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Productive impacts of improved service access and livelihood support in Ethiopia

Endline report on the Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer (IN-SCT) Pilot Programme











Prifti, E., Bhalla, G. and Grinspun, A. 2021. Productive impacts of improved service access and livelihood support in Ethiopia – Endline report on the Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer (IN-SCT) Pilot Programme. Rome, FAO. 




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    The case of the Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer/ Productive Safety Net Programme (IN-SCT/PSNP) pilot programme in Ethiopia
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    The Integrated Nutrition Social Cash Transfer (IN-SCT) pilot project was embedded within Ethiopia’s Productive Safety Net Programme phase 4 (PSNP4). The PSNP4 programme supports food insecure households through two components: a cash transfer component that requires the recipient to participate in public work activities or to comply with soft conditionalities on access to social and health services; and a livelihood support component. This evaluation report presents the impacts of PSNP/IN-SCT on productive outcomes ranging from crop and livestock production to labour supply, non-farm businesses, use of inputs and the like. The report is part of a wider evaluation study that brings together IFPRI, the Institute of Development Studies (IDS) at University of Sussex and Cornell University. While these organizations set up the study design and focused their analyses of impacts on outcomes related to food security, hygiene, access to health services and nutritional status, FAO has contributed by analysing the productive impacts of the programme. This paper is being published in the context of a partnership between FAO, IFAD and the Universidad de los Andes (UNIANDES) and its Centro de Estudios en Desarrollo Económico (CEDE) based in Bogotá, Colombia.
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    Rural livelihoods and social protection (SP) are highly correlated in Africa. The poor rural population makes the larger share of social protection clients on the continent. Improving coherence between social protection and other sources of rural earnings have the potential to improve the well-being of the rural poor. Despite this, the effort to advance articulation of SP with other rural development programmes and projects has often been undermined by the sectoral approach often pursued in most African countries, including Ethiopia. This study is therefore meant to assess the coherence between social protection, health and nutrition services, and agriculture by taking the case of Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer (IN-SCT) in Productive Safety Net Programme (PSNP) setting in Ethiopia. The IN-SCT as an integral part of PSNP 4, was designed to pilot specific elements of PSNP4 (i.e. health/nutrition service linkage and nutrition sensitive agriculture) for scaling up during the roll out of the programme. This paper is being published in the context of a partnership between FAO, IFAD and the Universidad de los Andes (UNIANDES) and its Centro de Estudios en Desarrollo Económico (CEDE) based in Bogotá, Colombia.
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    Baseline report of the Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer (IN-SCT) programme
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    The Improved Nutrition through Integrated Basic Social Services with Social Cash Transfer (IN-SCT) is a three-year pilot programme implemented by the Government of Ethiopia, with funding from UNICEF and Irish Aid. The programme started in the end of 2015 and currently covers two districts (woredas) in each of the following regions: Oromia and the Southern Nations, Nationalities, and Peoples' Region (SNNP). The IN-SCT is an integral part of the Productive Safety Net Programme (PSNP) in the latter’s fourth phase (2015-2018). The IN-SCT programme aims to enhance access to social services by fostering co-responsibilities for two groups of PNSP clients: Permanent Direct Support clients, receiving 12 months of transfers per year; and Temporary Direct Support clients, Public Works clients who are temporarily transitioning to the Direct Support components, based on certain circumstances, such as being pregnant or lactating or being a caretaker of a malnourished child, and are receiving six months of cash transfers with soft conditionalities. The IN-SCT programme expands the PSNP4 by offering an integrated package of multi-sectoral nutrition services. In SNNP, the programme supports the nutrition-sensitive interventions under PSNP and also undertakes activities to improve the quality of health services offered. In Oromia, a less intensive version of the IN-SCT programme is being implemented. This report aims to show how production choices are linked to nutrition and consumption behaviour. To do so, we first provide a snapshot of the rural livelihoods in the SNNP region by focusing on outcomes that allow us to gauge the economic and productive impacts of the IN-SCT, including agricultural production and other income-generating activities, labour supply, the accumulation of productive assets and access to credit and transfers. We then link some of these outcomes to indicators such as food consumption and household dietary diversity and study their patterns across the outcome distributions. We provide descriptive statistics from the baseline household survey conducted for the evaluation of the IN-SCT Pilot Programme in SNNP region. A baseline survey for the impact evaluation, including both quantitative and qualitative components, was conducted April–May 2016 in both SNNP and Oromia regions, though the sample for Oromia has not been included in the study, given the lack of a comparison group and the absence of nutrition-sensitive agricultural interventions.

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