Tonguet-Papucci Audrey, Houngbe Freddy, Lompo Palamanga, Yameogo Wambi Maurice Evariste, Huneau Jean-François, Ait Aissa Myriam, Kolsteren Patrick
Research and Analyses Department, Action Contre la Faim, 14/16 Boulevard Douaumont - CS 80060, 75854, Paris CEDEX 17, France.
Department of Food Safety and Food Quality, Ghent University, Campus Coupure, A2.081, Coupure Links 653, B 9000, Ghent, Belgium.
BMC Public Health. 2017 May 30;17(1):527. doi: 10.1186/s12889-017-4453-y.
Acute malnutrition is a public health issue worldwide, and particularly in the Eastern region of Burkina Faso. Following a needs assessment, unconditional seasonal, multiannual cash transfers were implemented as a safety net to prevent childhood undernutrition. The objectives of this study were to explore the types of purchases made by beneficiaries of this cash transfer program and to understand the perceived effects of and changes induced by regular cash transfers in the daily lives of women, and at the household and community level.
The design of this study was a two-arm cluster randomized controlled trial. Qualitative data were collected each month during the cash transfer period for two years, leading to a total of more than 300 interviews and focus group discussions with various participants: beneficiary mothers, heads of households, mothers-in-law, co-wives, key members of the community, and participants of the control group.
The two main types of expenses reported were food and health care for the child and the whole family. The program was also associated with positive perceived changes at the household level, mainly related to gender equality and improvement of women's status, and has promoted an increase in dignity and social integration of the poorest at the community level through cash sharing. Unexpected effects of this program included some women planning new pregnancies and some individuals not expecting the transfers to end.
Although the transfers were unconditional, the cash was mainly used to improve the children's and households' food security and health, which correspond to two main underlying causes of undernutrition. Therefore, spending mainly in these areas can help to prevent undernutrition in children.
ClinicalTrials.gov , identifier: NCT01866124 , registered May 7, 2013.
急性营养不良是一个全球性的公共卫生问题，在布基纳法索东部地区尤为突出。在进行需求评估之后，实施了无条件的季节性多年现金转移支付，作为预防儿童营养不良的安全网。本研究的目的是探讨该现金转移支付计划受益人的购买类型，并了解定期现金转移支付在妇女日常生活以及家庭和社区层面所产生的感知影响和引发的变化。
本研究采用双臂整群随机对照试验设计。在为期两年的现金转移支付期间，每月收集定性数据，共对各类参与者进行了300多次访谈和焦点小组讨论，这些参与者包括受益母亲、户主、岳母、妻妾、社区关键成员以及对照组参与者。
报告的两项主要支出类型是用于孩子和整个家庭的食品及医疗保健。该计划还与家庭层面的积极感知变化相关，主要涉及性别平等和妇女地位的提高，并且通过现金分享促进了社区中最贫困者尊严感的增强和社会融合。该计划的意外影响包括一些妇女计划新的怀孕以及一些人没想到转移支付会结束。
尽管转移支付是无条件的，但现金主要用于改善儿童和家庭的粮食安全及健康状况，而这正是营养不良的两个主要潜在原因。因此，主要在这些领域支出有助于预防儿童营养不良。
ClinicalTrials.gov，标识符：NCT01866124，于2013年5月7日注册。
