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The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

Identifieur interne : 001A05 ( Main/Exploration ); précédent : 001A04; suivant : 001A06

The government of Kenya cash transfer for orphaned and vulnerable children: cross-sectional comparison of household and individual characteristics of those with and without

Auteurs : David Ayuku [Kenya] ; Lonnie Embleton [Kenya] ; Julius Koech [Kenya] ; Lukoye Atwoli [Kenya] ; Liangyuan Hu [États-Unis] ; Samuel Ayaya [Kenya] ; Joseph Hogan [Kenya, États-Unis] ; Winstone Nyandiko [Kenya] ; Rachel Vreeman [Kenya, États-Unis] ; Allan Kamanda [Kenya] ; Paula Braitstein [Kenya, États-Unis, Canada]

Source :

RBID : PMC:4175501

Abstract

Background

The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. The objective of this analysis was to compare the household socioeconomic status, school enrolment, nutritional status, and future outlook of orphaned and separated children receiving the CT compared to those not receiving a CT.

Methods

This project analyzes baseline data from a cohort of orphaned and separated children aged <19 years and non-orphaned children living in 300 randomly selected households (HH) in 8 Locations of Uasin Gishu County, Kenya. Baseline data were analyzed using multivariable logistic and Poisson regression comparing children in CT-HH vs. non-CT HH. Odds ratios are adjusted (AOR) with 95% confidence intervals (CI) for guardian age and sex, child age and sex, and intra-HH correlation.

Results

Included in this analysis were data from 1481 children and adolescents in 300 HH (503 participants in CT, 978 in non-CT households). Overall there were 922 (62.3%) single orphans, 324 (21.9%) double orphans, and 210 (14.2%) participants had both parents alive and were living with them. Participants in CT-HH were less likely to have ≥2 pairs of clothes compared to non-CT HH (AOR: 0.32, 95% CI: 0.16-0.63). Those in CT HH were less likely to have missed any days of school in the preceding month (AOR: 0.62, 95% CI: 0.42-0.94) and those aged <1-18 years in CT-HH were less likely to have height stunting for their age (AOR: 0.65, 95% CI: 0.47-0.89). Participants aged at least 10 years in CT-HH were more likely to have a positive future outlook (AOR: 1.72, 95% CI: 1.12-2.65).

Conclusions

Children and adolescents in households receiving the CT-OVC appear to have better nutritional status, school attendance, and optimism about the future, compared to those in households not receiving the CT, in spite of some evidence of continued material deprivation. Consideration should be given to expanding the program further.


Url:
DOI: 10.1186/1472-698X-14-25
PubMed: 25239449
PubMed Central: 4175501


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<nlm:aff id="I9">School of Medicine, Department of Medicine, Indiana University, Indianapolis, USA</nlm:aff>
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<nlm:aff id="I10">Dalla Lana School of Public Health, University of Toronto, Toronto, Canada</nlm:aff>
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<title level="j">BMC International Health and Human Rights</title>
<idno type="eISSN">1472-698X</idno>
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<sec>
<title>Background</title>
<p>The ‘Cash Transfer to Orphans and Vulnerable Children’ (CT-OVC) in Kenya is a government-supported program intended to provide regular and predictable cash transfers (CT) to poor households taking care of OVC. CT programs can be an effective means of alleviating poverty and facilitating the attainment of an adequate standard of living for people’s health and well-being and other international human rights. The objective of this analysis was to compare the household socioeconomic status, school enrolment, nutritional status, and future outlook of orphaned and separated children receiving the CT compared to those not receiving a CT.</p>
</sec>
<sec>
<title>Methods</title>
<p>This project analyzes baseline data from a cohort of orphaned and separated children aged <19 years and non-orphaned children living in 300 randomly selected households (HH) in 8 Locations of Uasin Gishu County, Kenya. Baseline data were analyzed using multivariable logistic and Poisson regression comparing children in CT-HH vs. non-CT HH. Odds ratios are adjusted (AOR) with 95% confidence intervals (CI) for guardian age and sex, child age and sex, and intra-HH correlation.</p>
</sec>
<sec>
<title>Results</title>
<p>Included in this analysis were data from 1481 children and adolescents in 300 HH (503 participants in CT, 978 in non-CT households). Overall there were 922 (62.3%) single orphans, 324 (21.9%) double orphans, and 210 (14.2%) participants had both parents alive and were living with them. Participants in CT-HH were less likely to have ≥2 pairs of clothes compared to non-CT HH (AOR: 0.32, 95% CI: 0.16-0.63). Those in CT HH were less likely to have missed any days of school in the preceding month (AOR: 0.62, 95% CI: 0.42-0.94) and those aged <1-18 years in CT-HH were less likely to have height stunting for their age (AOR: 0.65, 95% CI: 0.47-0.89). Participants aged at least 10 years in CT-HH were more likely to have a positive future outlook (AOR: 1.72, 95% CI: 1.12-2.65).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Children and adolescents in households receiving the CT-OVC appear to have better nutritional status, school attendance, and optimism about the future, compared to those in households not receiving the CT, in spite of some evidence of continued material deprivation. Consideration should be given to expanding the program further.</p>
</sec>
</div>
</front>
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<name sortKey="Vreeman, Rachel" sort="Vreeman, Rachel" uniqKey="Vreeman R" first="Rachel" last="Vreeman">Rachel Vreeman</name>
</country>
<country name="États-Unis">
<region name="Rhode Island">
<name sortKey="Hu, Liangyuan" sort="Hu, Liangyuan" uniqKey="Hu L" first="Liangyuan" last="Hu">Liangyuan Hu</name>
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<name sortKey="Braitstein, Paula" sort="Braitstein, Paula" uniqKey="Braitstein P" first="Paula" last="Braitstein">Paula Braitstein</name>
<name sortKey="Hogan, Joseph" sort="Hogan, Joseph" uniqKey="Hogan J" first="Joseph" last="Hogan">Joseph Hogan</name>
<name sortKey="Vreeman, Rachel" sort="Vreeman, Rachel" uniqKey="Vreeman R" first="Rachel" last="Vreeman">Rachel Vreeman</name>
</country>
<country name="Canada">
<region name="Ontario">
<name sortKey="Braitstein, Paula" sort="Braitstein, Paula" uniqKey="Braitstein P" first="Paula" last="Braitstein">Paula Braitstein</name>
</region>
</country>
</tree>
</affiliations>
</record>

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