The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health.
Malawi
conditional cash transfer
low-income countries
mental health
panel data
quantile treatment effect
randomized controlled trial
Journal
Health policy and planning
ISSN: 1460-2237
Titre abrégé: Health Policy Plan
Pays: England
ID NLM: 8610614
Informations de publication
Date de publication:
20 Nov 2020
20 Nov 2020
Historique:
accepted:
03
07
2020
pubmed:
4
9
2020
medline:
2
7
2021
entrez:
4
9
2020
Statut:
ppublish
Résumé
Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers on mental health and if and how these vary by the severity of mental illness. We use the Malawian Longitudinal Study of Family and Health containing 790 adult participants in the Malawi Incentive Programme, a year-long randomized controlled trial. We estimate average and distributional quantile treatment effects and we examine how these effects vary by gender, HIV status and usage of the cash transfer. We find that the cash transfer improves mental health on average by 0.1 of a standard deviation. The effect varies strongly along the mental health distribution, with a positive effect for individuals with worst mental health of about four times the size of the average effect. These improvements in mental health are associated with increases in consumption expenditures and expenditures related to economic productivity. Our results show that CCTs can improve adult mental health for the poor living in low-income countries, particularly those with the worst mental health.
Identifiants
pubmed: 32879960
pii: 5900848
doi: 10.1093/heapol/czaa079
pmc: PMC7810405
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
1137-1149Subventions
Organisme : NICHD NIH HHS
ID : R03 HD058976
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD044228
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG012836
Pays : United States
Organisme : NICHD NIH HHS
ID : R24 HD044964
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD044964
Pays : United States
Organisme : Medical Research Council
ID : MR/R015600/1
Pays : United Kingdom
Organisme : NICHD NIH HHS
ID : K08 HD050652
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD053781
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI045008
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD087391
Pays : United States
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
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