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Google-Funded Study Finds Cash Beats Typical Development Aid (wired.com) 117

Traditional international aid programs typically offer some combination of clean water, livestock, textbooks, and nutritional supplements. A new study funded by Google.org and the US Agency for International Development asks whether the poor would benefit more if they were given cash and free to spend the money as they see fit. Wired: Researchers had two goals: compare an established program to combat childhood malnutrition with giving people the equivalent value ($117 per month) in cash, and compare the cash equivalent to a much larger sum, $532 per month. After a year, results [PDF] released Thursday found that found that neither the established program nor its cash equivalent were able to improve child health, but the large cash transfers significantly improved people's health and financial standing. On the surface, that's not surprising. Of course giving people more than four times as much money gives them access to better nutrition. But the study's co-author Andrew Zeitlin, a professor from Georgetown, says the idea was to provide benchmarks for future programs; it's not unusual for nutritional aid programs to cost $500 or even $800 per month, he says.

The traditional malnutrition program, called Gikuriro, was funded by USAID and administered by Catholic Relief Services. It combined help with water, sanitation, and hygiene with training on nutrition, some small livestock and seeds, and guidance on financial habits like saving. The study focused on households with children under the age of 5 and women of reproductive age, with an emphasis on the first 1,000 days of the child's life. The results indicate that Gikuriro helped recipients increase their savings and increased overall health knowledge and vaccination rates in villages, two of the program's goals. However, neither the malnutrition program nor its cash equivalent led to a more diverse diet, or improved child health, as measured by height and weight. The larger cash transfer, on the other hand, led to improvements in food diversity, a drop in child mortality, an increase in household wealth, and improvements in child health measurements, as well as improvements in village vaccination rates.

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Google-Funded Study Finds Cash Beats Typical Development Aid

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  • by Nutria ( 679911 ) on Friday September 14, 2018 @02:02PM (#57315442)

    Back in the 1980s, more than one study showed that the bureaucratic overhead of the multitude of welfare programs was stupendously high.

    Much cheaper to just give poor people the money.

    • by Calydor ( 739835 ) on Friday September 14, 2018 @02:05PM (#57315450)

      And what I heard in the 90s was that giving money to the citizens of impoverished nations (let's be direct and say Africa here) just meant that the money ended up in the pockets of that country's government. Those guys had much less use of, say, a sack of goat feed.

      • by Nutria ( 679911 )

        You heard wrong, because "aid to the government for the people" is radically different from "cash directly to the people".

        • You heard wrong, because "aid to the government for the people" is radically different from "cash directly to the people".

          "Cash directly to the people" frequently doesn't *stay* with the people, and even less frequently does it acutally *go* to the people.

          Lets say there's an African state that receives charity (almost all do, but I'm going to go nameless on this): to give the cash directly to people who can spend it the US dollar is used to *buy* cash from the state, at which point the state merely prints worthless local currency and takes the dollars - "money" went to the people but it was the worthless local stuff while the

      • Yeah best case most of the money gets to the poor. Even then you're basically subsidizing the regime in that country by offsetting the negative consequences. Africa has me really worried. We're pouring money into it and causing their population to boom dramatically assuming that they'll continue industrializing and then reach a point of less than the replacement rate of 2.x children per woman. They'll reach 2+ billion people in 2035 or thereabout. We're assuming a European or Asian type response but Af
      • that soldiers would just come and take it. The say basically the same thing about welfare and food stamps (e.g. that the money never makes it to the ones that need it). They use the same logic to argue against minimum wage increases; e.g. that it'll just raise inflation.

        They want you to accept the world as is. That nothing you ever do or try will make the slightest difference. Funny thing is this study says cash is more effective, but that must mean that both cash and food aid are effective, since you
        • When you make sweeping statements about "they", you're just lamenting that everyone else doesn't believe in the same things you do in the same ratios.
      • Exactly. I have very little experience with poor countries, but everything I've heard anecdotally leads me to believe that in practice it's likely that in most cases very little of the cash targeted for the poor will trickle down to them. It'll likely do wonders for the president for life, some ministers and the local Mercedes importer and his family though.

    • by Anonymous Coward

      Economists have been beating politicians over the head with this for decades now.

