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Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis
OBJECTIVE: In a pandemic, government assistance is essential to support the most vulnerable households as they face health and economic challenges. However, government assistance is effective only when it reaches vulnerable households in time. In this paper, we estimated the timeliness of government...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9254660/ https://www.ncbi.nlm.nih.gov/pubmed/35787511 http://dx.doi.org/10.1136/bmjgh-2022-008432 |
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author | Deshpande, Ashwini Sunil Mulat, Addis Kassahun Mao, Wenhui Diab, Mohamed M Ogbuoji, Osondu |
author_facet | Deshpande, Ashwini Sunil Mulat, Addis Kassahun Mao, Wenhui Diab, Mohamed M Ogbuoji, Osondu |
author_sort | Deshpande, Ashwini Sunil |
collection | PubMed |
description | OBJECTIVE: In a pandemic, government assistance is essential to support the most vulnerable households as they face health and economic challenges. However, government assistance is effective only when it reaches vulnerable households in time. In this paper, we estimated the timeliness of government assistance for the most vulnerable households (ie, the poor households) in Ethiopia during its COVID-19 response of 2020. In particular, we conducted a time-to-event analysis to compare the time to receive government assistance between poor and non-poor households in Ethiopia. METHODS: We used a semiparametric Cox proportional model to evaluate whether the time to first receipt of government assistance during the COVID-19 response in 2020 differed between poor and non-poor Ethiopian households. We used the Schoenfeld test to check the proportionality assumption and conducted the stratified Cox regression analysis to adjust for non-proportional variables. The data from World Bank’s High-Frequency Phone Surveys on COVID-19 and the 2019 Ethiopian Socioeconomic Survey were used for this analysis. RESULTS: We found that the poor households in rural areas were 88% (HR: 1.88; 95% CI: 1.19 to 2.98) more likely to receive government assistance than non-poor households at any point within 10 months after the start of the pandemic. However, there was no significant difference between urban poor and non-poor households’ likelihood of receiving government assistance during this timeframe. CONCLUSION: The Ethiopian government has leveraged its existing social protection network to quickly reach poor households in rural areas during the COVID-19 response of 2020. The country will need to continue strengthening and scaling the existing social protection systems to accurately target the wider vulnerable population in urban areas. |
format | Online Article Text |
id | pubmed-9254660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-92546602022-07-05 Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis Deshpande, Ashwini Sunil Mulat, Addis Kassahun Mao, Wenhui Diab, Mohamed M Ogbuoji, Osondu BMJ Glob Health Original Research OBJECTIVE: In a pandemic, government assistance is essential to support the most vulnerable households as they face health and economic challenges. However, government assistance is effective only when it reaches vulnerable households in time. In this paper, we estimated the timeliness of government assistance for the most vulnerable households (ie, the poor households) in Ethiopia during its COVID-19 response of 2020. In particular, we conducted a time-to-event analysis to compare the time to receive government assistance between poor and non-poor households in Ethiopia. METHODS: We used a semiparametric Cox proportional model to evaluate whether the time to first receipt of government assistance during the COVID-19 response in 2020 differed between poor and non-poor Ethiopian households. We used the Schoenfeld test to check the proportionality assumption and conducted the stratified Cox regression analysis to adjust for non-proportional variables. The data from World Bank’s High-Frequency Phone Surveys on COVID-19 and the 2019 Ethiopian Socioeconomic Survey were used for this analysis. RESULTS: We found that the poor households in rural areas were 88% (HR: 1.88; 95% CI: 1.19 to 2.98) more likely to receive government assistance than non-poor households at any point within 10 months after the start of the pandemic. However, there was no significant difference between urban poor and non-poor households’ likelihood of receiving government assistance during this timeframe. CONCLUSION: The Ethiopian government has leveraged its existing social protection network to quickly reach poor households in rural areas during the COVID-19 response of 2020. The country will need to continue strengthening and scaling the existing social protection systems to accurately target the wider vulnerable population in urban areas. BMJ Publishing Group 2022-07-04 /pmc/articles/PMC9254660/ /pubmed/35787511 http://dx.doi.org/10.1136/bmjgh-2022-008432 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Deshpande, Ashwini Sunil Mulat, Addis Kassahun Mao, Wenhui Diab, Mohamed M Ogbuoji, Osondu Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title | Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title_full | Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title_fullStr | Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title_full_unstemmed | Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title_short | Coverage of social assistance in Ethiopia during the COVID-19 pandemic: a time-to-event analysis |
title_sort | coverage of social assistance in ethiopia during the covid-19 pandemic: a time-to-event analysis |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9254660/ https://www.ncbi.nlm.nih.gov/pubmed/35787511 http://dx.doi.org/10.1136/bmjgh-2022-008432 |
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