{"id":8549,"date":"2022-08-07T23:19:48","date_gmt":"2022-08-07T23:19:48","guid":{"rendered":"http:\/\/lonecandle.com\/?p=8549"},"modified":"2022-08-07T23:19:48","modified_gmt":"2022-08-07T23:19:48","slug":"whats-the-best-way-to-help-extremely-poor-people-after-20-years-the-evidence-is-in","status":"publish","type":"post","link":"https:\/\/lonecandle.com\/?p=8549","title":{"rendered":"What\u2019s the best way to help extremely poor people? After 20 years, the evidence is in."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\n\n&#8220;On a certain level, it seems intuitive that doing more for people \u2014 giving assets and training and cash \u2014 will produce better outcomes than just giving one thing, like cash. But the downside is that it takes more time, effort, and money to run a more complex intervention.<br>So a major question looms over the graduation program: Is it worth spending that money on the program or is it more efficient to just give all the money directly to people in need? In other words, is it really useful to teach the person to fish or should you just&nbsp;<a href=\"https:\/\/www.vox.com\/2015\/8\/4\/9096899\/cash-teach-fish\" target=\"_blank\" rel=\"noreferrer noopener\">give them the damn fish already<\/a>?&#8221;&nbsp; &nbsp; &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8230;<br>&#8220;In recent years, development experts have moved toward an important idea called \u201ccash benchmarking,\u201d which basically says that cash is the benchmark against which all other anti-poverty interventions should be judged. Since giving people cash is easy, efficient, and respectful of their autonomy, aid agencies should only run a different type of program if testing shows that it works better than cash would.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nowadays,when studies come out showing positive results for graduation programs, there\u2019s a tendency to think that this particular combination \u2014 cash plus assets plus training \u2014 does work better than simply giving cash. But just because the graduation approach works great in some scenarios doesn\u2019t mean it\u2019s always the most efficient approach.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For starters, though, let\u2019s look at the evidence suggesting that cash-plus programs work better than simple cash programs. Three studies have run this sort of comparison.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In South Sudan,&nbsp;<a href=\"https:\/\/static1.squarespace.com\/static\/58f90dbdb3db2be88860ccdc\/t\/5a8e67f18165f569cb07a793\/1519282162445\/TUP_BRAC_SouthSudan.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">a study<\/a>&nbsp;looked at what happened to 250 households that got a full graduation program, compared to 125 households that got only cash and 274 households that received neither. Both graduation and cash increased consumption, but only the graduation group saw a significant increase in assets, a sign of more durable wealth. Although the cash group shifted a bit from agriculture to other types of work, they didn\u2019t set up their own lasting businesses that may have been higher-paying.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Uganda,&nbsp;<a href=\"https:\/\/www.poverty-action.org\/study\/variations-ultra-poor-graduation-programming-uganda\" target=\"_blank\" rel=\"noreferrer noopener\">researchers evaluated a graduation-style program<\/a>&nbsp;run by a group called Village Enterprise. It offered training and a capital grant to extremely poor people so they could start a small business. The researchers found that it worked well, increasing self-employment income and consumption. In fact, it&nbsp;<a href=\"https:\/\/www.vox.com\/future-perfect\/2018\/10\/15\/17938112\/cash-graduation-extreme-poverty-uganda-south-sudan\" target=\"_blank\" rel=\"noreferrer noopener\">outperformed cash on these measures<\/a>. The authors speculate that, \u201cleft to themselves \u2014 without training and mentorship \u2014 beneficiaries [of cash transfers alone] struggled to make productive investments, maintain them, and derive sustained value from them.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;In Niger,&nbsp;<a href=\"https:\/\/urldefense.proofpoint.com\/v2\/url?u=https-3A__www.nature.com_articles_s41586-2D022-2D04647-2D8&amp;d=DwMFaQ&amp;c=7MSjEE-cVgLCRHxk1P5PWg&amp;r=kV_pE3Fk2uPZQgQK0cNHqCollNEYBT3dTA9DKAIWwEw&amp;m=4n0KnQbh30hZLupFXGWOMwy8vKI7f1ZJNlNgYkoQ4Eio0P4wUTwXz5-YG45Dil5P&amp;s=U9cVH3PGXzpKw6H4hPFHhNcOdkh4fIrMulM6PZVB4Jo&amp;e=\" target=\"_blank\" rel=\"noreferrer noopener\">a new randomized study<\/a>&nbsp;has highlighted the benefits of taking a multifaceted approach to extreme poverty. The study evaluated women who were already enrolled in a government cash transfer program. The goal was to understand how psychosocial issues \u2014 like feeling depressed or disconnected from your community \u2014 might make it harder to seize economic opportunities. The study found that the women who got psychosocial support showed rates of returns that were higher than those who got only cash. Offering psychosocial support was the most cost-effective route 18 months after the intervention.