      It's not even bureaucratic inefficiency and overhead that is the big problem, it's that these programs create bad incentives and market distortions that severely hamper the overall benefit.

      If you're going to give people money, just cut them a check. Evidence clearly shows that is leads to superior outcomes.

      The notion that you need to add strings to aid money is misguided, paternalistic, or even downright racist.

    • by lgw ( 121541 )

      Much cheaper to just give poor people the money.

      Depends on what sort of "aid money" we're talking about. If you give cash to a third-world shithole, it ends up in the Swiss bank account of the dictator, and the people get nothing. The less marketable the aid, the less can be stolen by the government, so even if the aid itself is less use to the poor you're trying to help, they still came out ahead.

      Similar, giving cash to a drug addict will in no way help either the drug addict nor their starving children. But there's certainly efficiently in just givin

    • by mspohr ( 589790 )

      I've done a lot of development work and I always though the most effective money spent was what I put into the local economy paying people for food, stuff, drivers, etc.

    • Don't give free stuff. It will not be used respectfully.
      Don't give cash. It will not be used sustainably.

      Give jobs and allow a working industrial economy to take place. That's the only sustainable thing to do.

  • Sure (Score:4, Interesting)

    by balsy2001 ( 941953 ) on Friday September 14, 2018 @02:04PM (#57315446)
    Isn't this one of the basic ideas behind free markets. The invisible hand at work. Why should we assume that what someone from a third world country needs is a cow. I think avoiding cash is based on people's general tendency to want to control others. Don't want them to do something with their charity that they don't approve of with the money.
    • Re:Sure (Score:5, Insightful)

      by werepants ( 1912634 ) on Friday September 14, 2018 @02:25PM (#57315570)

      Isn't this one of the basic ideas behind free markets. The invisible hand at work. Why should we assume that what someone from a third world country needs is a cow. I think avoiding cash is based on people's general tendency to want to control others. Don't want them to do something with their charity that they don't approve of with the money.

      Came here to say exactly this. Giving aid directly in the form of cash empowers the people on the ground to use it to best fulfill their needs. The biggest opponents of this kind of thing are the puritanical folks who don't want a single charitable dollar to be used for any non-necessary (in their opinion) expenses.

      That said - this kind of thing does need to be implemented thoughtfully, because it's easy to imagine that organized-crime types will find ways to exploit this to enrich themselves off of charitable giving. As with most things, it all comes down to diligence in the implementation.

      • Re: (Score:2, Insightful)

        by lgw ( 121541 )

        On the one hand, you are not helping a drug addict by giving them money. OTOH, so what? Anything you do give them just gets sold, and you're just making it less efficient for everyone else.

        • by MobyDisk ( 75490 )

          Anything you do give them just gets sold, and you're just making it less efficient for everyone else.

          If the government gives an addict money, the addict buys drugs. No question here really. But what if you pay their rent instead?

          If the government pays an addicts rent, then at least the addict has a house. To your point, the individual could rent that house out and use the money for drugs, but at least the addict has a house, and there is a resident, and the landlord gets rent. So now the landlord can afford to maintain the house, which maintains the housing value in that area. You also generally know

          • by lgw ( 121541 )

            If the government pays an addict's rent, the addict rents out the place (perhaps to 6 other addicts) and uses the money to buy drugs. That's the world of an addict - there's nothing you can give him that won't be sold to buy drugs, at some point in the downward spiral.

          • How about instead we give them a free room in a nice monitored location and they undergo treatment for their addictions? That way we know for damn sure where they are and where they're going to shit.
            • by MobyDisk ( 75490 )

              We do that. The limitations are:
              1) Money
              2) It is voluntary.
              3) It is not terribly effective when the person is mentally handicapped or has no education or job skills.
              It's tough.

      • Re: (Score:3, Interesting)

        by MobyDisk ( 75490 )

        The biggest opponents of this kind of thing are the puritanical folks who don't want a single charitable dollar to be used for any non-necessary (in their opinion) expenses.

        The biggest opponents of this kind of thing are people who have worked with homeless, or mentally handicapped individuals who don't know how to handle money, or are taken advantage of. The modern welfare systems in the US and Europe do this because experience shows that if you want someone to have a roof over their head, the best way to do that is to put a roof over their head.

