating activities and by promoting a community-wide sense of responsibility for the support of orphaned and vulnerable children.

Conclusion

Community participation, combined with the perceived impact of the cash transfer programme, led community members to speak enthusiastically about the programme. We conclude that community-led cash transfer programmes have the potential to open up for possibilities of participation and community agency that enable social acceptability and limit social divisiveness.
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Literature
1.
go back to reference Standing G: How cash transfers promote the case for basic income. Basic Income Stud. 2008, 3 (1): 1-30.CrossRef Standing G: How cash transfers promote the case for basic income. Basic Income Stud. 2008, 3 (1): 1-30.CrossRef
2.
go back to reference Hanlon J, Barrientos A, Hulme D: Just Give Money to the Poor: The Development Revolution from the Global South. 2010, Sterling, VA: Kumarian Press Hanlon J, Barrientos A, Hulme D: Just Give Money to the Poor: The Development Revolution from the Global South. 2010, Sterling, VA: Kumarian Press
3.
go back to reference Attanasio O, Fitzsimons E, Gomez A, Gutierrez MI: Children's schooling and work in the presence of a conditional cash transfer program in Rural Colombia. Econ Dev Cult Change. 2010, 58 (2): 181-210. 10.1086/648188.CrossRef Attanasio O, Fitzsimons E, Gomez A, Gutierrez MI: Children's schooling and work in the presence of a conditional cash transfer program in Rural Colombia. Econ Dev Cult Change. 2010, 58 (2): 181-210. 10.1086/648188.CrossRef
4.
go back to reference Fernald LCH, Gertler PJ, Neufeld LM: 10-year effect of oportunidades, Mexico's conditional cash transfer programme, on child growth, cognition, language, and behaviour: a longitudinal follow-up study (vol 374, pg 1997, 2009). Lancet. 2010, 376 (9755): 1828-1828.CrossRef Fernald LCH, Gertler PJ, Neufeld LM: 10-year effect of oportunidades, Mexico's conditional cash transfer programme, on child growth, cognition, language, and behaviour: a longitudinal follow-up study (vol 374, pg 1997, 2009). Lancet. 2010, 376 (9755): 1828-1828.CrossRef
5.
go back to reference Fernald LCH, Hidrobo M: Effect of Ecuador’s cash transfer program (Bono de Desarrollo Humano) on child development in infants and toddlers: A randomized effectiveness trial. Soc Sci Med. 2011, 72 (9): 1437-1446. 10.1016/j.socscimed.2011.03.005.CrossRefPubMed Fernald LCH, Hidrobo M: Effect of Ecuador’s cash transfer program (Bono de Desarrollo Humano) on child development in infants and toddlers: A randomized effectiveness trial. Soc Sci Med. 2011, 72 (9): 1437-1446. 10.1016/j.socscimed.2011.03.005.CrossRefPubMed
6.
go back to reference Handa S, Davis B: The experience of conditional cash transfers in Latin America and the Caribbean. Dev Pol Rev. 2006, 24 (5): 513-536. 10.1111/j.1467-7679.2006.00345.x.CrossRef Handa S, Davis B: The experience of conditional cash transfers in Latin America and the Caribbean. Dev Pol Rev. 2006, 24 (5): 513-536. 10.1111/j.1467-7679.2006.00345.x.CrossRef
7.
go back to reference Jones N, Vargas R, Villar E: Cash transfers to tackle childhood poverty and vulnerability: An analysis of Peru's Juntos Programme. Environment and Urbanization. 2008, 20 (1): 255-273. 10.1177/0956247808089162.CrossRef Jones N, Vargas R, Villar E: Cash transfers to tackle childhood poverty and vulnerability: An analysis of Peru's Juntos Programme. Environment and Urbanization. 2008, 20 (1): 255-273. 10.1177/0956247808089162.CrossRef
8.
go back to reference Chant SH: Gender, generation and poverty : exploring the feminisation of poverty in Africa, Asia and Latin America. Cheltenham, UK. 2007, Northampton, MA, USA: Edward ElgarCrossRef Chant SH: Gender, generation and poverty : exploring the feminisation of poverty in Africa, Asia and Latin America. Cheltenham, UK. 2007, Northampton, MA, USA: Edward ElgarCrossRef
9.
