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Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa

BACKGROUND: Child cash transfers are increasingly recognised for their potential to reduce poverty and improve health outcomes. South Africa‘s child support grant (CSG) constitutes the largest cash transfer in the continent. No studies have been conducted to look at factors associated with successfu...

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Autores principales: Zembe-Mkabile, Wanga, Doherty, Tanya, Sanders, David, Jackson, Debra, Chopra, Mickey, Swanevelder, Sonja, Lombard, Carl, Surender, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534520/
https://www.ncbi.nlm.nih.gov/pubmed/23088827
http://dx.doi.org/10.1186/1472-698X-12-24
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author Zembe-Mkabile, Wanga
Doherty, Tanya
Sanders, David
Jackson, Debra
Chopra, Mickey
Swanevelder, Sonja
Lombard, Carl
Surender, Rebecca
author_facet Zembe-Mkabile, Wanga
Doherty, Tanya
Sanders, David
Jackson, Debra
Chopra, Mickey
Swanevelder, Sonja
Lombard, Carl
Surender, Rebecca
author_sort Zembe-Mkabile, Wanga
collection PubMed
description BACKGROUND: Child cash transfers are increasingly recognised for their potential to reduce poverty and improve health outcomes. South Africa‘s child support grant (CSG) constitutes the largest cash transfer in the continent. No studies have been conducted to look at factors associated with successful receipt of the CSG. This paper reports findings on factors associated with CSG receipt in three settings in South Africa (Paarl in the Western Cape Province, and Umlazi and Rietvlei in KwaZulu-Natal). METHODS: This study used longitudinal data from a community-based cluster-randomized trial (PROMISE EBF) promoting exclusive breastfeeding by peer-counsellors in South Africa (ClinicalTrials.gov: NCT00397150). 1148 mother-infant pairs were enrolled in the study and data on the CSG were collected at infant age 6, 12, 24 weeks and 18–24 months. A stratified cox proportional hazards regression model was fitted to the data to investigate factors associated with CSG receipt. RESULTS: Uptake of the CSG amongst eligible children at a median age of 22 months was 62% in Paarl, 64% in Rietvlei and 60% in Umlazi. Possessing a birth certificate was found to be the strongest predictor of CSG receipt (HR 3.1, 95% CI: 2.4 -4.1). Other factors also found to be independently associated with CSG receipt were an HIV-positive mother (HR 1.2, 95% CI: 1.0-1.4) and a household income below R1100 (HR1.7, 95% CI: 1.1 -2.6). CONCLUSION: Receipt of the CSG was sub optimal amongst eligible children showing administrative requirements such as possessing a birth certificate to be a serious barrier to access. In the spirit of promoting and protecting children’s rights, more efforts are needed to improve and ease access to this cash transfer program.
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spelling pubmed-35345202013-01-03 Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa Zembe-Mkabile, Wanga Doherty, Tanya Sanders, David Jackson, Debra Chopra, Mickey Swanevelder, Sonja Lombard, Carl Surender, Rebecca BMC Int Health Hum Rights Research Article BACKGROUND: Child cash transfers are increasingly recognised for their potential to reduce poverty and improve health outcomes. South Africa‘s child support grant (CSG) constitutes the largest cash transfer in the continent. No studies have been conducted to look at factors associated with successful receipt of the CSG. This paper reports findings on factors associated with CSG receipt in three settings in South Africa (Paarl in the Western Cape Province, and Umlazi and Rietvlei in KwaZulu-Natal). METHODS: This study used longitudinal data from a community-based cluster-randomized trial (PROMISE EBF) promoting exclusive breastfeeding by peer-counsellors in South Africa (ClinicalTrials.gov: NCT00397150). 1148 mother-infant pairs were enrolled in the study and data on the CSG were collected at infant age 6, 12, 24 weeks and 18–24 months. A stratified cox proportional hazards regression model was fitted to the data to investigate factors associated with CSG receipt. RESULTS: Uptake of the CSG amongst eligible children at a median age of 22 months was 62% in Paarl, 64% in Rietvlei and 60% in Umlazi. Possessing a birth certificate was found to be the strongest predictor of CSG receipt (HR 3.1, 95% CI: 2.4 -4.1). Other factors also found to be independently associated with CSG receipt were an HIV-positive mother (HR 1.2, 95% CI: 1.0-1.4) and a household income below R1100 (HR1.7, 95% CI: 1.1 -2.6). CONCLUSION: Receipt of the CSG was sub optimal amongst eligible children showing administrative requirements such as possessing a birth certificate to be a serious barrier to access. In the spirit of promoting and protecting children’s rights, more efforts are needed to improve and ease access to this cash transfer program. BioMed Central 2012-10-22 /pmc/articles/PMC3534520/ /pubmed/23088827 http://dx.doi.org/10.1186/1472-698X-12-24 Text en Copyright ©2012 Zembe-Mkabile et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zembe-Mkabile, Wanga
Doherty, Tanya
Sanders, David
Jackson, Debra
Chopra, Mickey
Swanevelder, Sonja
Lombard, Carl
Surender, Rebecca
Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title_full Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title_fullStr Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title_full_unstemmed Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title_short Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
title_sort why do families still not receive the child support grant in south africa? a longitudinal analysis of a cohort of families across south africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534520/
https://www.ncbi.nlm.nih.gov/pubmed/23088827
http://dx.doi.org/10.1186/1472-698X-12-24
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