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The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition?
OBJECTIVE: Cash transfer programmes targeting children are considered an effective strategy for addressing child poverty and for improving child health outcomes in developing countries. In South Africa, the Child Support Grant (CSG) is the largest cash transfer programme targeting children from poor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727456/ https://www.ncbi.nlm.nih.gov/pubmed/26050975 http://dx.doi.org/10.1017/S1368980015001147 |
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author | Zembe-Mkabile, Wanga Ramokolo, Vundli Sanders, David Jackson, Debra Doherty, Tanya |
author_facet | Zembe-Mkabile, Wanga Ramokolo, Vundli Sanders, David Jackson, Debra Doherty, Tanya |
author_sort | Zembe-Mkabile, Wanga |
collection | PubMed |
description | OBJECTIVE: Cash transfer programmes targeting children are considered an effective strategy for addressing child poverty and for improving child health outcomes in developing countries. In South Africa, the Child Support Grant (CSG) is the largest cash transfer programme targeting children from poor households. The present paper investigates the association of the duration of CSG receipt with child growth at 2 years in three diverse areas of South Africa. DESIGN: The study analysed data on CSG receipt and anthropometric measurements from children. Predictors of stunting were assessed using a backward regression model. SETTING: Paarl (peri-urban), Rietvlei (rural) and Umlazi (urban township), South Africa, 2008. SUBJECTS: Children (n 746), median age 22 months. RESULTS: High rates of stunting were observed in Umlazi (28 %), Rietvlei (20 %) and Paarl (17 %). Duration of CSG receipt had no effect on stunting. HIV exposure (adjusted OR=2·30; 95 % CI 1·31, 4·03) and low birth weight (adjusted=OR 2·01, 95 % CI 1·02, 3·96) were associated with stunting, and maternal education had a protective effect on stunting. CONCLUSIONS: Our findings suggest that, despite the presence of the CSG, high rates of stunting among poor children continue unabated in South Africa. We argue that the effect of the CSG on nutritional status may have been eroded by food price inflation and limited progress in the provision of other important interventions and social services. |
format | Online Article Text |
id | pubmed-4727456 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-47274562016-02-01 The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? Zembe-Mkabile, Wanga Ramokolo, Vundli Sanders, David Jackson, Debra Doherty, Tanya Public Health Nutr Research Papers OBJECTIVE: Cash transfer programmes targeting children are considered an effective strategy for addressing child poverty and for improving child health outcomes in developing countries. In South Africa, the Child Support Grant (CSG) is the largest cash transfer programme targeting children from poor households. The present paper investigates the association of the duration of CSG receipt with child growth at 2 years in three diverse areas of South Africa. DESIGN: The study analysed data on CSG receipt and anthropometric measurements from children. Predictors of stunting were assessed using a backward regression model. SETTING: Paarl (peri-urban), Rietvlei (rural) and Umlazi (urban township), South Africa, 2008. SUBJECTS: Children (n 746), median age 22 months. RESULTS: High rates of stunting were observed in Umlazi (28 %), Rietvlei (20 %) and Paarl (17 %). Duration of CSG receipt had no effect on stunting. HIV exposure (adjusted OR=2·30; 95 % CI 1·31, 4·03) and low birth weight (adjusted=OR 2·01, 95 % CI 1·02, 3·96) were associated with stunting, and maternal education had a protective effect on stunting. CONCLUSIONS: Our findings suggest that, despite the presence of the CSG, high rates of stunting among poor children continue unabated in South Africa. We argue that the effect of the CSG on nutritional status may have been eroded by food price inflation and limited progress in the provision of other important interventions and social services. Cambridge University Press 2015-06-08 2016-02 /pmc/articles/PMC4727456/ /pubmed/26050975 http://dx.doi.org/10.1017/S1368980015001147 Text en © The Authors 2015 |
spellingShingle | Research Papers Zembe-Mkabile, Wanga Ramokolo, Vundli Sanders, David Jackson, Debra Doherty, Tanya The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title | The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title_full | The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title_fullStr | The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title_full_unstemmed | The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title_short | The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition? |
title_sort | dynamic relationship between cash transfers and child health: can the child support grant in south africa make a difference to child nutrition? |
topic | Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727456/ https://www.ncbi.nlm.nih.gov/pubmed/26050975 http://dx.doi.org/10.1017/S1368980015001147 |
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