go back to reference Molyneux M: Mothers at the service of the new poverty agenda: progresa/oportunidades, Mexico's conditional transfer programme. Soc Pol Admin. 2006, 40 (4): 425-449. 10.1111/j.1467-9515.2006.00497.x.CrossRef Molyneux M: Mothers at the service of the new poverty agenda: progresa/oportunidades, Mexico's conditional transfer programme. Soc Pol Admin. 2006, 40 (4): 425-449. 10.1111/j.1467-9515.2006.00497.x.CrossRef
10.
go back to reference Smith-Oka V: Unintended consequences: exploring the tensions between development programs and indigenous women in Mexico in the context of reproductive health. Soc Sci Med. 2009, 68: 2069-2077. 10.1016/j.socscimed.2009.03.026.CrossRefPubMed Smith-Oka V: Unintended consequences: exploring the tensions between development programs and indigenous women in Mexico in the context of reproductive health. Soc Sci Med. 2009, 68: 2069-2077. 10.1016/j.socscimed.2009.03.026.CrossRefPubMed
11.
go back to reference Saucedo Delgado OA: The gendered reading of conditionality in antipoverty programmes: unintended effects on Mexican rural households' interactions with public health institutions. Bull Lat Am Res. 2012 Saucedo Delgado OA: The gendered reading of conditionality in antipoverty programmes: unintended effects on Mexican rural households' interactions with public health institutions. Bull Lat Am Res. 2012
12.
go back to reference Handa S, Devereux S, Webb D: Social Protection for Africa's Children. 2010, New York, NY: Routledge Handa S, Devereux S, Webb D: Social Protection for Africa's Children. 2010, New York, NY: Routledge
13.
go back to reference Devereux S, Marshall J, MacAskill J, Pelham L: Making Cash Count – lessons from Cash Transfer Schemes in East and Southern Africa for support the most vulnerable children and households: Save the Children UK, HelpAge International and Institute of Development Studies. 2005, URL: http://www.ids.ac.uk/files/MakingCashCountfinal.pdf - last retrieved on 15/04/2013 Devereux S, Marshall J, MacAskill J, Pelham L: Making Cash Count – lessons from Cash Transfer Schemes in East and Southern Africa for support the most vulnerable children and households: Save the Children UK, HelpAge International and Institute of Development Studies. 2005, URL: http://​www.​ids.​ac.​uk/​files/​MakingCashCountf​inal.​pdf - last retrieved on 15/04/2013
14.
go back to reference Adato M, Bassett L: Social protection to support vulnerable children and families: the potential of cash transfers to protect education, health and nutrition. AIDS Care. 2009, 21 (sup1): 60-75. 10.1080/09540120903112351.CrossRefPubMedPubMedCentral Adato M, Bassett L: Social protection to support vulnerable children and families: the potential of cash transfers to protect education, health and nutrition. AIDS Care. 2009, 21 (sup1): 60-75. 10.1080/09540120903112351.CrossRefPubMedPubMedCentral
15.
go back to reference Baird S, Chirwa E, McIntosh C, Özler B: The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women. Health Econ. 2010, 19 (S1): 55-68. 10.1002/hec.1569.CrossRefPubMed Baird S, Chirwa E, McIntosh C, Özler B: The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women. Health Econ. 2010, 19 (S1): 55-68. 10.1002/hec.1569.CrossRefPubMed
16.
go back to reference Robertson L, Mushati P, Eaton J, Dumba L, Mavise G, Makoni J, Schumacher C, Crea T, Monasch R, Sherr L: Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe: a cluster-randomised trial. The Lancet. 2013, 381 (9874): 1283-1292. 10.1016/S0140-6736(12)62168-0.CrossRef Robertson L, Mushati P, Eaton J, Dumba L, Mavise G, Makoni J, Schumacher C, Crea T, Monasch R, Sherr L: Effects of unconditional and conditional cash transfers on child health and development in Zimbabwe: a cluster-randomised trial. The Lancet. 2013, 381 (9874): 1283-1292. 10.1016/S0140-6736(12)62168-0.CrossRef
17.
go back to reference MacAuslan I, Riemenschneider N: Richer but resented: what do cash transfers do to social relations?. IDS Bulletin. 2011, 42 (6): 60-66. 10.1111/j.1759-5436.2011.00274.x.CrossRef MacAuslan I, Riemenschneider N: Richer but resented: what do cash transfers do to social relations?. IDS Bulletin. 2011, 42 (6): 60-66. 10.1111/j.1759-5436.2011.00274.x.CrossRef
18.
