Evidence map›Paper›PMID 35078813›Full record

SynthesisBMJ global health2022

Impact of conditional and unconditional cash transfers on health outcomes and use of health services in humanitarian settings: a mixed-methods systematic review.

Kim Robin van Daalen, Sara Dada, Rosemary James, Henry Charles Ashworth, Parnian Khorsand, Jiewon Lim, Ciaran Mooney, Yasmeen Khankan, Mohammad Yasir Essar, Isla Kuhn and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
10.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  18. An Unconditional Cash Transfer Program for Low-Income New Yorkers Affected by COVID-19.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Article
  19. COVID-19 lockdowns and children's health and well-being.Journal Of Economic Psychology · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 6 countries.

Kim Robin van DaalenCardiovascular Epidemiology Unit, Department of Public Health & Primary Care, Cambridge University, Cambridge, UK krv22@cam.ac.uk.ORCID 0000-0001-6955-9708
Sara DadaUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0003-3910-1856
Rosemary JamesUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Stoke-on-Trent, UK.ORCID 0000-0002-1443-880X
Henry Charles AshworthHarvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-8989-8560
Parnian KhorsandWomen in Global Health, Washington, District of Columbia, USA.ORCID 0000-0002-5347-1629
Jiewon LimSchool of Medicine, NUI Galway, Galway, Ireland.
Ciaran MooneyNorthern Ireland Medical and Dental Training Agency, Belfast, Antrim, UK.ORCID 0000-0002-5074-9429
Yasmeen KhankanDepartment of Biology, Siena Heights University, Adrian, Michigan, USA.
Mohammad Yasir EssarKabul University of Medical Sciences, Kabul, Afghanistan.ORCID 0000-0002-6554-7619
Isla KuhnMedical Library, School of Clinical Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0002-2879-4020
Helene JuillardGeneva Centre of Humanitarian Studies, University of Geneva, Geneva, Geneva, Switzerland.ORCID 0000-0003-1744-1032
Karl BlanchetGlobal Health Development, University of Geneva Faculty of Medicine, Geneve, Switzerland.ORCID 0000-0003-0498-8020
University of Cambridge · GBUniversity of Geneva · CHHarvard University · USKabul University · AFOllscoil na Gaillimhe – University of Galway · IESiena Heights University · USUniversity College Dublin · IEUniversity Hospitals of North Midlands NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCash transfers, payments provided by formal or informal institutions to recipients, are increasingly used in emergencies. While increasing autonomy and being supportive of local economies, cash transfers are a cost-effective method in some settings to cover basic needs and extend benefits of limited humanitarian aid budgets. Yet, the extent to which cash transfers impact health in humanitarian settings remains largely unexplored. This systematic review evaluates the evidence on the effect of cash transfers on health outcomes and health service utilisation in humanitarian contexts.

methodsStudies eligible for inclusion were peer reviewed (quantitative,qualitative and mixed-methods). Nine databases (PubMed, EMBAS, Medline, CINAHL, Global Health, Scopus, Web of Science Core Collection, SciELO and LiLACS) were searched without language and without a lower bound time restriction through 24 February 2021. The search was updated to include articles published through 8 December 2021. Data were extracted using a piloted extraction tool and quality was assessed using The Joanna Briggs Critical Appraisal Tool. Due to heterogeneity in study designs and outcomes, results were synthesised narratively and no meta-analysis was performed.

results30 673 records were identified. After removing duplicates, 17 715 were double screened by abstract and title, and 201 in full text. Twenty-three articles from 16 countries were included reporting on nutrition outcomes, psychosocial and mental health, general/subjective health and well-being, acute illness (eg, diarrhoea, respiratory infection), diabetes control (eg, blood glucose self-monitoring, haemoglobin A1C levels) and gender-based violence. Nineteen studies reported some positive impacts on various health outcomes and use of health services, 11 reported no statistically significant impact on outcomes assessed and 4 reported potential negative impacts on health outcomes. DISCUSSION: Although there is evidence to suggest a positive relationship between cash transfers and health outcomes in humanitarian settings, high-quality empirical evidence, that is methodologically robust, investigates a range of humanitarian settings and is conducted over longer time periods is needed. This should consider factors influencing programme implementation and the differential impact of cash transfers designed to improve health versus multipurpose cash transfers. PROSPERO REGISTRATION NUMBER: CRD42021237275.

Indexed as

Developing CountriesHealth ServicesHumansMental HealthOutcome Assessment, Health Carechild healthmental health & psychiatrynutritionpublic healthsystematic review

Identifiers

PMID35078813
PMCPMC8796230
OpenAlexW4207018050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.