Exploring economic empowerment and gender issues in Lesotho's Child Grants Programme: a qualitative study.

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health policy and planning Pub Date : 2024-02-22 DOI:10.1093/heapol/czad009
Elodie Besnier, Thandie Hlabana, Virginia Kotzias, Kathryn Beck, Celine Sieu, Kimanzi Muthengi
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Abstract

Cash transfers (CTs) have been increasingly used in low- and middle-income countries as a poverty reduction and social protection tool. Despite their potential for empowering vulnerable groups (especially women), the evidence for such outcomes remains unclear. Additionally, little is known about how this broad concept fits into and is perceived in such programmes. For example, Lesotho's Child Grants Programme (CGP) is an unconditional CT targeting poor and vulnerable households with children. The CGP has been presented as one of the Lesotho's flagship programmes in developing the country's social safety net system. Using the CGP's early phases as a case study, this research aims to capture how programme stakeholders understood and operationalized the concept of economic empowerment (especially women's) in Lesotho's CGP. The qualitative analysis relied on the triangulation of information from a review of programme documents and semi-structured key informant interviews with programme stakeholders. First, the programme documents were coded deductively, while the interview transcripts were coded inductively, and then both materials were analysed thematically. Finally, differences or disagreements within each theme were explored individually according to the programme's chronology, the stakeholders' affiliation and their role in the CGP. The complexity of economic empowerment was reflected in the diversity of definitions found in the desk review and interviews. Economic empowerment was primarily understood as improving access to economic resources and opportunities and, less so, as agency and social and economic inclusion. There were stronger disagreements on other definitions as they seemed to be a terminology primarily used by specific stakeholders. This diversity of definitions impacted how these concepts were integrated into the programme, with particular gaps between the strategic vision and operational units as well as between the role this concept was perceived to play and the effects evaluated so far.

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探索莱索托儿童补助金计划中的经济赋权和性别问题:定性研究。
中低收入国家越来越多地将现金转移作为一种减贫和社会保护工具。尽管现金转移具有增强弱势群体(尤其是妇女)能力的潜力,但取得这些成果的证据仍不明确。此外,人们对这一广泛概念如何融入此类计划以及在此类计划中如何看待这一概念也知之甚少。例如,莱索托的 "儿童补助金计划"(CGP)是一项无条件的现金转移计划,主要针对有子女的贫困弱势家庭。儿童补助金计划是莱索托发展国家社会安全网系统的旗舰计划之一。本研究以 CGP 的早期阶段为案例,旨在了解莱索托 CGP 中的项目利益相关者是如何理解和操作经济赋权(尤其是妇女赋权)这一概念的。定性分析依赖于对项目文件的审查和与项目利益相关者进行的半结构化关键信息访谈所获得的信息的三角分析。首先,对计划文件进行演绎编码,对访谈记录进行归纳编码,然后对两份材料进行主题分析。最后,根据计划的时间顺序、利益相关者的隶属关系以及他们在 CGP 中的角色,逐一探讨每个主题中的差异或分歧。经济赋权的复杂性体现在案头审查和访谈中发现的定义的多样性。增强经济权能主要被理解为改善获得经济资源和机会的途径,而较少被理解为机构以及社会和经济包容。对其他定义的分歧更大,因为它们似乎主要是特定利益攸关方使用的术语。定义的多样性影响了如何将这些概念纳入计划,战略愿景和业务单位之间,以及在这一概念被认为发挥的作用和迄今评估的效果之间存在着特殊的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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