Impacts of cash transfer and "cash plus" programs on self- perceived stress in Africa: Evidence from Ghana, Malawi, and Tanzania.

Journal: SSM - population health

Volume: 22

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Economics, University of Nairobi, Kenya. UNICEF Office of Research-Innocenti, Florence, Italy. Department of Maternal and Child Health, University of North Carolina at Chapel Hill, USA. Department of Public Health, Erasmus MC, University Medical Centre, the Netherlands. American Institutes for Research, USA. Department of Epidemiology and Environmental Health, University at Buffalo, USA. Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, University at Buffalo, USA.

Abstract summary 

Poverty and poor mental health are closely linked. Cash transfers have significantly expanded globally. Given their objectives around poverty reduction and improving food security, a major chronic stressor in Africa, cash transfers may affect mental health outcomes. We examine impacts of three large-scale government cash transfer or cash plus programs in Ghana, Malawi, and Tanzania on self-perceived stress using an innovative, newly adapted measure for rural African settings. Linear regression models were used to estimate treatment impacts. We find that cash transfers reduced self-perceived stress in Malawi, but programs in Ghana and Tanzania had no impacts on self-perceived stress. These mixed findings, combined with recent reviews on cash transfers and mental health, suggest that cash transfers may play a role in improving mental health. However, cash alone may not be sufficient to overcome many challenges related to poverty, and complementary programming may also be needed to improve mental health.

Authors & Co-authors:  Maara Cirillo Angeles Prencipe deMilliano Lima Palermo

Study Outcome 

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Statistics
Citations :  Adler N.E., Boyce T., Chesney M.A., Cohen S., Folkman S., Kahn R.L., Syme S.L. Socioeconomic status and health: The challenge of the gradient. American Psychologist. 1994;49(1):15.
Authors :  10
Identifiers
Doi : 101403
SSN : 2352-8273
Study Population
Male,Female
Mesh Terms
Other Terms
Africa;Cash-transfer;Ghana;Malawi;Mental health;Poverty;Stress;Tanzania
Study Design
Study Approach
Country of Study
Tanzania
Publication Country
England