Evidence from multiple contexts suggests that the Graduation Approach, which provides holistic livelihood support for ultra-poor households, has lasting positive impacts on a range of outcomes. However, graduation programs are relatively expensive because of the intense level of support they offer. The costs pose a challenge for governments that want to implement the approach at scale.
Programs that allow citizens to contact their government representatives may help to improve the delivery of basic services, such as resources in schools and health clinics, in low-income countries. However, citizen participation in these programs is often low.
Previous research suggests having community members monitor health service providers can improve the delivery of health services, and greatly improve child health as a result. In Uganda, researchers conducted a large-scale randomized evaluation of a program called Accountability Can Transform (ACT) Health that followed this model.
Helping the ultra-poor develop sustainable livelihoods is a global priority, but policymakers, practitioners, and funders are faced with competing ideas about the best way to reduce extreme poverty.
Governments and organizations around the world employ media messaging to effect behavioral and attitudinal change. In Uganda, Innovations for Poverty Action worked with researchers to evaluate whether videos encouraging communities to speak out about and counter violence against women (VAW) in the household could change behavior, attitudes and norms related to VAW.
Citizens in low-income countries are often unable to hold their government representatives accountable for the effective delivery of social services such as education and healthcare. Increases in mobile phone access present new opportunities for direct communication between citizens and government officials that may help governments respond to citizens’ needs more effectively.
Most public-sector workers and many private sector employees in developing countries are paid monthly, a schedule that means large lump-sum payments follow periods of relative scarcity. Employees who receive wages following a cash-strapped period may be more likely to buy temptation goods––spending large sums of money in ways they later regret.
Millions of children die from preventable diseases every year, primarily in low-income countries. In rural Uganda, researchers are working with Innovations for Poverty Action to evaluate the impact on child mortality of an at-scale community health worker program based on a micro-franchise business model.
Despite a substantial decline in child mortality in recent years, millions of children still die from preventable diseases every year. In this study in rural Uganda, researchers evaluated the impact of a micro-franchise model, which incentivizes door-to-door community health workers. The program reduced mortality among infants and children, improved knowledge about health among clients, and increased the visits that households received from health workers.
Curbing deforestation in developing countries may be a cost-effective way to reduce carbon emissions and address climate change. Innovations for Poverty Action worked with researchers to evaluate the effectiveness of a payments for ecosystem services (PES) program, in which Ugandan landowners were paid not to cut forest trees on their property.
Millions of people make their living running microenterprises, but these businesses typically fail to expand or provide more than subsistence-level income to their owners. Giving loans and training to small businesses offer the possibility of helping them grow, but research has not found this to be effective. Yet, much of the existing evidence looks at women-owned businesses, as they are the primary recipients of microfinance programs.
Mobile health technologies have the potential to strengthen health systems by increasing transparency and accountability in those systems. In Uganda, researchers are partnering with UNICEF and the Ministry of Health to develop a mobile health (mHealth) accountability system and to evaluate its effectiveness in improving the delivery of reproductive, maternal, newborn, and child health services in Uganda.
What’s holding back impoverished women? Can small grants programs help the most vulnerable women develop sustainable livelihoods? Do employment and poverty relief empower them and improve their lives? This evaluation assessed the impact of a program that gave cash grants and basic business skills training to the poorest and most excluded women in post-war northern Uganda. The program led to dramatic increases in business and reductions in poverty.
Previous research suggests that charging even very small user fees sharply limits access to preventive health care, such as bed nets or home water purification. While distributing health products for free in low-income countries is common, it is unclear whether this is the best practice for all products.