Results from impact evaluation of cash transfer programs in sub-saharan Africa

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Results from impact evaluation of cash transfer programs in sub-saharan Africa Benjamin Davis FAO, PtoP and Transfer Project Conferencia Nacional de Assistencia Social Monday, October 21, 2013 Luanda, Angola

The rise of cash transfers in Sub Saharan Africa Approximately half of the countries of Sub Saharan Africa have some kind of government run cash transfer program And most others have multilateral/ngo run CT programs Some programs are national Others scaling up Some are pilots

Scale up of cash transfer programs in Sub Saharan Africa % of population covered by cash transfer program Since 2010, planned or on-going expansions (eg: Lesotho, Ghana, Kenya) 25 20 15 10 5 0

The rise of cash transfers in Sub Saharan Africa Variety of designs Universal old age pensions; near universal child grants Primarily southern African countries Targeted programs to specific vulnerabilities Kenya, Lesotho, Malawi, Mozambique Cash for work for able-bodied Ethiopia, Rwanda A few conditional programs Burkina Faso, Tanzania, Nigeria Cash in emergency settings Niger, Somalia, Mali

Who are cash transfer beneficiaries in Sub Saharan Africa? An example from the Zambia CGP Over 95% of households are extremely poor; over 99% poor Almost 75% of expenditures spent on food Large families (over 5 members on average) More than half children under 13 1/3 of children under 5 are stunted 1/3 of school aged children do not attend school; 22% are orphaned Over 80% of households produce crops Most grow local staples, using traditional technology and low levels of modern inputs Most have low levels of assets Half hectare of agricultural land, few small animals, basic agricultural tools and low levels of education Over half of all children worked on family farm

Evidence on cash transfers from Sub Saharan Africa Improve welfare Reduce poverty and increase food consumption Improve food security and nutritional status Enable poor and vulnerable to become productive citizens Increase human capital Heath status and use of health services Educational enrolment and school attendance Safer transition to adulthood Improve livelihoods (productive activities) Dynamic local economy Evidence based on ongoing impact evaluations from unconditional cash transfer programs Malawi, Kenya, Ethiopia, Zambia, Ghana, South Africa and Lesotho

Reduce poverty Zambia CGP 5 pp reduction in poverty, 11 pp in poverty gap, 11 pp in severity of poverty gap (using severe poverty line) Kenya CT-OVC 13 pp reduction in poverty (less than $1 a day) South Africa (all) Reduce the poverty gap by 45% and destitution gap by 67%

Cash transfers increase household expenditures on food Over 35% Zambia Kenya Ghana Malawi impact baseline Total 15 47 +++ NS +++ Food 12 34 +++ NS +++ Education NS NS NS NS NS Health 1 3 +++ NS +++ Clothing NS NS NS NS No increase in expenditures on alcohol or tobacco in any country

Leading to an improved diet Zambia Kenya Ghana Malawi impact baseline Meat 2.4 6.8 +++ NS +++ Dairy.7.9 +++ NS +++ Cereals 4.5 11.6 NS NS +++ Fruits/vegetables NS NS NS NS +++ Sugars 1.3.8 +++ NS +++ Fats, oil, other 1.8 1.5 +++ NS +++ Dietary diversity 1.4 4.8 +++ NS +++

And improving multiple dimensions Zambia CGP Kenya CT-OVC Ethiopia PSNP Malawi SCT South Africa CSG of food security Increasing number of meals a day Reducing going to bed hungry, etc With mixed story on nutritional status Zambia Kenya Malawi South Africa Stunting NS NS +++ +++ Multiple determinants of nutritional status

Cash transfers also led to improvement in health status and use of health services Reduction in diarrhea (children under 5) Zambia CGP, Kenya CT-OVC, Malawi SCT Increase in seeking curative care (children under 5) Kenya CT-OVC Increase in seeking preventative care (children under 5) Kenya CT-OVC Ghana LEAP (for female headed households) Increase in access to national heath insurance Ghana LEAP (34 pp for children under 5)

As well as increased school enrolment and attendance Increased primary and/or secondary school enrolment Kenya CT-OVC Zambia CGP (for mothers with lower levels of education) Malawi SCT Ghana LEAP South Africa Old Age Pension Highest grade completed Kenya CT-OVC Reduced grade repetition Ghana LEAP Reduced absences South Africa CSG

Cash transfers can make the transition into adulthood safer for adolescents Kenya CT-OVC Less likely to have had sexual debut (8 pp) Reduced number of sexual partners in last 12 months Reduced frequency of unprotected sex in last 3 months Less likely to be pregnant (5 pp) But mediated through increasing in schooling Improvement in psycho-social status Less depression South Africa CSG Malawi Zomba cash transfer experiment

