Reducing Adolescent Risky Behaviors in a High-Risk Context: The Effects of Unconditional Cash Transfers in South Africa

2017 ◽  
Vol 65 (4) ◽  
pp. 619-652 ◽  
Author(s):  
Carolyn J. Heinrich ◽  
John Hoddinott ◽  
Michael Samson
Africa ◽  
2020 ◽  
Vol 90 (2) ◽  
pp. 229-251 ◽  
Author(s):  
H. J. Dawson ◽  
E. Fouksman

AbstractA wealth of new writing has emerged around the future of labour, focusing on thinking beyond employment in imagining the futures of ‘surplus populations’ no longer needed by labour markets. These new imaginaries include radically expanded forms of redistribution, such as unconditional cash transfers or universal basic income. But what are the views of the ‘surplus populations’ themselves? This article uses ethnographic research in an informal settlement in South Africa to understand why the unemployed or precariously employed poor are themselves often reluctant to delink labour and income. In particular, we focus on the discursive use of ‘laziness’ by urban unemployed young men. The varied (and often contradictory) ways in which these men employ the laziness discourse sheds light on the logics linking waged work and money in our informants’ social imaginaries. It illuminates the underlying contradictions and complexities of such logics, including those of gender, relational obligations, expectations of citizenship, and the inevitable tensions between aspirational hopes and economic realities. To begin thinking ‘beyond the proper job’, to use Ferguson and Li's phrase, we must unravel and understand such nuanced logics that continue to bind together hard work, deservingness and cash – even for those left out of labour markets.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tanvir M. Huda ◽  
Ashraful Alam ◽  
Tazeen Tahsina ◽  
Mohammad Mehedi Hasan ◽  
Afrin Iqbal ◽  
...  

Abstract Background Undernutrition is strongly associated with poverty - levels of undernutrition are higher in poor countries than in better-off countries. Social protection especially cash transfer is increasingly recognized as an important strategy to accelerate progress in improving maternal and child nutrition. A critical method to improve nutrition knowledge and influence feeding practices is through behaviour change communication intervention. The Shonjibon Cash and Counselling study aims to assess the effectiveness of unconditional cash transfers combined with a mobile application on nutrition counselling and direct counselling through mobile phone in reducing the prevalence of stunting in children at 18 months. Method The study is a longitudinal cluster randomised controlled trial, with two parallel groups, and cluster assignment by groups of villages. The cohort of mother-child dyads will be followed-up over the intervention period of approximately 24 months, starting from recruitment to 18 months of the child’s age. The study will take place in north-central Bangladesh. The primary trial outcome will be the percentage of stunted children at 18 m as measured in follow up assessments starting from birth. The secondary trial outcomes will include differences between treatment arms in (1) Mean birthweight, percentage with low birthweight and small for gestational age (2) Mean child length-for age, weight for age and weight-for-length Z scores (3) Prevalence of child wasting (4) Percentage of women exclusively breastfeeding and mean duration of exclusive breastfeeding (5) Percentage of children consuming > 4 food groups (6) Mean child intake of energy, protein, carbohydrate, fat and micronutrients (7) Percentage of women at risk of inadequate nutrient intakes in all three trimesters (8) Maternal weight gain (9) Household food security (10) Number of events for child suffering from diarrhoea, acute respiratory illness and fever (11) Average costs of mobile phone BCC and cash transfer, and benefit-cost ratio for primary and secondary outcomes. Discussion The proposed trial will provide high-level evidence of the efficacy and cost-effectiveness of mobile phone nutrition behavior change communication, combined with unconditional cash transfers in reducing child undernutrition in rural Bangladesh. Trial registration The study has been registered in the Australian New Zealand Clinical Trials Registry (ACTRN12618001975280).


Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.


PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192357 ◽  
Author(s):  
Simnikiwe H. Mayaphi ◽  
Desmond J. Martin ◽  
Steve A. S. Olorunju ◽  
Brian G. Williams ◽  
Thomas C. Quinn ◽  
...  

Author(s):  
Mari Viviers ◽  
Alta Kritzinger ◽  
Bart Vinck

Background: There is a need for validated neonatal feeding assessment instruments in South Africa. A locally developed instrument may contribute to standardised evaluation procedures of high-risk neonates and address needs in resource constrained developing settings.Objective: The aim of the study was to develop and validate the content of a clinical feeding assessment scale to diagnose oropharyngeal dysphagia (OPD) in neonates.Method: The Neonatal Feeding Assessment Scale (NFAS) was developed using the Delphi method. Five international and South African speech-language therapists (SLTs) formed the expert panel, participating in two rounds of electronic questionnaires to develop and validate the content of the NFAS.Results: All participants agreed on the need for the development of a valid clinical feeding assessment instrument to use with the neonatal population. The initial NFAS consisted of 240 items across 8 sections, and after the Delphi process was implemented, the final format was reduced to 211 items across 6 sections. The final format of the NFAS is scored using a binary scoring system guiding the clinician to diagnose the presence or absence of OPD. All members agreed on the format, the scoring system and the feeding constructs addressed in the revised final format of the NFAS.Conclusion: The Delphi method and the diverse clinical and research experience of participants could be integrated to develop the NFAS which may be used in clinical practice in South Africa or similar developing contexts. Because of demographically different work settings marked by developed versus developing contexts, participants did not have the same expectations of a clinical dysphagia assessment. The international participants contributed to evidence-based content development. Local participants considered the contextual challenges of South African SLTs entering the field with basic competencies in neonatal dysphagia management, thereby justifying a comprehensive clinical instrument. The NFAS is aimed at clinicians working in Neonatal Intensive Care Units where they manage large caseloads of high-risk neonates. Further validation of the NFAS is recommended to determine its criterion validity in comparison with a widely accepted standard such as the modified barium swallow study.


2015 ◽  
Vol 10 (2) ◽  
Author(s):  
Andrés Mideros ◽  
Cathal O’Donoghue

AbstractWe examine the effect of unconditional cash transfers by a unitary discrete labour supply model. We argue that there is no negative income effect of social transfers in the case of poor adults because leisure could not be assumed to be a normal good under such conditions. Using data from the national employment survey of Ecuador (ENEMDUR) we estimate the effect of the


2013 ◽  
Vol 91 (3) ◽  
pp. 174-183 ◽  
Author(s):  
Benn Sartorius ◽  
C Cohen ◽  
T Chirwa ◽  
G Ntshoe ◽  
A Puren ◽  
...  

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