Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.
Int J Equity Health. 2014 Jan 31;13:11. doi: 10.1186/1475-9276-13-11.
Haryana was the first state in India to launch a conditional cash transfer (CCT) scheme in 1994. Initially it targeted all disadvantaged girls but was revised in 2005 to restrict it to second girl children of all groups. The benefit which accrued at girl attaining 18 years and subject to conditionalities of being fully immunized, studying till class 10 and remaining unmarried, was increased from about US$ 500 to US$ 2000. Using a mixed methods approach, we evaluated the implementation and possible impact of these two schemes.
A survey was conducted among 200 randomly selected respondents of Ballabgarh Block in Haryana to assess their perceptions of girl children and related schemes. A cohort of births during this period was assembled from population database of 28 villages in this block and changes in sex ratio at birth and in immunization coverage at one year of age among boys and girls was measured. Education levels and mean age at marriage of daughters were compared with daughters-in-law from outside Haryana. In-depth interviews were conducted among district level implementers of these schemes to assess their perceptions of programs' implementation and impact. These were analyzed using a thematic approach.
The perceptions of girls as a liability and poor (9% to 15%) awareness of the schemes was noted. The cohort analysis showed that while there has been an improvement in the indicators studied, these were similar to those seen among the control groups. Qualitative analysis identified a "conspiracy of silence" - an underplaying of the pervasiveness of the problem coupled with a passive implementation of the program and a clash between political culture of giving subsidies and a bureaucratic approach that imposed many conditionalities and documentary needs for availing of benefits.
The apparent lack of impact on the societal mindset calls for a revision in the current approach of addressing a social issue by a purely conditional cash transfer program.
哈里亚纳邦是印度第一个在 1994 年推出有条件现金转移(CCT)计划的邦。最初,该计划针对所有弱势女孩,但在 2005 年进行了修订,将其限制为所有群体的第二个女孩。在女孩年满 18 岁并满足完全免疫、完成 10 年级学业和保持未婚的条件下,获得的福利从大约 500 美元增加到 2000 美元。我们采用混合方法评估了这两个计划的实施情况和可能的影响。
在哈里亚纳邦巴拉尔加尔布街区随机选择了 200 名受访者进行调查,以评估他们对女孩和相关计划的看法。从该街区的 28 个村庄的人口数据库中收集了这一时期出生的队列,并测量了男孩和女孩在一岁时的出生性别比和免疫接种覆盖率的变化。将女儿的教育水平和平均结婚年龄与来自哈里亚纳邦以外的儿媳进行了比较。对这些计划的地区实施者进行了深入访谈,以评估他们对计划实施和影响的看法。这些访谈采用主题分析方法进行分析。
调查结果表明,人们普遍认为女孩是一种负担,对这些计划的认识不足(9%至 15%)。队列分析表明,尽管研究的指标有所改善,但与对照组相比,这些指标相似。定性分析发现了一种“沉默的阴谋”——对问题的普遍性轻描淡写,加上计划的被动实施,以及给予补贴的政治文化与为获得福利而强加许多条件和文件需求的官僚方法之间的冲突。
由于当前的方法似乎对社会心态没有产生影响,因此需要对通过纯粹的有条件现金转移计划解决社会问题的方法进行修订。