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Exploring health equity in Lesotho's Child Grants Programme
Elodie Besnier1,2, Virginia Kotzias1, Thandie Hlabana3,4
1Centre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), PO box 8900, Torgarden, Trondheim 7491, Norway.
Health Policy and Planning
|January 24, 2024
Summary
Cash transfers (CTs) can improve health equity, but their implementation in Lesotho
Area of Science:
- Public Health
- Social Policy
- Health Equity Studies
Background:
- Cash transfers (CTs) are increasingly popular social protection programs.
- Little is known about their impact on health equity in communities.
- Lesotho's Child Grants Programme (CGP) targets vulnerable households with children.
Purpose of the Study:
- To explore how stakeholders understood and operationalized health equity within Lesotho's CGP.
- To identify challenges in translating health equity concepts into program implementation.
Main Methods:
- Qualitative case study of the early phases of the CGP.
- Triangulation of findings from desk reviews and key informant interviews.
- Thematic analysis of program documents and interview transcripts.
Main Results:
- Stakeholders recognized health equity issues but defined it narrowly, focusing on access for disadvantaged children.
- This narrow definition was not consistently applied in daily operations or local reporting.
- An operationalization gap existed between the concept and its practical implementation.
Conclusions:
- The conceptualization of health equity in the CGP was limited and not fully operationalized.
- This gap may have affected the program's impact on health equity and related health outcomes.
- Clearer, measurable applications of health equity are crucial for CT programs to achieve their objectives.
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