Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi.

Journal: Journal of global health

Volume: 7

Issue: 2

Year of Publication: 2018

Affiliated Institutions:  Research Department of Global Health, University College London, London, United Kingdom. Department of Psychology, Stellenbosch University, Stellenbosch, South Africa. Department of Psychology, University of Manchester, Manchester, United Kingdom. Department of Psychiatry and Mental Health, University of Cape Town, Cape town, South Africa.

Abstract summary 

Household cash grants are associated with beneficial outcomes; enhanced if provided in combination with care.This study describes the impact of cash grants and parenting quality on 854 children aged 5-15 (South African and Malawi) on educational outcomes including enrolment, regular attendance, correct class for age and school progress (controlling for cognitive performance). Consecutive attenders at randomly selected Community based organisations were recruited. The effects of cash plus good parenting, HIV status and gender were examined.Overall 73.1% received a grant - significantly less children with HIV (57.3% vs 75.6% (χ = 17.21,  < 0.001). Controlling for cognitive ability, grant receipt was associated with higher odds of being in the correct grade (odds ratio (OR) = 2.00; 95% confidence interval (CI) = 1.36, 2.95), higher odds of attending school regularly (OR = 3.62; 95% CI = 1.77, 7.40), and much higher odds of having missed less than a week of school recently (OR = 8.95; 95% CI = 2.27, 35.23). Grant receipt was not associated with how well children performed in school compared to their classmates or with school enrolment. Linear regression revealed that grant receipt was associated with a significant reduction in educational risk (B = -0.32, (420) = 2.84,  = 0.005) for girls.Cash plus good parenting affected some educational outcomes in a stepwise manner, but did not provide additive protection.

Authors & Co-authors:  Sherr Lorraine L Tomlinson Mark M Macedo Ana A Skeen Sarah S Hensels Imca Sifra IS Cluver Lucie Dale LD

Study Outcome 

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Statistics
Citations :  Adato M, Bassett L. Social protection to support vulnerable children and families: the potential of cash transfers to protect education, health and nutrition. AIDS Care. 2009;21(Suppl 1):60–75. doi: 10.1080/09540120903112351.
Authors :  6
Identifiers
Doi : 020409
SSN : 2047-2986
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Scotland