Using conditionality as a solution to the problem of low uptake of essential services among disadvantaged communities: a social determinants view.

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  • Author(s): Forde I;Forde I; Bell R; Marmot MG
  • Source:
    American journal of public health [Am J Public Health] 2011 Aug; Vol. 101 (8), pp. 1365-9. Date of Electronic Publication: 2011 Jun 16.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
    • Publication Information:
      Publication: Washington, DC : American Public Health Association
      Original Publication: New York [etc.]
    • Subject Terms:
      Education* ; Motivation* ; Vulnerable Populations*; Health Services/*statistics & numerical data ; Preventive Health Services/*statistics & numerical data; Humans ; Latin America ; New York City ; Poverty
    • Abstract:
      Conditional cash transfer schemes, which use cash to incentivize uptake of basic health and educational services, are well established among social planners inlow- and middle-income countries and are now taking hold in high-income countries. We appraised these schemes within a social determinants framework and found some encouraging signs in their first decade of operation. Success, however, has been inconsistent, and it is unclear whether conditional cash transfer schemes can reliably secure meaningful improvements in participants' health and nutritional status or educational attainment. Conditional cash transfer schemes' objectives will not be met unless they are transformed in 3 ways: transferring power as well as resources, emphasizing entitlements alongside conditionality, and avoiding the trap of incoherent or residualized policy.
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    • Grant Information:
      G19/35 United Kingdom MRC_ Medical Research Council; RG/07/008/23674 United Kingdom BHF_ British Heart Foundation; G0100222 United Kingdom MRC_ Medical Research Council; G0701333 United Kingdom MRC_ Medical Research Council; G8802774 United Kingdom MRC_ Medical Research Council; G0902037 United Kingdom MRC_ Medical Research Council
    • Publication Date:
      Date Created: 20110618 Date Completed: 20110914 Latest Revision: 20240416
    • Publication Date:
      20240416
    • Accession Number:
      PMC3134518
    • Accession Number:
      10.2105/AJPH.2011.300140
    • Accession Number:
      21680925