Impact of conditional cash transfer programs on health outcomes in Argentina: a retrospective, observational analysis based on MICS 2019/2020

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Americas Pub Date : 2025-02-13 DOI:10.1016/j.lana.2025.101011

Zlatko Nikoloski , Maria Elisa Zapata , Elias Mossialos

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引用次数: 0

Abstract

Background

Conditional cash transfers (CCTs) are widely used to combat intergenerational poverty and to invest in human capital. Argentina introduced its own CCT program AUH (Asignación Universal por Hijo) in 2009. The aim of this research was to assess the relationship between the AUH program and key indicators: healthcare use, nutritional indicators (among children under five years), and high school enrollment.

Methods

We utilized data from the Multiple Indicators Cluster Survey (MICS) conducted in Argentina between late 2019 and early 2020. Specifically, we employed different matching techniques to estimate the relationship between AUH and healthcare utilization and high school enrolment. Additionally, we assessed the program's importance in improving nutrition outcomes among children under five years.

Findings

Our analysis reveals that the AUH program has not significantly increased healthcare utilization among affiliated children. When accounting for program heterogeneity, the impact of the program was found to be consistent across boys and girls, and across children of different ages, although we found evidence of increased healthcare utilization among adolescents. In addition, there was no statistically significant evidence for a link between program affiliation and reduction in stunting and wasting among children under five years. Furthermore, the program has led to increased high school enrolment among boys, consistent with established findings.

Interpretation

The AUH program demonstrates a limited impact, particularly on health and nutrition outcome indicators. Efforts should be made to improve the program by focusing on cash transfer conditionality and amount, as well as strengthening healthcare infrastructure.

Funding

None.

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来源期刊

Lancet Regional Health-Americas Multiple-

CiteScore

8.00

自引率

0.00%

发文量

期刊介绍： The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.