Evaluation of cash transfer programs in sub-Saharan Africa: A methodological review. (June 2018)

• Record Type: Journal Article
• Authors: Owusu-Addo, Ebenezer; Renzaho, Andre M.N.; Smith, Ben J.
• Is Part Of: Evaluation and program planning. Volume 68(2018)
• Page Start: 47
• Page End: 56
• Publication Date: 2018-06
• Subjects: Cash transfer programs -- Complex interventions -- Methodological review -- Realist evaluation -- Sub-Saharan Africa; Health planning -- Periodicals; Medical care -- Evaluation -- Periodicals; 362.1068
• DOI: 10.1016/j.evalprogplan.2018.02.010
• Languages: English
• ISSNs: 0149-7189

Abstract

Highlights: Cash transfer programs (CTs) have seen exponential growth in sub-Saharan Africa (SSA). Evidence from 53 studies indicate that CTs' evaluations in SSA have largely been objective-based evaluations. The review points to a gap in knowledge regarding CTs' mechanisms of change. Realist evaluation offers the potential to understand how CTs work. Abstract: Cash transfer programs (CTs) have been rigorously evaluated since their inception in the 1990s. However, to date, there has been no study critically examining the utility of the methodological approaches used to evaluate CTs. This article reviews the approaches used to evaluate CTs in sub-Saharan Africa (SSA) to provide recommendations for improving future CTs evaluations. We conducted searches for CTs evaluation studies in SSA in the peer-reviewed and grey literature using electronic databases, hand searching of selected journals, organisational websites, Google Scholar and Scirus Internet search engines. The review included 53 evaluation studies which were largely outcome-focused evaluations (95%; n = 50). The studies were undertaken within 24 CT programs comprising 11 unconditional CTs (UCTs), eight conditional CTs (CCTs) and five combined UCTs and CCTs. The review finds that while there is evidence of CTs impacts on a broad range of outcomes, the current evaluation approaches have primarily been experimental designs and have largely failed to provide explanations for mechanisms of change. To improve CTs policy and practice, there is the need to consider theory-based evaluation approaches such as realist evaluation that provide insights about the contexts and mechanisms through which programs generate outcomes in different circumstances.