Impact of cash transfer programs on healthcare utilization and catastrophic health expenditures in rural Zambia: a cluster randomized controlled trial
Amani Thomas Mori e outros, 2024 · Frontiers in Health Services
Economic cash support to rural adolescent girls and their guardians had no detectable impact on household catastrophic health expenditure rates at the 10% threshold.
Estimativa · catastrophic health expenditure incidence (threshold >=10% of total expenditure), risk ratio
1,10 [0,800; 1,50]
risk ratio
p = 0.468
- Desenho
- Experimento aleatório por conglomerados. cluster randomized controlled trial with 157 rural school clusters across 12 districts
- População
- Households of grade 7 adolescent girls across 157 rural schools in 12 districts of Zambia, 2018
- Amostra
- 3.870 · households (guardians representing 4,110 adolescent girls across 157 clusters)
Onde está o número
Results > Catastrophic health expenditure; Results, section 'Catastrophic health expenditure', first paragraph
In the control arm, the proportion of households experiencing CHET10 was 10.4%, and the analysis shows that the interventions did not have any clear effects on the incidence of CHET10 with RR = 1.1; (95% CI: 0.8–1.5), p = 0.468 for both arms.
Contexto
What changed: Households received monthly cash to girls (~$3), annual grants to guardians (~$35), and secondary school fees. Comparison: Control schools receiving standard services and basic school supplies. Limits: Modest transfer size relative to large healthcare shocks, self-reported expenditure recall, and loss to follow-up among migrant families.
Caminho no grafo
- FamíliaTransferências, subsídios e financiamento
- TipoTransferências de renda
- EixoEquidade social
MAGI só cita evidência deste instrumento
Lugares do estudo
- Kalomo · Distrito ou local · ZM
- Choma · Distrito ou local · ZM
- Pemba · Distrito ou local · ZM
- Monze · Distrito ou local · ZM
- Mazabuka · Distrito ou local · ZM
- Chikankata · Distrito ou local · ZM
- Chisamba · Distrito ou local · ZM
- Chibombo · Distrito ou local · ZM
- Kabwe · Distrito ou local · ZM
- Kapiri Mposhi · Distrito ou local · ZM
- Mkushi · Distrito ou local · ZM
- Luano · Distrito ou local · ZM
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23