Evaluating the Mchinji Social Cash Transfer Pilot

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Evaluating the Mchinji Social Cash Transfer Pilot Dr. Candace Miller Center for International Health and Development Boston University & Maxton Tsoka Centre for Social Research University of Malawi

Agenda Explaining the Mchinji Cash Transfer Scheme Describing the EXTERNAL EVALUATION of the Mchinji Cash Transfer Scheme

RISK AND VULNERABILITY 52 % of Malawians live under the national poverty line 22% are ultra-poor, living under 0.20 USD per day 10% are ultra-poor and at the same time labor constraint (e.g. generation gap households) High exposure to shocks and risks in Malawi households Vulnerability varies by type of shock and household type Malawians are less able to cope with shocks to date as repeated shocks have meant that their assets have declined, savings have been eroded, willingness and ability of informal support networks to provide support has decreased Ex ante strategies are limited, esp. for low income households

KEY PARAMETERS OF THE CASH TRANSFER SCHEME Objectives To reduce poverty, hunger and starvation in ultra ultra poor and labor constrained households To increase school enrolment and attendance of of children living in cash recipient households Generate information on the feasibility, costs and benefits, and the positive and negative impacts of a Cash Transfer Scheme as part of the Malawian Social Protection Program

KEY PARAMETERS OF THE SCHEME Targeting Criteria Ultra poor: households of the lowest expenditure quintile quintile and below the national ultra poverty line (only one meal per day, no valuable assets..) Labor constrained: a household is labor-constrained when it has no able bodied household (HH) member in the age group 19-64 who is fit for work (all are chronically sick or disabled or elderly or children) or when one HH member who is fit for work has to care for for more than 3 dependents.

KEY PARAMETERS Level of transfers: 1 person household (HH): MK 600 / app.. US$4 2 person HH: MK 1,000 / approx. US$7 3 person HH: MK 1,400 / approx. US$10 4 person HH: MK 1,800 / approx. US$13 Bonus for primary school going children of MK 200 and for for secondary school going children of MK 400. Average monthly cost per household = US$12; Annually = Annually = US$144 (+US$20 for operational costs) Once the pilot scheme reaches 3,000 HH the annual costs costs = US$492,000

Targeting, Approval & Payment Process CSPC members visit all listed households and fill in Form 1 CSPC meeting ranks households based on Form 1 CPSC meeting makes a list of ultra poor and labour constrained households Headman signs that the information on Form 1 is correct Secretariat recommends approval or disapproval Secretariat informs Director of Finance and CSPC on approval/disapproval Beneficiaries access monthly transfer payments at a pay point Community meeting discusses ranking SPSC, assisted by respective CSPC, approves and disapproves CSPC informs applicants on approval and disapproval

COVERAGE, SIZE AND FINANCING Coverage To date 561+ households obtain a monthly cash transfer/ transfer/ 2,000 by year end and 3,000 by end of Feb 2007. 2007. Once officially endorsed by GoM as component of national SP program, potential scale up can start from July 2007 to 3 other districts and a preliminary scale out out plan exists to all 28 districts by end of 2015 to reach reach 250,000 HHs ( 10% of all households in Malawi) Once 250,000 HHs are reached the annual costs will be be US$42 million

Scaling Up Phase Time span No of beneficiary Households One-off costs for capacity building (in USD) Annual costs of transfers and operational costs (in USD) Pilot phase ( 4 TAs of Mchinji) 1 st extension (all of Mchinji plus 3 more districts) 2 nd extension (6 additional districts) Sept 2006 to Dec 2007 3,000 60,000 480,000 July 2007 to Dec 2008 32,000 180,000 5,380,000 Jan 2009 to Dec 2010 80,000 360,000 13,440,000 3 rd extension (8 additional districts) Jan 2011 to Dec 2013 144,000 480,000 24,200,000 4 th extension (last 12 districts) Jan 2014 to Dec 2015 250,000 720,000 42,000,000 All districts covered From 2016 onwards 250,000 Annual costs of replacement 250,000 42,000,000

COVERAGE, SIZE AND FINANCING Financing To date, UNICEF has provided USD 275,000 for for TA to design the methodology for the Scheme Scheme as well as the funds for the cash transfers and operational cost up to December 2006. The Global Fund to Fight AIDS, TB and Malaria under Round 1 has reserved USD 372,000 for the the pilot during year 1 and is awaiting GoM endorsement; GFTAM Round 5 has US$8.8m in support of the the Scheme starting from July 2007.

