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• W4313251214 abstract "ABSTRACTWe compared the costs and cost-efficiency of two unconditional cash transfer (UCT) programs in southern Niger – a ‘standard’ four-month program implemented during the June-September lean season and a six-month ‘modified’ UCT implemented April-September – each providing the same total cash transfer. The standard UCT was more cost-efficient based on all metrics. However, costs to beneficiaries were unevenly distributed due to program design decisions about cash delivery mechanisms, which eroded the net transfer value for some beneficiaries more than others. Beyond this finding, we contribute to the advancement of costing studies through the descriptive detail and transparent reporting of our analysis.KEYWORDS: Cost analysiscost-efficiency analysiscash transferscash and nutritionNiger AcknowledgementsThe authors acknowledge and thank the REFANI study participants, the Concern Worldwide team in Niger, and the REFANI consortium members for their support and contributions. Maranatha Padonou, Souleymane Karidio Mainassara, and especially Julia Lewis of Concern Worldwide in Niger offered significant support during data collection. We extend our thanks to the members of the REFANI research consortium who provided support and feedback during the data collection and analysis process either through bilateral discussions or via the periodic REFANI meetings, and especially to Ellyn Yakowenko for her overall management of the REFANI study. The authors would also like to thank Kwanli Kladstrup and Chris Pain of Concern Worldwide for their review of an early draft of this manuscript. Our sincere gratitude to an anonymous reviewer who provided particularly insightful and detailed comments.Disclosure statementThe authors report there are no competing interests to declare.Notes1. The other two studies were conducted in Pakistan and Somalia.2. Some costs of programme implementation were jointly shared across all households that received the cash and supplementary food distributions, but only a sub-set of this population was enrolled in the study. Therefore, proration of joint costs was done to more accurately represent the value of resources provided to the beneficiary population enrolled in the REFANI study for which an assessment of impact was also being undertaken.3. A similar metric, the cost-transfer ratio (CTR) is also frequently used, which measures the same relationship but is calculated as the total cost of the program minus the value of the cash transfer divided by the value of the cash transfer. Conversion between the TCTR and CTR is done by subtracting 1 from the TCTR or adding 1 to the CTR.4. Slightly more beneficiaries in the standard UCT had to travel to another village (36%) compared to the modified UCT (27%).5. For instance, delivering life-saving services to a highly disbursed, remote population will be less cost-efficient than the same program delivered to an urban population but the choice to provide such services may be more influenced by concerns of equity than cost-efficiency.6. Such indirect costs are typically in the range of 5–15% of total grant value.Additional informationFundingThis work was supported by the UK Department for International Development (PO6433); the European Commission’s Humanitarian Aid and Civil Protection department (ECHO/ERC/BUD/2015/91001); the European Commission’s Humanitarian Aid Office (ECHO/-WF/BUD/2015/91005); and the World Food Programme (056/CREN/CONCERN/2015). The funding agencies were not involved in the design or conduct of the study, including the collection, analysis, and interpretation of the data or the preparation of the manuscript.Notes on contributorsLani TrenouthLani Trenouth is an independent consultant primarily focused on cost analysis of cash transfer, nutrition, and social and behaviour change communication programming. At the time of this study, she was employed by Action Against Hunger as a researcher.Victoria L. SibsonVictoria Sibson is a public health nutritionist specialising in infant and young child nutrition and feeding, and is currently the Director of a public health nutrition charity in the UK. She has a background in humanitarian nutrition, and worked for several international NGOs in the field and at head office level for a decade before embarking on her PhD studies. At the time of this study, she was a PhD student at UCL and was based in Niger managing the implementation of the trial on which this study was based.Carlos S. Grijalva-EternodCarlos Grijalva Eternod is a Nutritional Epidemiologist at the UCL Institute for Global Health. His work focuses on understanding the developmental origins of undernutrition and chronic diseases, the assessing of nutritional and wellbeing status of populations living in vulnerable settings and assessing the impact of nutrition interventions aimed at improving such status. Carlos has worked in Latin America, Africa, Central Asia, and Europe with vulnerable communities that experience poverty, environmental challenges such as droughts, or have been forcefully displaced such as refugees.Kate GoldenKate Golden is Senior Nutrition Adviser at Concern Worldwide, based in Ireland. She has been working in the field of public health nutrition for more than 15 years, mostly with Concern and was the lead technical adviser within Concern for the Niger and Somalia REFANI studies among other research projects.Chloe PuettChloe Puett is a researcher at Stony Brook University, New York, USA. Her work focuses on applied economic evaluation of interventions addressing child nutrition outcomes, particularly wasting and stunting, in low- and middle-income countries. At the time of this study, she led the Cost-Effectiveness Research Group at Action Against Hunger." @default.
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• W4313251214 date "2022-12-26" @default.
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• W4313251214 title "Cost and cost-efficiency of unconditional cash transfers in Tahoua, Niger" @default.
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