Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi

Household cash grants are associated with beneficial outcomes; enhanced if provided in combination with care.This study describes the impact of cash grants and parenting quality on 854 children aged 5-15 (South African and Malawi) on educational outcomes including enrolment, regular attendance, corr...

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Main Authors: Sherr, L, Tomlinson, M, Macedo, A, Skeen, S, Hensels, I, Cluver, L
Format: Journal article
Language:English
Published: Edinburgh University Global Health Society 2017
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author Sherr, L
Tomlinson, M
Macedo, A
Skeen, S
Hensels, I
Cluver, L
author_facet Sherr, L
Tomlinson, M
Macedo, A
Skeen, S
Hensels, I
Cluver, L
author_sort Sherr, L
collection OXFORD
description Household cash grants are associated with beneficial outcomes; enhanced if provided in combination with care.This study describes the impact of cash grants and parenting quality on 854 children aged 5-15 (South African and Malawi) on educational outcomes including enrolment, regular attendance, correct class for age and school progress (controlling for cognitive performance). Consecutive attenders at randomly selected Community based organisations were recruited. The effects of cash plus good parenting, HIV status and gender were examined.Overall 73.1% received a grant - significantly less children with HIV (57.3% vs 75.6% (χ2 = 17.21, P < 0.001). Controlling for cognitive ability, grant receipt was associated with higher odds of being in the correct grade (odds ratio (OR) = 2.00; 95% confidence interval (CI) = 1.36, 2.95), higher odds of attending school regularly (OR = 3.62; 95% CI = 1.77, 7.40), and much higher odds of having missed less than a week of school recently (OR = 8.95; 95% CI = 2.27, 35.23). Grant receipt was not associated with how well children performed in school compared to their classmates or with school enrolment. Linear regression revealed that grant receipt was associated with a significant reduction in educational risk (B = -0.32, t(420) = 2.84, P = 0.005) for girls.Cash plus good parenting affected some educational outcomes in a stepwise manner, but did not provide additive protection.
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spelling oxford-uuid:8f2cc38c-afdb-4b84-9748-0cce68299b772022-03-26T23:02:33ZCan cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and MalawiJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8f2cc38c-afdb-4b84-9748-0cce68299b77EnglishSymplectic Elements at OxfordEdinburgh University Global Health Society2017Sherr, LTomlinson, MMacedo, ASkeen, SHensels, ICluver, LHousehold cash grants are associated with beneficial outcomes; enhanced if provided in combination with care.This study describes the impact of cash grants and parenting quality on 854 children aged 5-15 (South African and Malawi) on educational outcomes including enrolment, regular attendance, correct class for age and school progress (controlling for cognitive performance). Consecutive attenders at randomly selected Community based organisations were recruited. The effects of cash plus good parenting, HIV status and gender were examined.Overall 73.1% received a grant - significantly less children with HIV (57.3% vs 75.6% (χ2 = 17.21, P < 0.001). Controlling for cognitive ability, grant receipt was associated with higher odds of being in the correct grade (odds ratio (OR) = 2.00; 95% confidence interval (CI) = 1.36, 2.95), higher odds of attending school regularly (OR = 3.62; 95% CI = 1.77, 7.40), and much higher odds of having missed less than a week of school recently (OR = 8.95; 95% CI = 2.27, 35.23). Grant receipt was not associated with how well children performed in school compared to their classmates or with school enrolment. Linear regression revealed that grant receipt was associated with a significant reduction in educational risk (B = -0.32, t(420) = 2.84, P = 0.005) for girls.Cash plus good parenting affected some educational outcomes in a stepwise manner, but did not provide additive protection.
spellingShingle Sherr, L
Tomlinson, M
Macedo, A
Skeen, S
Hensels, I
Cluver, L
Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title_full Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title_fullStr Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title_full_unstemmed Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title_short Can cash break the cycle of educational risks for young children in high HIV-affected communities? A cross-sectional study in South Africa and Malawi
title_sort can cash break the cycle of educational risks for young children in high hiv affected communities a cross sectional study in south africa and malawi
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