Many poor women around the world rely on sexual partners for the purpose of financial assistance, particularly when faced with financial setbacks. Providing these women with appropriate financial tools has the potential to reduce transactional sex as a coping strategy and reduce exposure to sexually transmitted infections.
Globally, violence is a leading risk factor for premature death and morbidity for women. In Uganda, more than half of women have experienced physical and/or sexual violence by an intimate partner at least once in their lifetime. A small but growing body of literature focuses on addressing intimate partner violence (IPV) by leveraging existing social institutions, but few studies have looked at faith-based sources of authority.
Women across the world face systemic challenges to their health and safety, including intimate partner violence, sexual violence, forced marriage, and disempowerment within the household. One potential way to counter these issues is through media messaging that is designed to change people’s attitudes and behavior.
More than a third of all women of reproductive age in sub-Saharan Africa are anemic. Women from low-income communities involved in fish-smoking may be at increased risk because of inadequate diets, exposure to infectious pathogens, as well as particulate matter and other pollutants through smoke.
Despite major global progress in vaccination coverage, many children and young infants are vaccinated late, leaving them susceptible to life threatening, preventable illnesses. In Ghana, researchers are conducting a cluster randomized evaluation to investigate the impact of mobile-phone based reminders and an incentive system on early vaccination coverage.
The quality of healthcare and other public services depends critically on the efforts of those who provide these services, but little is known about how to recruit the highest-performing public service providers. The Government of Zambia partnered with researchers to test the effect of two different recruitment strategies for a newly created healthcare position, the Community Health Assistant (CHA).
In Mexico, one in four women have experienced physical and/or sexual violence by an intimate partner, and addressing violence against women remains a challenge across the world. This study evaluated the impact of a nurse-delivered screening and counseling program on intimate partner violence in Mexico City.
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.
Intestinal helminths—including hookworm, roundworm, whipworm, and schistosomiasis—infect more than one in four people worldwide. Researchers evaluated the short-run impacts of a mass school-based deworming program in western Kenya, and found that deworming substantially improved health and school participation of treated children, as well as of untreated children in treatment schools and children in neighboring schools.
Many adults over age 65 across the world live in extreme poverty, however only 20 percent of seniors worldwide receive any form of pension. Non-contributory pension programs for seniors living below a certain income threshold may improve food consumption, mental health, and lower reliance on younger family members for economic support.
Many pregnant women face financial barriers to accessing safe delivery services, including high costs associated with transportation to a health facility and materials needed for a safe delivery. In Zambia, researchers are piloting a set of home-based and village savings group interventions focused on empowering pregnant women to save in order to better access their preferred safe delivery services.
How do standard development programs compare to just giving people cash?
Poor nutrition and exposure to fecal contamination are associated with diarrhea and growth faltering, and both have long-term consequences for child health and development. In Kenya, researchers partnered with IPA to conduct a large-scale randomized evaluation of the impacts of water, sanitation, handwashing, and nutrition interventions delivered alone and in combination.
Poor sanitation leads to major diseases, increased public health expenditures, and causes diarrhea—a leading cause of mortality in children under five. In western Rwanda, researchers evaluated the impact of community health clubs on the health and hygiene of children under five in particular. They found that the clubs had no impact on caregiver-reported rates of diarrhea among the children in the study.