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 : 002B81 ( Ncbi/Curation ); précédent : 002B80; suivant : 002B82The 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 :
- BMC International Health and Human Rights [ 1472-698X ] ; 2014.
Abstract
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.
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.
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).
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
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<author><name sortKey="Ayaya, Samuel" sort="Ayaya, Samuel" uniqKey="Ayaya S" first="Samuel" last="Ayaya">Samuel Ayaya</name>
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<author><name sortKey="Hogan, Joseph" sort="Hogan, Joseph" uniqKey="Hogan J" first="Joseph" last="Hogan">Joseph Hogan</name>
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<author><name sortKey="Nyandiko, Winstone" sort="Nyandiko, Winstone" uniqKey="Nyandiko W" first="Winstone" last="Nyandiko">Winstone Nyandiko</name>
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<author><name sortKey="Vreeman, Rachel" sort="Vreeman, Rachel" uniqKey="Vreeman R" first="Rachel" last="Vreeman">Rachel Vreeman</name>
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<wicri:noRegion>Eldoret</wicri:noRegion>
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<affiliation wicri:level="1"><nlm:aff id="I7">School of Medicine, Department of Pediatrics, Indiana University, Indianapolis, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Medicine, Department of Pediatrics, Indiana University, Indianapolis</wicri:regionArea>
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<author><name sortKey="Kamanda, Allan" sort="Kamanda, Allan" uniqKey="Kamanda A" first="Allan" last="Kamanda">Allan Kamanda</name>
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<author><name sortKey="Braitstein, Paula" sort="Braitstein, Paula" uniqKey="Braitstein P" first="Paula" last="Braitstein">Paula Braitstein</name>
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<country xml:lang="fr">Kenya</country>
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<wicri:noRegion>Eldoret</wicri:noRegion>
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<affiliation wicri:level="1"><nlm:aff id="I9">School of Medicine, Department of Medicine, Indiana University, Indianapolis, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Medicine, Department of Medicine, Indiana University, Indianapolis</wicri:regionArea>
<wicri:noRegion>Indianapolis</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I10">Dalla Lana School of Public Health, University of Toronto, Toronto, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Dalla Lana School of Public Health, University of Toronto, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
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<series><title level="j">BMC International Health and Human Rights</title>
<idno type="eISSN">1472-698X</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><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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