1. Priority setting Income or kcal/day/per Absolute poverty 52% Ultra poverty 22% A C B D Low dep. ratio viable poor capacitated High dep. ratio non viable poor incapacitated Dependency ratio

2. Exclusive or inclusive Sector ministries and UN agencies tend to focus social protection concepts on specific population groups excluding other groups: UNAIDS, GFATM, National Aids Commissions AIDS affected households Helpage International the elderly (Lesotho) Other agencies disabled people, women, OVC (Kenya) Inclusive: Target all ultra poor households in order to reach the worst off cases of all vulnerable categories (Zambia, Malawi)

3. Type of intervention To what extent do programs meet the needs of each prioritizedcategoryof needyhouseholds? For example, category C households require short term transfers to meet basic needs (food first!); then employment opportunities or income generating activities to move from poverty to productive work Category D households cannot respond to labour based programs. They require medium or long term transfers in order to survive and in order to invest in their human capital (the health and education of their children)

4. Projectized or institutionalized Projects are fixed term interventions with an exit strategy, are restricted to certain geographical areas, rely on donor funding and are often implemented by NGOs, which often work in an uncoordinated patchwork fashion In order to provide a permanent and reliable service covering each area of a country like education and health services, social assistance for category D households may best be defined as a core government function This does not rule out that emergency aid in kind or cash which by definition is a temporary intervention can be implemented by NGOs

5. Implementing agency Which government agency has the capacity or at least the potential to eventually reach each and every village and provide a reliable service to a large number of the poorest of the poor? Examples: Lesotho, Zambia, Malawi The fact that government capacities in low income countries are weak, tempts donors to finance pilot activities implemented by NGOs. This may not lead to social protection schemes that cover all parts of a country in a reliable and sustainable manner

What about women and children? In Zambia 62% of category D households are female-headed, while the national average is 22% In Malawi more than 60% of the members of category D households are children. These children are the most needy, under priviledged, deprived, socially excluded and vulnerable children in the country regardless if they are orphans or not (about 70% are orphans) Lifting category D households over the ultra poverty line empowers them to provide for all household members better nutrition, access to health services, shelter, clothing and access to education Therefore a social cash transfer program focussing on category D households is at the same time a child welfare program. By adding a school bonus the program can ensure that children benefit over average

Benefits of Evaluation Describe how the project impacts beneficiaries positive and negative Improve performance Reduce costs Increase benefits Confirm utility of policy/project Make mid-term changes/improvements Support / influence for policy decisions Ensure focus on disadvantaged groups Obtain additional funding

Purpose of evaluation: To assess Scheme s impact on households & recipients E.g. Poverty reduction, health, human development Targeting approach to quantify inclusion and exclusion errors Ineligible recipients and Eligible non-recipients Systems and operational performance Transparency, efficiency, linkages to other services Will inform future policymaking and the scaling up of the poverty reduction intervention

Collaboration Boston University & Centre for Social Research Center for International Health & Development Portfolio on the Social and Economic Impact of AIDS in countries throughout Africa and Asia Programme and policy evaluation projects on three continents Experience in demographic survey and qualitative data collection and analysis Focus on capacity building of research partners Centre for Social Research Leading Malawian social research organization Many years of experience managing survey collection process Qualitative and quantitative experience

Independent evaluation Funding United States Agency for International Development (USAID) through Boston University s Child and Family Applied Research Grant UNICEF Malawi and UNICEF New York Boston University School of Public Health

