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Targeting vulnerable households in urban Burkina Faso: effectiveness of geographical criteria but not of proxy-means testing
- Source :
- Health Policy and Planning. 31:573-581
- Publication Year :
- 2015
- Publisher :
- Oxford University Press (OUP), 2015.
-
Abstract
- The 2007/2008 food prices hike has increased the interest in social safety nets programmes to fight food insecurity. Targeting the most in need is central to achieve effectiveness of such interventions. In 2009 in Ouagadougou, Burkina Faso, a food voucher (FV) programme targeted the 25 000 most vulnerable households (8.3% of the population). Targeting used a two-stage process: first geographical selection of poorest districts (similar to 90 000 households); then, in those districts, identification of the most vulnerable households according to a proxy-means test (PMT). Targeted households were entitled to receive FV for 1 year. A first survey was conducted at the beginning of the FV distribution on a representative sample of 2273 households drawn from the poorest districts. One year later a second survey, conducted on a subsample of same households (n = 901), identified those who actually received FV (beneficiary). The performance of the whole process was assessed against household food expenditure, used as the reference measure for vulnerability with a cut-off point of 1513 FCFA (corresponding to the 8.3th percentile of the distribution of expenditure). The 'normalized share of transfers going to vulnerable households' (NSTVH), i.e. proportion of FVs allocated to households below the cut-point, was the main criteria of judgement. Almost twice as many FV were allocated to vulnerable households as compared with a theoretical random distribution all over Ouagadougou (NSTVH = 1.85). When considering the sole targeted districts the NSTVH was only 0.84 (i.e. no more effective than a random distribution), meaning that the geographical stage was effective to select vulnerable districts while the PMT did not perform well to identify the most vulnerable households in those districts. Results could have been improved if only targeted households had received FV (NSTVH = 2.61 and 1.18 for the whole Ouagadougou and targeted districts, respectively). Improved targeting procedures or alternate targeting instruments are needed.
- Subjects :
- geographical targeting
Economic growth
Urban Population
030231 tropical medicine
Food prices
Population
Psychological intervention
Proxy (climate)
Food Supply
food voucher
03 medical and health sciences
0302 clinical medicine
West Africa
Burkina Faso
Humans
030212 general & internal medicine
education
Socioeconomics
Poverty
Family Characteristics
education.field_of_study
Means testing
Health Policy
Commerce
Voucher
Food insecurity
Geography
Social safety nets
Health Expenditures
proxy-means testing
Subjects
Details
- ISSN :
- 14602237 and 02681080
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Health Policy and Planning
- Accession number :
- edsair.doi.dedup.....1092396611e3e8ba2a57173bfd692830
- Full Text :
- https://doi.org/10.1093/heapol/czv104