Impact evaluation of a Health and Social Protection Scheme for micro-entrepreneurs in Ouagadougou, Burkina Faso

2021 ◽  
Author(s):  
DELPHINE BOUTIN
Keyword(s):  
Burkina Faso ◽  
Impact Evaluation ◽  
Social Protection ◽  
Protection Scheme

Innovative approach to build a “no regret” framework for reinforcing agricultural water resilience under climate risks and change in Burkina Faso

2017 ◽  
Vol 9 (1) ◽  
pp. 68-86 ◽  
Author(s):  
Narcisse Zegbé Gahi ◽  
Kouassi Dongo ◽  
Aimé Koudou ◽  
Mathieu Badolo
Keyword(s):  
Food Security ◽  
Climate Variability ◽  
Burkina Faso ◽  
Social Protection ◽  
Social Issues ◽  
Agricultural Water ◽  
Climate Variability And Change ◽  
Water Requirements ◽  
Content Type ◽  
Climate Risks

Purpose This paper aims to propose, for the very first time in Burkina Faso, a “no regret” reference tool to improve policies and processes which could strengthen agricultural water resilience under climate risks and change for sustained food security. Such a framework consists of five pillars derived from the agricultural water vulnerability analysis. Design/methodology/approach The method combined a new designed tool “ClimProspect”, adapted to the Sahelian climatic context, participatory and analogue approaches. Findings Innovative “no regret” framework to overcome current and future climate risks on agricultural water requirements has been built. Research limitations/implications The paper proposes a new way to assess vulnerability and build resilience for a given system and brings climate and disaster risks together. In fact, in the country, disaster and climate risks are closely associated. Practical implications The proposed measures will reinforce water security under climate variability and change and disaster risks, boost the farmers’ participation in water governance and secure the adaptation investment for the long term. Social implications Implementing the proposed measures should provide farmers with agricultural water needs at any time over the year, having access to social protection and sustainably increase their food security. Originality/value Method used explicitly allows for paying attention, at the same time, to climate variability and change, disaster risks and social issues. The “no regret” framework is a practical secured tool for policy makers and planners, and it gives them a new way to secure sustainable water requirements.

scholarly journals Impact evaluation of a social protection programme paired with fee waivers on enrolment in Ghana’s National Health Insurance Scheme

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028726
Author(s):  
Tia M Palermo ◽  
Elsa Valli ◽  
Gustavo Ángeles-Tagliaferro ◽  
Marlous de Milliano ◽  
Clement Adamba ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Impact Evaluation ◽  
Social Protection ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Secondary Outcome ◽  
Insurance Scheme ◽  
Poor Households

ObjectivesThe study aimed to understand the impact of integrating a fee waiver for the National Health Insurance Scheme (NHIS) with Ghana’s Livelihood Empowerment Against Poverty (LEAP) 1000 cash transfer programme on health insurance enrolment.SettingThe study was conducted in five districts implementing Ghana’s LEAP 1000 programme in Northern and Upper East Regions.ParticipantsWomen, from LEAP households, who were pregnant or had a child under 1 year and who participated in baseline and 24-month surveys (2497) participated in the study.InterventionLEAP provides bimonthly cash payments combined with a premium waiver for enrolment in NHIS to extremely poor households with orphans and vulnerable children, elderly with no productive capacity and persons with severe disability. LEAP 1000, the focus of the current evaluation, expanded eligibility in 2015 to those households with a pregnant woman or child under the age of 12 months. Over the course of the study, households received 13 payments.Primary and secondary outcome measuresPrimary outcomes included current and ever enrolment in NHIS. Secondary outcomes include reasons for not enrolling in NHIS. We conducted a mixed-methods impact evaluation using a quasi-experimental design and estimated intent-to-treat impacts on health insurance enrolment among children and adults. Longitudinal qualitative interviews were conducted with an embedded cohort of 20 women and analysed using systematic thematic coding.ResultsCurrent enrolment increased among the treatment group from 37.4% to 46.6% (n=5523) and decreased among the comparison group from 37.3% to 33.3% (n=4804), resulting in programme impacts of 14 (95% CI 7.8 to 20.5) to 15 (95% CI 10.6 to 18.5) percentage points for current NHIS enrolment. Common reasons for not enrolling were fees and travel.ConclusionWhile impacts on NHIS enrolment were significant, gaps remain to maximise the potential of integrated programming. NHIS and LEAP could be better streamlined to ensure poor households fully benefit from both services, in a further step towards integrated social protection.Trial registration numberRIDIE-STUDY-ID-55942496d53af.

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