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Little is known about whether reductions in intimate partner violence (IPV) from cash transfer programs persist over the longer term. Using a randomized controlled trial design, we show that a program providing poor women in rural Bangladesh with cash or food transfers, alongside nutrition behavior change communication (BCC), led to sustained reductions in IPV 4 years after the program ended. Transfers alone showed no sustained impacts on IPV. Evidence suggests cash and BCC led to more sustained impacts on IPV than food and BCC – through persistent increases in women’s bargaining power, men’s costs of perpetrating violence, and poverty-related emotional well-being.
Little is known about whether reductions in intimate partner violence (IPV) from cash transfer programs persist over the longer term. Using a randomized controlled trial design, we show that a program providing poor women in rural Bangladesh with cash or food transfers, alongside nutrition behavior change communication (BCC), led to sustained reductions in IPV 4 years after the program ended. Transfers alone showed no sustained impacts on IPV. Evidence suggests cash and BCC led to more sustained impacts on IPV than food and BCC - through persistent increases in women's bargaining power, men's costs of perpetrating violence, and poverty-related emotional well-being.
Cash transfers are a widely used form of social protection, providing effective and efficient ways to reduce poverty and support well-being. Evidence suggests that cash transfers can reduce intimate partner violence (IPV) across a wide range of programs and contexts, yet there is little guidance for design or implementation components in cash transfer programs that would maximize these reductions. Based on research into pathways of impact between cash transfers and IPV, this issue brief offers recommendations on cash transfer programming to increase gender-sensitivity and responsiveness to IPV prevention.
Social protection programs are primarily focused on influencing household behavior in the short term, increasing consumption to reduce poverty and food insecurity, and promoting investments in human capital. A large body of evidence across numerous settings shows that cash and food transfer programs are highly effective in doing so. However, there is growing interest in understanding the extent to which such programs can help households stay out of poverty in the longer term, specifically after transfers end. We bring new evidence to this question, re-interviewing Bangladeshi households that participated in a well-implemented randomized social protection intervention four years after it ended. We find that combining transfers, either cash or food, with behavior change communication activities sustainably reduced poverty. Cash transfers alone had sustainable effects, but these were context-specific. The beneficial impacts of food transfers did not persist four years after the intervention finished.
Over the last five years, there has been increasing interest from global stakeholders in the relationship between cash transfers and gender-based violence, and in particular, intimate partner violence (IPV). Interest has grown both within the development and humanitarian spaces, although empirical research is mainly concentrated in the former. A mixed-method review paper published in 2018 found that, across 22 quantitative or qualitative studies in low- and middle-income countries (LMICs), the majority (73%) showed that cash decreased IPV; however, two studies showed mixed effects, and several others showed heterogenous impacts (Buller et al. 2018). A more recent meta-analysis of 14 experimental and quasiexperimental cash transfer studies found average decreases in physical/sexual IPV (4 percentage points (pp)), emotional IPV (2 pp) and controlling behaviors (4 pp) (Baranov et al. 2021). A feature of this literature is the high representation of evaluations from Latin America, primarily government conditional cash transfer programs. In addition, programming was generally focused on poverty-related objectives, and none of the programming was explicitly designed to affect IPV or violence outcomes more broadly.
We study the validity of experimental methods designed to measure preferences for intra-household resource control among spouses in Ghana and Uganda. We implement two incentivized tasks; (1) a game that measures willingness to pay to control resources, and (2) private and joint dictator games that measure preferences for resource allocation and the extent to which those preferences are reflected in joint decisions. Behavior in the two tasks is correlated, suggesting that they describe similar underlying latent variables. In Uganda the experimental measures are robustly correlated with a range of household survey measures of resource control and women’s empowerment and suggest that simple private dictator games may be as informative as more sophisticated tasks. In Ghana, the experimental measures are not predictive of survey indicators, suggesting that context may be an important element of whether experimental measures are informative.
We conduct an original lab-in-the-field experiment on the decision–making process of married couples over the allocation of rival and non-rival household goods. The experiment measures individual preferences over allocations and traces the process of deferral, consultation, communication and accommodation by which couples implement these preferences. We find few differences in individual preferences over allocations of goods. However, wives and husbands have strong preferences over process: women prefer to defer decisions to their husbands even when deferral is costly and is not observed by the husband; men rarely defer under any condition. Our study follows a randomized controlled trial that ended a year earlier and gave large cash transfers over eighteen months to half of the women in the study. We estimate the effect of treatment on the demand for agency among women and find that the receipt of cash transfers does not change women’s bargaining process except in a secret condition when the decision to defer is shrouded from her husband. This suggests that the cash transfer to women increases their demand for agency but does not change the intra-household balance of power enough to allow them to express it publicly.
The importance of children’s nutritional status for subsequent human capital formation, the limited evidence of the effectiveness of social protection interventions on child nutrition, and the absence of knowledge on the intra-household impacts of cash and food transfers or how they are shaped by complementary programming motivate this paper. We implemented two, linked randomized control trials in rural Bangladesh, with treatment arms including cash transfers, a food ration, or a mixed food and cash transfer, as well as treatments where cash and nutrition behavior change communication (BCC) or where food and nutrition BCC were provided. Only cash plus nutrition BCC had a significant impact on nutritional status, but its effect on height-forage z scores (HAZ) was large, 0.25SD. We explore the mechanisms underlying this impact. Improved diets – including increased intake of animal source foods – along with reductions in illness in the cash plus BCC treatment arm are consistent with the improvement we observe in children’s HAZ.
"The 2012 report recognized that expanding women's agency - their ability to make decisions and take advantage of opportunities is key to improving their lives as well as the world. This report represents a major advance in global knowledge on this critical front. The vast data and thousands of surveys distilled in this report cast important light on the nature of constraints women and girls continue to face globally. This report identifies promising opportunities and entry points for lasting transformation, such as interventions that reach across sectors and include life-skills training, sexual and reproductive health education, conditional cash transfers, and mentoring. It finds that addressing what the World Health Organization has identified as an epidemic of violence against women means sharply scaling up engagement with men and boys. The report also underlines the vital role information and communication technologies can play in amplifying women's voices, expanding their economic and learning opportunities, and broadening their views and aspirations. The World Bank Group's twin goals of ending extreme poverty and boosting shared prosperity demand no less than the full and equal participation of women and men, girls and boys, around the world." -- Publisher's description.