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Exploring health equity in Lesotho's Child Grants Programme.

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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.