Study Team BU http://sph.bu.edu Dr. Candace Miller, Principle Investigator Dr. Mary Bachman Sydney Rosen, MPA Danielle Lawrence, MPH Anna Knapp, MPH CSR http://www.csrunima.org Dr. Alister Munthali Maxton Tsoka, Co- Investigator, Field Manager 2 supervisors 20 enumerators 4 data entry clerks

Multiple Methods: Study components 1. Impact evaluation 2. Assessment of targeting (inclusion and exclusion) 3. Systems evaluation or operations and performance analysis

Timeline Activity 1, Part 1 Baseline: Quantitative Impact Household Survey, Round 1 Activity 2, Targeting assessment: Census of 4000 households (start 9 June?) Activity 1, Part 2 Quantitative Impact Household Survey, Round 2 (Starts 1 September? Activity 3, Qualitative Impact Data Collection (October?) 2007 2008 Activity 1, Part 3 Final Quantitative Impact Household Survey, Round 3 (February 2008) Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Targeting process for both intervention & comparison households Intervention households receive grant Systems evaluation: Assessment of performance & operations (October) Activity 4, Comparison households receive grant

1. Impact evaluation A. Quantitative Household survey Intervention and comparison group Three rounds (baseline, mid-term, final) B. Qualitative Key informant interviews Focus group discussions

A. Household Survey Administered to household head in intervention and comparison households (transfer recipient or deputy) Study site and sample 400 intervention and 400 comparison households All households go through targeting process Intervention households receive grant in April 2007 Control households receive grant in March 2008

Procedures Community consultation In target villages of Mchinji, February 2007 Training of enumerators Mchinji February 2007 Pilot of household survey ~5 intervention and ~5 comparison households Data collection and entry On site in Mchinji (~1 month per round) Ongoing quality control, training & problem solving Data analysis Boston University, CSR as appropriate

Survey instrument Adult Household Panel Employment Health and healthcare Healthcare and disabilities Migration Child Panel Health Disabilities Activities and labor Orphan Status Migration School School Expenses Deaths in Household Housing Characteristics Durable goods Food consumption and expenditures Non-food expenditures Income Credit Literacy Social Safety Nets Support for orphans Support for adults Household shocks Assessment of well-being Time use Anthropometric measures: child & adult

Visualizing the samples: Household Survey Intervention Households Mchinji Comparison Households

Ethical Issues Approval from Malawi National Health Research Council Approval from Boston University Institutional Review Board Surveys kept in locked cabinet; Data stored in password protected computers Study explained and Informed Consent from all participants Respondents can refuse to answer any questions or end interviews at any time No one outside of study team will have access to linked data or information on who participates

Types of questions to answer What impacts does transfer have on these domains? ability to buy basic needs nutrition adult and child time use child health and growth OVC caregiving child labour and schooling migration health seeking behaviors; What impact does the transfer have in the short-term (6 months) vs. longer-term (1 year)?

B. Qualitative Impact Evaluation In-depth and key informant interviews allow a thorough, individual perspective on sensitive topics Focus group discussions allow the efficient collection of a diversity of opinions on topics Combined, techniques permit the investigation of knowledge and attitudes about an issue with breadth, depth, social and cultural relevance

In-depth interviews of recipients Sample Recipient households (~80) Identified by random sampling of recipients stratified by age (<25 years, 26-49 years, 50+ years) and gender Final number TBD; interviewers to continue until no new valuable or unique information found Methods Trained bi-lingual (Chichewa/English) interviewers Interviews in private, convenient location for participant Limited to 60 minutes. Interview guides pilot-tested before being finalized

Types of questions to answer How has the transfer contributed to: Mitigating the impact of AIDS? Changes in the households spending and care patterns? Hygiene and health seeking behaviors? Mobility and migration? Violence in the household? Child labour and other sensitive issues?

