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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...

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Autores principales: Deshpande, Ashwini Sunil, Mulat, Addis Kassahun, Mao, Wenhui, Diab, Mohamed M, Ogbuoji, Osondu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
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.
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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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