Cash transfers can lead to productive investment Increase in investment in agricultural inputs and tools Zambia CGP, Ethiopia PSNP, Malawi SCT Increase in agricultural production Ethiopia PSNP Zambia CGP And increase in sales at market (12 pp from 23% base) Increase in home production of food Kenya CT-OVC and Malawi SCT, in cereals and animal products Increase in livestock ownership Zambia CGP, Kenya CT-OVC and Malawi SCT Increase in ownership of non agricultural enterprises Zambia CGP (17 pp from 22% base) and Kenya CT-OVC

Move on farm and into family productive activities Reducing adult agricultural wage labor and increasing time spent on the family farm Zambia, Kenya, Malawi (ganyu labor), Zimbabwe (maricho labor), Ghana (increase on own farm labor) Zambia: particularly for women (17 pp to 29%; 12 days fewer to 19) Increase in labor dedicated to family non agricultural enterprise Zambia, Kenya Increase in labor market participation Zambia CGP South Africa CSG Allowed elderly and physically disabled to rest Zimbabwe

But mixed results on child labor Kenya: reduction in on farm activity for children Particularly for boys (12 pp from 42%) Malawi: reduction in wage labor, increase in on farm activity South Africa: reduction in child wage labor Zambia: no impact

Cash transfers improve the ability of households to manage risk Reduce negative risk coping strategies Malawi, Ethiopia, Kenya Pay off debt and increase savings Zambia, Ghana and Kenya Increase in credit worthiness Ghana and Lesotho Though often reluctant to increase debt Re-engagement with social networks, community activities Allow households to participate, to mingle again Ghana, Zimbabwe and Kenya

Transfer How do local economy effects work?

Transfer T,T T, NT

Transfer T,T T, NT NT,NT Rest of Lesotho Rest of World

Transfer T,T NT,T T, NT NT,NT NT,NT Rest of Lesotho Rest of World

Transfer T,T NT,T T, NT NT,NT NT,NT NT,NT Rest of Lesotho Rest of World

Ghana: LEAP households spend about 80% of income inside the local economy

Ghana LEAP Program Cash transfers can have large income multiplier effects Total Income Multiplier Nominal 2.50 (CI) (2.38-2.65) Every 1 Cedi transferred can generate 2.50 Cedis of income

If supply response is constrained, income multiplier can be as low as 1.50 Ghana LEAP Program Total Income Multiplier Nominal 2.50 (CI) (2.38-2.65) Real 1.50 (CI) (1.40-1.59) Production constraints can limit supply response, which may lead to higher prices and a lower multiplier

Income multiplier varies by context 3 2.5 2 Differences across countries: Openness of local economies Where money is spent in local economy Every 1 Cedi transferred can generate 2.50 Cedis of income If constraints are binding, may be as low as 1.50 1.5 Nominal Real 1 0.5 0 W Kenya E Kenya ethiopia -abi-adi Zambia Lesotho Ghana ethiopia - hintalo

Non beneficiary households gain most the income multiplier 0.9 0.8 Policy message: 0.7 0.6 0.5 0.4 In order to maximize income multipliers, pay attention to supply response by all, particularly non beneficiaries Non-Beneficiary Beneficiary 0.3 0.2 0.1 0 W Kenya Abi-Adi E Kenya Zambia Lesotho Ghana Hintalo

Design and implementation are important for achieving objectives Demographic profile of beneficiary households Available labor: OVC? Households with young children? Relevance of messaging and soft conditions on social spending

Regular and predictable transfers allow people to plan: the lumpy LEAP

Reaching objectives requires transfer equal to 20-30% of per capita income of poor households 40 35 Larger impact 30 25 Little impact 20 15 10 5 0 Ghana LEAP (old) Burkina Kenya CT-OVC (big) Kenya CT-OVC Lesotho (CGP) RSA CSG Ghana LEAP (current) Kenya CT-OVC (small) Zim (HSCT) Zambia CGP Zambia MCP 30 Malawi SCT

Cash transfers need to be linked to supply of services Cash transfers can help address demand-side barriers to accessing services (economic and financial barriers) But to maximize impacts need to develop linkages with other sectors (education, health, nutrition, etc) Ensure supply of quality services to meet demand Complementary services to address outcomes with multiple determinants (eg: behavioral practices around nutrition)

Cash transfers needs to be part of a rural development strategy Cash transfer programmes cannot replace sector economic development strategy, nor do they constitute a motor of growth in and of themselves Almost three quarters of economically active rural population are smallholders, most producing own food Small holder agriculture as key for rural poverty reduction and food security in Sub Saharan Africa Relies on increased productivity, profitability and sustainability of small holder farming Social protection and agriculture need to be articulated as part of strategy of rural development Link to graduation strategies

In conclusion: The evidence shows Cash transfer programs are not charity They enable the poor and vulnerable to become productive citizens Cash transfers can have a big impact even without conditions Though messaging is important A small amount of money can go a long way Cash transfers equal to 20 to 30 percent of per capita average income of poor households can have big impacts

Our websites From Protection to Production Project http://www.fao.org/economic/ptop/en/ The Transfer Project http://www.cpc.unc.edu/projects/transfer