Developing a middle-range theory to explain how cash transfers work to tackle the social determinants of health: A realist case study

Ebenezer Owusu-Addo, Andre M.N. Renzaho and Ben J. Smith

World Development, 2020, vol. 130, issue C

Abstract: Cash transfers (CTs) are increasingly high on the agenda of most governments and development partners in low-and middle-income countries. Even though burgeoning evidence points to CTs’ impact on the social determinants of health (SDoH), there is little evidence about how and why CTs work to influence the SDoH. This paper reports on a realist evaluation aimed at developing a middle-range theory that explains how CTs influence the SDoH by exploring program mechanisms of change and associated contextual factors. Qualitative interviewing was employed including key informant interviews (N = 36), in-depth-interviews (N = 32) and focus groups with program beneficiaries (N = 12), and observations.

Keywords: Cash transfers; Ghana; Program mechanisms; Realist evaluation; Qualitative case study; Social determinants of health (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:wdevel:v:130:y:2020:i:c:s0305750x20300462

DOI: 10.1016/j.worlddev.2020.104920

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