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;while graduation programs appear to work great in some places, they\u2019re dependent on the market \u2014 and they can run into problems in places where the market is either too dysfunctional or, ironically, too functional.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One&nbsp;<a href=\"http:\/\/hermes-ir.lib.hit-u.ac.jp\/hermes\/ir\/re\/28432\/wp2012-5.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">randomized trial<\/a>&nbsp;in India, published in 2012, is an example of the latter. It found that a graduation program yielded no net impact. Although it shifted participants away from agricultural jobs to other sorts of work, they could\u2019ve earned just as much in their original agricultural jobs. While those original jobs were far from big money-makers, wages for agricultural labor had been improving in India, thanks to programs like the ambitious&nbsp;<a href=\"https:\/\/www.worldbank.org\/en\/programs\/sief-trust-fund\/brief\/an-evaluation-of-indias-national-rural-employment-guarantee-act#:~:text=The%20Government%20of%20India%20passed,per%20year%20for%20poor%20adults.\" target=\"_blank\" rel=\"noreferrer noopener\">National Rural Employment Guarantee<\/a>, so adding in a graduation program didn\u2019t really help.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dysfunctional markets produce their own obstacles. Abed told me about his experience trying to run a graduation program in Balochistan, an extremely dry, desert-like province in southwestern Pakistan, where participants were taught how to run a small business. One problem: Therewasn\u2019t a functional market for the businesses to thrive in. \u201cOnce they graduated, there wasn\u2019t much to go to,\u201d said Abed. \u201cAnd there wasn\u2019t microfinance available. So it was very, very difficult.\u201d&#8221;&nbsp;&nbsp;<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Another way a graduation program can flop is if it fails to be cost-effective. In the huge 2015&nbsp;<a href=\"https:\/\/gap.hks.harvard.edu\/multifaceted-program-causes-lasting-progress-very-poor-evidence-six-countries\" target=\"_blank\" rel=\"noreferrer noopener\">randomized study<\/a>&nbsp;that looked at graduation programs in six countries, Banerjee and his co-authors&nbsp;<a href=\"https:\/\/www.aeaweb.org\/articles?id=10.1257\/aeri.20200667\" target=\"_blank\" rel=\"noreferrer noopener\">note<\/a>&nbsp;that although the program proved extremely cost-effective in some places, easily paying for itself within 10 years, other countries don\u2019t have such low costs and high benefits in the short run. In Peru, for example, such a program wouldn\u2019t break even.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Abed is convinced that graduation is the best approach for the ultra-poor, but he acknowledges that what makes the most sense for the moderate poor is a somewhat open question. Also, while graduation may be best for ultra-poor people who are young and healthy enough to go start businesses if given half a chance, it may not work for those who are elderly or disabled. For those groups, the answer may well be cash transfers.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a rel=\"noreferrer noopener\" href=\"https:\/\/www.vox.com\/future-perfect\/23152657\/poverty-cash-graduation-ultra-poor-brac\" target=\"_blank\">https:\/\/www.vox.com\/future-perfect\/23152657\/poverty-cash-graduation-ultra-poor-brac<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;On a certain level, it seems intuitive that doing more for people \u2014 giving assets and training and cash \u2014 will produce better outcomes than just giving one thing, like cash. But the downside is that it takes more time, effort, and money to run a more complex intervention.<\/p>\n<p>So a major question looms over the graduation program: Is it worth spending that money on the program or is it more efficient to just give all the money directly to people in need? In other words, is it really useful to teach the person to fish or should you just give them the damn fish already?&#8221;     <\/p>\n<p>&#8230;<\/p>\n<p>&#8220;In recent years, development experts have moved toward an important idea called \u201ccash benchmarking,\u201d which basically says that cash is the benchmark against which all other anti-poverty interventions should be judged. Since giving people cash is easy, efficient, and respectful of their autonomy, aid agencies should only run a different type of program if testing shows that it works better than cash would.<br \/>\nNowadays, when studies come out showing positive results for graduation programs, there\u2019s a tendency to think that this particular combination \u2014 cash plus assets plus training \u2014 does work better than simply giving cash. But just because the graduation approach works great in some scenarios doesn\u2019t mean it\u2019s always the most efficient approach.