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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

Bibliographic Data

ID15091192
AuthorsWanga Zembe‐mkabile (0000-0003-4106-4513, South African Medical Research Council, corresponding author), Wanga Zembe-Mkabile, Vundli Ramokolo (0000-0002-9596-1909, South African Medical Research Council), David Sanders (0000-0003-1266-9361, University of the Western Cape), Debra Jackson (0000-0001-5252-5325, University of the Western Cape), Tanya Doherty (0000-0003-1592-0080, South African Medical Research Council)
Year2016
Volume19
Issue2
Pages356-362
Publication date2016-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015001147
PMID26050975
OpenAlexW2269749861
LanguageEN
Citations received3
References cited13

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

Anthropometry · Business · Cash transfers · Child health · Developing country · Economic growth · Economics · Environmental health · Geography · Poverty · Psychological intervention · Receipt · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Pediatrics

  • Expanded child support grant eligibility and later-life mortality among mothers in rural South Africa

    Open Access•Rishika Chakraborty, Erika T Beidelman et al.•Global Public Health•2025

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  • Is the impact of the South African child support grant on childhood stunting robust? An instrumental variable evaluation

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Unique citing works3
Citations per year1,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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