Key informant interviews To assess local perceptions of transfer To mitigate the impact of AIDS On recipients behaviors (livelihoods, time use, health seeking) Perceptions of fairness of targeting Existence of jealousy among non-beneficiaries Perceptions of possible economic multiplier effects ~ 30 interviews with local stakeholders Health care facilities, schools, social workers Police department, agricultural services AIDS support organizations including NGOs, CBOs, FBOs, Others?

Types of questions to answer Local perceptions of The impact of the transfer on households and the local community How recipients behaviors have changed How recipients use of services have changed (health and education, etc.) Jealousy, envy and/or relief that families now have support

Focus Group Discussions To asses community perceptions of the impact of the cash transfer on recipient households and on the overall community. Sample members of households that were initially identified as ultra poor but were eliminated during the ranking process village headmen, women s groups, and others? ~20 focus groups gathering stakeholders and community members from intervention villages.

Focus Group Discussions Trained, bi-lingual (Chichewa/English) interviewers Approximately 1 hour long discussions Semi-structured question guide allows coverage of specific topics and open-ended discussion Interviewer will probe when unexpected, but relevant, responses emerge Participants asked to free list regarding the impact of transfers on community Issues are prioritized so that scope of issues and relative importance is captured

Types of questions to answer Again, what are the local perceptions of the impact of the transfer on individuals, households and the community? Is jealousy/envy a serious concern? Do local traders feel that the transfer is boosting sales?

2. Assessment of Targeting / revised! Listing of all households where cash transfer scheme is operational in Mchinji Systematic random sample of 615 households from household listing Abbreviated version of baseline survey Household panel Income and expenditure data Housing characteristics Asset ownership Labour patterns AIDS affected or not (deaths, illness, orphans)

Types of questions to answer How many households are eligible for the transfer and not receiving it? Labor Constrained Yes No How many households are not eligible for the transfer but do receive it? What percentage of households fall into assumed pattern? Poverty Yes No A C B 10%? D

Visualizing the samples: Household Survey Mchinji Where scheme is operational. 1.Household listing. 2. Sampling

3. Systems Evaluation: Operational performance assessment The purpose is to assess these technical issues: Management of the program Programme strengths and weaknesses Operational costs Transparency of process Transparency of accounting Internal monitoring and control Cooperation at multiple levels Internal and external communication Program linkage

Methods: Analysis of reports, files, processes and monitoring tools Observation of scheme Key informant interviews with national and district government stakeholders Focus group discussions with community committees responsible for implementation

Interviews and Focus Groups Key informant interviews National and district government stakeholders 1. Social Protection Steering Committee 2. Social Protection Technical Committee 3. District Executive Committee 4. District Social Protection sub-committee and the 5. Social Cash Transfer Committee and Secretariat Focus group discussions 1. Village Development Committees 2. Community Social Protection Committees and Chiefs Others?

Types of questions to answer Is the project managed effectively? Are there any actions that stakeholders believe could improve efficiency? Are operational costs realistic and appropriate? Is the process and accounting transparent at many levels? What are the perceptions around corruption and leakage of funds? Is the internal monitoring and control process adequate? Does the scheme have cooperation from stakeholders at various levels Is internal and external communication adequate and are there linkages to other needed programmes and services

Outputs Reports to Department of Poverty and Disaster Management, UNICEF, USAID Presentations to Department of Poverty and Disaster Management, other government departments, UN agencies, partners etc. Journal and professional literature International conferences

Questions Dr. Candace Miller Assistant Professor Center for International Health and Development Boston University School of Public Health 85 East Concord Street, 5 th Floor Boson, Massachusetts 02118, USA http://sph.bu.edu Phone: 617-414-1216 Fax: 617-414-1261 Cell: 617-272-6392 Malawi Cell: 0-938-7013 Candace@bu.edu

Kufuna Kumvetsa Mchinji Cash Transfer Evaluation of the Mchinji Social Cash Transfer Pilot Center for International Health Boston University Boston Massachusetts USA Dr. Candace Miller USA 001 617 414 1216 or 001 617 272 6392 Malawi 08 782 129 Centre for Social Research University of Malawi Maxton Tsoka 08 838 508