go back to reference Ellis F: ‘We Are All Poor Here’: economic difference, social divisiveness and targeting cash transfers in Sub-Saharan Africa. J Dev Stud. 2012, 48 (2): 201-214. 10.1080/00220388.2011.625408.CrossRef Ellis F: ‘We Are All Poor Here’: economic difference, social divisiveness and targeting cash transfers in Sub-Saharan Africa. J Dev Stud. 2012, 48 (2): 201-214. 10.1080/00220388.2011.625408.CrossRef
19.
go back to reference Patel L, Hochfeld T: It buys food but does it change gender relations? Child support grants in Soweto South Africa. Gend Dev. 2011, 19 (2): 229-240. 10.1080/13552074.2011.592633.CrossRef Patel L, Hochfeld T: It buys food but does it change gender relations? Child support grants in Soweto South Africa. Gend Dev. 2011, 19 (2): 229-240. 10.1080/13552074.2011.592633.CrossRef
20.
go back to reference Hochfeld T, Plagerson S: Dignity and stigma among South African female cash transfer recipients. IDS Bulletin. 2011, 42 (6): 53-59. 10.1111/j.1759-5436.2011.00273.x.CrossRef Hochfeld T, Plagerson S: Dignity and stigma among South African female cash transfer recipients. IDS Bulletin. 2011, 42 (6): 53-59. 10.1111/j.1759-5436.2011.00273.x.CrossRef
22.
go back to reference Gregson S, Gonese E, Hallett TB, Taruberekera N, Hargrove JW, Lopman B, Corbett EL, Dorrington R, Dube S, Dehne K: HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review. Int J Epidemiol. 2010, 39 (5): 1311-1323. 10.1093/ije/dyq055.CrossRefPubMedPubMedCentral Gregson S, Gonese E, Hallett TB, Taruberekera N, Hargrove JW, Lopman B, Corbett EL, Dorrington R, Dube S, Dehne K: HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review. Int J Epidemiol. 2010, 39 (5): 1311-1323. 10.1093/ije/dyq055.CrossRefPubMedPubMedCentral
23.
go back to reference Halperin DT, Mugurungi O, Hallett TB, Muchini B, Campbell B, Magure T, Benedikt C, Gregson S: A surprising prevention success: why did the HIV epidemic decline in Zimbabwe?. PLoS Med. 2011, 8 (2): e1000414-10.1371/journal.pmed.1000414.CrossRefPubMedPubMedCentral Halperin DT, Mugurungi O, Hallett TB, Muchini B, Campbell B, Magure T, Benedikt C, Gregson S: A surprising prevention success: why did the HIV epidemic decline in Zimbabwe?. PLoS Med. 2011, 8 (2): e1000414-10.1371/journal.pmed.1000414.CrossRefPubMedPubMedCentral
24.
go back to reference UNICEF, GoZ,: A Situational Analysis on the Status of Women’s and Children’s Rights in Zimbabwe, 2005–2010 - A Call for Reducing Disparities and Improving Equity. 2011, Harare: UNICEF Zimbabwe and Government of Zimbabwe UNICEF, GoZ,: A Situational Analysis on the Status of Women’s and Children’s Rights in Zimbabwe, 2005–2010 - A Call for Reducing Disparities and Improving Equity. 2011, Harare: UNICEF Zimbabwe and Government of Zimbabwe
25.
go back to reference Robertson L: Quantification of orphanhood, assessment of its impacts on child health and design of an impact mitigation trial. 2010, London: Imperial College London Robertson L: Quantification of orphanhood, assessment of its impacts on child health and design of an impact mitigation trial. 2010, London: Imperial College London
26.
go back to reference Watts H, Lopman B, Nyamukapa C, Gregson S: Rising incidence and prevalence of orphanhood in Manicaland, Zimbabwe, 1998 to 2003. AIDS. 2005, 19 (7): 717-725. 10.1097/01.aids.0000166095.62187.df.CrossRefPubMed Watts H, Lopman B, Nyamukapa C, Gregson S: Rising incidence and prevalence of orphanhood in Manicaland, Zimbabwe, 1998 to 2003. AIDS. 2005, 19 (7): 717-725. 10.1097/01.aids.0000166095.62187.df.CrossRefPubMed
27.