        That said - this kind of thing does need to be implemented thoughtfully, because it's easy to imagine that organized-crime types will find ways to exploit this to enrich themselves off of charitable giving. As with most things, it all comes down to diligence in the implementation.

        Well said. People need to realize that this study wasn't about the welfare system in the US. The situation on the ground in Rwand

        • by jedidiah ( 1196 )

          People aren't any different just because they are on the other side of the planet. I bet if I asked Rwandan nursing home worker, she would have an equally dire view of her own poor relations that I have of mine.

          • by MobyDisk ( 75490 )

            I bet if I asked Rwandan nursing home worker, she would have an equally dire view of her own poor relations that I have of mine.

            *facepalm* They don't HAVE nursing homes in Rwanda.

            To a Rwandan, the idea of putting your elderly parents in a facility is abhorrent. They love their parents, and they would go poor rather than give them to someone else to care for. The idea of a "nursing home" as you might see in the US would be alien to them. You imagine a place where professional nurses change elderly diapers, take them to the hospital upon emergencies, give them their medication, and resuscitate 70-year-old grandma if they have a he

        • The homeless industrial complex is just as self serving as any other group of people.

    • by Anonymous Coward

      What's with people using the phrase "free market" when talking about direct government intervention.

      a) Well run aid organizations (yes, there are several) have local people who understand what the local people need. Rich westerners may buy another water system or some such shit, but rich white people throwing money doesn't work.
      b) Directly giving cash to the poor works has been demonstrated to work much better in a very small scale,
      c) Directly giving cash to the poor creates horrible inflation on the medium

      • c) Directly giving cash to the poor creates horrible inflation on the medium and large scale

        This is the major flaw here. And will there be enough food to actually sell at that scale? Suddenly there's a market for more food that wasn't actually grown/raised - nobody is going to create food that will otherwise go to waste.

      • Just because a government institution is providing help doesn’t mean there arent market forces at play.

        No markets are actually free, I use it as a short hand for the idea that maximizing people’s choices tends to provide better results. Instead of me telling someone what they need to improve their lives, let them decide.

        Your points about scale are well made.
    • I'm going to agree with you in part and disagree in part.

      > Isn't this one of the basic ideas behind free markets. The invisible hand at work. Why should we assume that what someone from a third world country needs is a cow.

      One should certainly at least ASK someone what they need and want before spending a lot of money getting them something that they might not even want.

      There can also be an arrogance among certain communities in the west where think they know better what people need. They feel sorry for

      • I agree dealing with adicts is a different kind of problem, the study appears to be focused on international poverty. Maybe they aren’t comparable topics.

        I also agree there are places where putting cash out there might not be the best idea, but warlords can just take the food, water, cows etc. too.

        General question is what is the point of charity. Everyone can have thier own answer, I would just like mine to provide the maximum benefit to improve lives/minimize suffering.
    • I think avoiding cash is based on people's general tendency to want to control others. Don't want them to do something with their charity that they don't approve of with the money.

      Well, yeah. Whats the problem with that line of thought? Would you give charity to a pimp? Why not?

      Charity is voluntary, and if someone wants to make sure that someone else eats (by giving food) that's fine. If they want to make sure that someone else eats but does not trust that recipient to buy food, where's the problem?

      • The study was looking at international poverty, not pimps. A better discussion might be should we give abused wmen cash to escape the situations they are in.

        I didn’t say there was a problem, you are obviously free to do what you want. I wouldn’t even say that sending food is bad in any way. Maybe it isn’t the best way to maximize improvement in their lives. However, maybe that isn’t what people are going for.
        • The study was looking at international poverty, not pimps.

          Who cares - if you are going to attach your morality to your donation you don't get to complain when others do the same.

          • I didn’t attach any morality to my post, just observation on behavior. However, you just seem to have admitted to the point I was making.
    • by MobyDisk ( 75490 )

      I think avoiding cash is based on people's general tendency to want to control others.

      We used to (and still do) give people lots of cash. The problem is that it isn't spent sustainably. The idea behind giving them livestock is that livestock can create a sustainable source of income. This study found that neither approach actually addressed the thing that they are actually trying to solve. The study doesn't conclude that we should just give people cash. It concludes that neither approach solves the underlying problems, so we need to try something else.