<\/p>\n<p>For starters, though, let\u2019s look at the evidence suggesting that cash-plus programs work better than simple cash programs. Three studies have run this sort of comparison.<\/p>\n<p>In South Sudan, a study looked at what happened to 250 households that got a full graduation program, compared to 125 households that got only cash and 274 households that received neither. Both graduation and cash increased consumption, but only the graduation group saw a significant increase in assets, a sign of more durable wealth. Although the cash group shifted a bit from agriculture to other types of work, they didn\u2019t set up their own lasting businesses that may have been higher-paying.<\/p>\n<p>In Uganda, researchers evaluated a graduation-style program run by a group called Village Enterprise. It offered training and a capital grant to extremely poor people so they could start a small business. The researchers found that it worked well, increasing self-employment income and consumption. In fact, it outperformed cash on these measures. The authors speculate that, \u201cleft to themselves \u2014 without training and mentorship \u2014 beneficiaries [of cash transfers alone] struggled to make productive investments, maintain them, and derive sustained value from them.\u201d<\/p>\n<p> In Niger, a new randomized study has highlighted the benefits of taking a multifaceted approach to extreme poverty. The study evaluated women who were already enrolled in a government cash transfer program. The goal was to understand how psychosocial issues \u2014 like feeling depressed or disconnected from your community \u2014 might make it harder to seize economic opportunities. The study found that the women who got psychosocial support showed rates of returns that were higher than those who got only cash. Offering psychosocial support was the most cost-effective route 18 months after the intervention.&#8221;<\/p>\n<p>&#8230;<\/p>\n<p>&#8220;while graduation programs appear to work great in some places, they\u2019re dependent on the market \u2014 and they can run into problems in places where the market is either too dysfunctional or, ironically, too functional.<\/p>\n<p>One randomized trial in India, published in 2012, is an example of the latter. It found that a graduation program yielded no net impact. Although it shifted participants away from agricultural jobs to other sorts of work, they could\u2019ve earned just as much in their original agricultural jobs. While those original jobs were far from big money-makers, wages for agricultural labor had been improving in India, thanks to programs like the ambitious National Rural Employment Guarantee, so adding in a graduation program didn\u2019t really help.<\/p>\n<p>Dysfunctional markets produce their own obstacles. Abed told me about his experience trying to run a graduation program in Balochistan, an extremely dry, desert-like province in southwestern Pakistan, where participants were taught how to run a small business. One problem: There wasn\u2019t a functional market for the businesses to thrive in. \u201cOnce they graduated, there wasn\u2019t much to go to,\u201d said Abed. \u201cAnd there wasn\u2019t microfinance available. So it was very, very difficult.\u201d&#8221;  <\/p>\n<p>&#8230;<\/p>\n<p>&#8220;Another way a graduation program can flop is if it fails to be cost-effective. In the huge 2015 randomized study that looked at graduation programs in six countries, Banerjee and his co-authors note that although the program proved extremely cost-effective in some places, easily paying for itself within 10 years, other countries don\u2019t have such low costs and high benefits in the short run. In Peru, for example, such a program wouldn\u2019t break even.&#8221;<\/p>\n<p>&#8230;<\/p>\n<p>&#8220;Abed is convinced that graduation is the best approach for the ultra-poor, but he acknowledges that what makes the most sense for the moderate poor is a somewhat open question. Also, while graduation may be best for ultra-poor people who are young and healthy enough to go start businesses if given half a chance, it may not work for those who are elderly or disabled. For those groups, the answer may well be cash transfers.&#8221;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[1503,676,707,811],"class_list":["post-8549","post","type-post","status-publish","format-standard","hentry","category-article-share","tag-evidence","tag-poor","tag-poverty","tag-science"],"_links":{"self":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/8549","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8549"}],"version-history":[{"count":1,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/8549\/revisions"}],"predecessor-version":[{"id":8550,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/8549\/revisions\/8550"}],"wp:attachment":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8549"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8549"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8549"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}