Can a subtle form of social influence get more parents to fully vaccinate their children? In Sierra Leone, where immunization is valued, but not fully adhered to, researchers worked with the Ministry of Health and Sanitation and IPA to test the impact on immunization rates of highly visible bracelets for children, signaling whether and to what extent children had completed their immunization schedules.
In sub-Saharan Africa, young girls drop out of school at higher rates than boys. A large portion of drop outs occur between primary and secondary school, when families in most countries have to start paying fees for their children to continue attending school. In Zambia, researchers designed and evaluated the impact of a training that taught adolescent girls non-cognitive skills to negotiate health and educational decisions with authority figures in their lives.
Pensions are seen as an important tool for reducing poverty among a growing elderly population worldwide. Researchers are working with Innovations for Poverty Action and Paraguay’s Ministry of Finance to conduct a randomized evaluation of a national non-contributory pension program for low-income seniors. Researchers will measure the impacts of national pensions on senior citizens’ economic wellbeing and quality of life.
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.
Many pregnant women in sub-Saharan Africa lack access to high-quality health care. Researchers evaluated whether cash transfers and decision-making nudges could help low-income pregnant women in Nairobi, Kenya deliver where they wanted and in a high-quality facility. They found that cash transfers, conditioned on precommitment to a delivery facility, led to more effective birth planning and increased the likelihood that women delivered at higher-quality facilities.
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.
Non-communicable diseases (NCDs) like diabetes, hypertension, and cancer have become increasingly prevalent in low- and middle-income countries in recent years, but health systems in most of these countries have been geared towards treatment of acute rather than chronic diseases. In Kenya, researchers are evaluating the impact of Novartis Access, an initiative that offers a basket of NCD medicines at a reduced wholesale price, on the availability and purchase price of medicines.
Inadequate nutrition during the earliest years of life can cause stunting and contribute to long-term developmental consequences that can affect future productivity and well-being. In Zambia, an IPA research team found that providing parents with full-sized growth charts, which included information about nutrition and were placed on the walls inside homes, reduced stunting rates among malnourished children by 22 percentage points.
Community-based development is an idea that has gained popularity among governments, practitioners, and funders, but evidence on its effectiveness outside of post-conflict contexts is limited. Researchers conducted a randomized evaluation to test the impact of community-based development on political participation, public goods provision, and individual well-being in Ghana.
Although the ability to control fertility can have broad social and economic consequences, social norms and misinformation can discourage contraceptive use in many countries. Innovations for Poverty Action is working with researchers to evaluate the impact of a three-year mass media campaign focused on family planning and gender norms in Burkina Faso.
Can social incentives increase demand for skilled pregnancy care? How much do people care to signal to others that they looked after their and their children's health? How much do people learn from observing others’ actions?
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.
Primary school enrollment has risen in Sub-Saharan Africa over the past two decades, but secondary school enrollment rates remain relatively low. In this ongoing study in Ghana, researchers are evaluating the effect of secondary school scholarships on educational attainment and cognitive skills in the short run, and on life outcomes in the longer run, from employment and health outcomes to civic participation and attitudes.
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.
Improving access to family planning in Sub-Saharan Africa has the potential to help women and couples achieve their desired family size and avert unintended pregnancies and unwanted births. It may also have longer-term effects by improving women’s health, educational attainment, and socio-economic status. However, little is actually known about the effectiveness of family planning.