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Using social transfers to scale up equitable acces to education and health services

By Katie Chapman






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Scaling up Services team, DFID Policy Division UK Department for International Development (DFID) - January 2006

"....This paper provides background analysis to support a DFID Policy Division Briefing Note on Using Social Transfers to Improve Human Development produced by the Scaling up Services team in collaboration with the Social Protection team, part of a series of briefing notes on social protection. This work complements DFID’s Practice Paper Social Transfers and Chronic Poverty (2005). It also forms one part of DFID’s Scaling up Services team’s workstream on promoting equitable access to health and education services.

Policies that promote poor people’s access to health and education services are critical to making best use of scaled up resources. Scaling up poor people’s access will require a combination of health and education system investments along with investments outside those sectors. These may include demand side approaches that promote the use of available services, as well as increasing service coverage. This paper focuses on the impact of one form of demand-side policy option - social transfers, particularly cash transfers and vouchers - on access to health and education services by the extreme poor. It also touches upon the broader contribution that social transfers make to human development outcomes....."



Content:

1 Introduction

2 Social transfers: what they are, how they boost demand

3 The education and health benefits of social transfers

4 Social transfers - do they offer value for money in improving education and health?

5 Balancing investment in demand and supply

6 Context matters - key considerations in choice of social transfer instruments

Consideration 1: Policy objectives and understanding demand

Consideration 2: Cash or restricted spending choice?

Consideration 3: Targeted and universal approaches

Consideration 4: Political feasibility

Consideration 5: Administrative and institutional capacity

Consideration 6: Governance issues

Consideration 7: Affordability

7 Delivering social transfers through country-led approaches

8 Social transfers in the context of scaled up resources

9 Evidence gaps

Annex 1: Assessing economics of transfers

References

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Using social transfers to scale up equitable acces to education and health services

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