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Impact of a multidimensional child cash grant programme on water, sanitation and hygiene in Nepal

Andre Renzaho, Stanley Chitekwe, Wen Chen, Sanjay Rijal, Thakur Dhakal, Ingrid R. Chikazaza, Pradiumna Dahal
Available Online 12 April 2018, washdev2018006; DOI: 10.2166/washdev.2018.006
Andre Renzaho
Humanitarian and Development Studies, School of Social Sciences and Psychology, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
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  • For correspondence: andre.renzaho@westernsydney.edu.au
Stanley Chitekwe
UNICEF Nepal, UN House, Pulchowk, Lalitpur, Nepal
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Wen Chen
Humanitarian and Development Studies, School of Social Sciences and Psychology, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, AustraliaFaculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
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Sanjay Rijal
UNICEF Nepal, UN House, Pulchowk, Lalitpur, Nepal
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Thakur Dhakal
UNICEF Nepal, UN House, Pulchowk, Lalitpur, Nepal
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Ingrid R. Chikazaza
Bhaisepati, Lalitpur, Kathmandu, Nepal
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Pradiumna Dahal
UNICEF Nepal, UN House, Pulchowk, Lalitpur, Nepal
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Abstract

The study evaluated the impact of a multidimensional child cash grant (CCG) programme on safe water, sanitation and hygiene (WASH) outcomes. The intervention district received a CCG providing 200 Nepalese Rupee per month for up to two children for poor families with children under five, a capacity building component for effective child sensitive social protection, and behaviour change activities in addition to existing standard social welfare services in the form targeted resource transfers (TRTs) for eligible families. The control district received only TRTs for eligible families. Propensity scores were used in difference-in-differences models to compare the changes over time between the intervention and control groups. The intervention resulted in a 5.5% (p < 0.01), 46.6% (p < 0.001) and 42.2% (p < 0.001) percentage points reduction in the proportion of households reporting drinking water from unimproved sources, having unimproved sanitation facilities, and practising unsanitary disposal of children's faeces, respectively. However, the prevalence of households practising inadequate water treatment methods did not differ between the intervention and comparison districts. In order to achieve WASH coverage in Nepal, strategies to scale up the intervention need to consider a social protection programme embedding different financial incentive and integrated capacity mechanisms.

  • drinking-water sources
  • hygiene
  • Nepal
  • sanitation
  • social protection
  • WASH
  • First received 21 January 2018.
  • Accepted in revised form 19 March 2018.
  • © IWA Publishing 2018

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Journal of Water Sanitation and Hygiene for Development: 8 (1)
  Volume 8,issue 1

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Impact of a multidimensional child cash grant programme on water, sanitation and hygiene in Nepal
Andre Renzaho, Stanley Chitekwe, Wen Chen, Sanjay Rijal, Thakur Dhakal, Ingrid R. Chikazaza, Pradiumna Dahal
Journal of Water Sanitation and Hygiene for Development Apr 2018, washdev2018006; DOI: 10.2166/washdev.2018.006
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Impact of a multidimensional child cash grant programme on water, sanitation and hygiene in Nepal
Andre Renzaho, Stanley Chitekwe, Wen Chen, Sanjay Rijal, Thakur Dhakal, Ingrid R. Chikazaza, Pradiumna Dahal
Journal of Water Sanitation and Hygiene for Development Apr 2018, washdev2018006; DOI: 10.2166/washdev.2018.006

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Keywords

drinking-water sources
hygiene
Nepal
sanitation
social protection
WASH
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