go back to reference Robertson L, Mushati P, Eaton JW, Sherr L, Makoni JC, Skovdal M, Crea T, Mavise G, Dumba L, Schumacher C, Munyati S, Nyamukapa C, Gregson S: Household-based cash transfer targeting strategies in Zimbabwe: are we reaching the most vulnerable children?. Soc Sci Med. 2012, 75 (12): 2503-2508. 10.1016/j.socscimed.2012.09.031.CrossRefPubMedPubMedCentral Robertson L, Mushati P, Eaton JW, Sherr L, Makoni JC, Skovdal M, Crea T, Mavise G, Dumba L, Schumacher C, Munyati S, Nyamukapa C, Gregson S: Household-based cash transfer targeting strategies in Zimbabwe: are we reaching the most vulnerable children?. Soc Sci Med. 2012, 75 (12): 2503-2508. 10.1016/j.socscimed.2012.09.031.CrossRefPubMedPubMedCentral
28.
go back to reference Skovdal M, Abebe T: Reflexivity and dialogue: methodological and socio-ethical dilemmas in research with HIV-affected children in East Africa. Ethics Pol Environ. 2012, 15 (1): 77-96. 10.1080/21550085.2012.672691.CrossRef Skovdal M, Abebe T: Reflexivity and dialogue: methodological and socio-ethical dilemmas in research with HIV-affected children in East Africa. Ethics Pol Environ. 2012, 15 (1): 77-96. 10.1080/21550085.2012.672691.CrossRef
29.
go back to reference Attride-Stirling J: Thematic networks: an analytic tool for qualitative research. Qual Res. 2001, 1 (3): 385-405. 10.1177/146879410100100307.CrossRef Attride-Stirling J: Thematic networks: an analytic tool for qualitative research. Qual Res. 2001, 1 (3): 385-405. 10.1177/146879410100100307.CrossRef
30.
go back to reference Miller CM, Tsoka M, Reichert K, Hussaini A: Interrupting the intergenerational cycle of poverty with the Malawi Social Cash Transfer. Vulnerable Children and Youth Studies. 2010, 5 (2): 108-121. 10.1080/17450120903499452.CrossRef Miller CM, Tsoka M, Reichert K, Hussaini A: Interrupting the intergenerational cycle of poverty with the Malawi Social Cash Transfer. Vulnerable Children and Youth Studies. 2010, 5 (2): 108-121. 10.1080/17450120903499452.CrossRef
31.
go back to reference Roelen K: Social protection to address the drivers of vulnerability: a bridge too far?. IDS Bulletin. 2011, 42 (6): 35-37. 10.1111/j.1759-5436.2011.00270.x.CrossRef Roelen K: Social protection to address the drivers of vulnerability: a bridge too far?. IDS Bulletin. 2011, 42 (6): 35-37. 10.1111/j.1759-5436.2011.00270.x.CrossRef
32.
go back to reference Tessitore S: One step beyond: from social protection recipients to citizens. IDS Bulletin. 2011, 42 (6): 13-20. 10.1111/j.1759-5436.2011.00267.x.CrossRef Tessitore S: One step beyond: from social protection recipients to citizens. IDS Bulletin. 2011, 42 (6): 13-20. 10.1111/j.1759-5436.2011.00267.x.CrossRef
33.
go back to reference Skovdal M, Mwasiaji W, Morrison J, Tomkins A: Community-based capital cash transfer to support orphans in Western Kenya: A consumer perspective. Vulnerable Children and Youth Studies. 2008, 3 (1): 1-15. 10.1080/17450120701843778.CrossRef Skovdal M, Mwasiaji W, Morrison J, Tomkins A: Community-based capital cash transfer to support orphans in Western Kenya: A consumer perspective. Vulnerable Children and Youth Studies. 2008, 3 (1): 1-15. 10.1080/17450120701843778.CrossRef
34.
go back to reference Skovdal M, Mwasiaji W, Webale A, Tomkins A: Building orphan competent communities: experiences from a community-based capital cash transfer initiative in Kenya. Health Policy Plan. 2011, 26 (3): 233-241. 10.1093/heapol/czq039.CrossRefPubMed Skovdal M, Mwasiaji W, Webale A, Tomkins A: Building orphan competent communities: experiences from a community-based capital cash transfer initiative in Kenya. Health Policy Plan. 2011, 26 (3): 233-241. 10.1093/heapol/czq039.CrossRefPubMed
Metadata
Title
Social acceptability and perceived impact of a community-led cash transfer programme in Zimbabwe
Authors
Morten Skovdal
Phyllis Mushati
Laura Robertson
Shungu Munyati
Lorraine Sherr
Constance Nyamukapa
Simon Gregson
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-342

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