    • For a long time, and still in effect, is a strong paternalistic approach to aid. The aid recipients are treated more like children unable to handle their own affairs. If a small US business asked for a loan then they'd get a cash payment if approved; but for foreign aid that money comes with heavy requirements, restrictions, and hurdles. Then add in political nonsense and you're forbidden from using that money for sex ed and other things some senators find controversial.

    • For Fuck's Sake Slashdot. Fix your damn headlines.

      Google's experiment showed no difference between $117 in cash, and $117 in stuff. However, it turns out, $534 in cash gives a much better outcome. The result isn't "cash is much better than stuff." It's "$117 isn't enough, and you really need to get closer to $534."

      It's sad that, since this information was in the fucking summary no one read it. But to have self-congratulatory backslapping about the free-market is nonsense on top of that. The free mark

    • by mentil ( 1748130 )

      This reminds me of how it was found that when poor Africans were given mosquito netting to help combat malaria, the netting was was used as fish nets instead. Presumably they wanted fish to eat/sell more than they wanted to avoid malaria, which is probably reasonable if they were undernourished. If cash were given to them, they'd have bought (more effective) fish nets in the first place instead of mosquito nets.

  • Large cash transfers significantly improved poor people's financial standing. How much did this study cost?
  • Comment removed (Score:5, Insightful)

    by account_deleted ( 4530225 ) on Friday September 14, 2018 @02:25PM (#57315568)
    Comment removed based on user account deletion
    • by lgw ( 121541 )

      Give them $100 in cash and their dictator gets $100 and they get nothing.

      • Comment removed based on user account deletion
        • by lgw ( 121541 )

          Perhaps, but it's a bit less fungible. Put in a water pump and that hard to sell off. Medical care is tricky - any drugs are immediately stolen and sold, but training locals to be first responders [internatio...lcorps.org] can be a real help. Teaching people to read can also be a big win, and subtle blow to dictators and theocrats. Doubly so teaching girls to read [roomtoread.org] in shitholes where that's outlawed.

      • by mentil ( 1748130 )

        Summary contradicts you. There were measurable improvements to their lives. Promises of future money can be used to obtain transportation away from the ones stealing your money; or bodyguards to protect you from them. Digital wallets can be used to prevent graft, rather than sending paper bills.

    • Yes, sure, but how then will we make a profit with our charity?

    • by MobyDisk ( 75490 )

      Give a third worlder $100 worth of food aid, you are transferring that much food from the US.

      That statement sounds logical, but it isn't what this study was about. They were not buying food at US prices then sending it over to Rwanda. They were buying things like livestock and seeds, at overseas prices, and giving them to the participants, along with training on how to use them.

  • by Anonymous Coward

    This doesn't mean that cash makes for very good aid, it just means aid programs suck so badly, that even giving the aid as cash is better than what they are doing. Handing out cash is still a lousy way to help anyone.

  • CORRECTION (Score:5, Informative)

    by petes_PoV ( 912422 ) on Friday September 14, 2018 @02:34PM (#57315648)

    the cash equivalent to a much larger sum, $532 per month

    The Wired.com article contains a footnote that says:
    CORRECTION, Sept. 14, 2:55PM: Recipients in the study who got cash received $117 or $532. An earlier version of this article incorrectly said they received those amounts per month.

  • The catch is: if you give out cash, you have to be willing to say "no", if the recipient comes back a day later, having blown the cash on something stupid.

    Numerous other attempts have shown: a lot of people will take your cash, and blow it on stupid stuff. Then, they are screwed all over again, having blowing their month's food budget on lottery tickets, or cigarettes, or whatever.

    At that point, you have three choices: either give them even more (stupid, stupid), or take away their control by restricting wh

    • Hopefully, as long as the money stays in the local cigarettes/booze/hookers/blow economy, it's still there to circulate. Buy one iPhone, though ...

  • by MobyDisk ( 75490 ) on Friday September 14, 2018 @02:58PM (#57315798) Homepage

    Be careful applying the results of this study to the welfare situation in Europe and America. This money was a one-time payment to very poor nations with limited infrastructure. The temptation to oversimplify this into "just give welfare recipients cash instead of assistance programs" ignores the reality of the situation on the ground in these nations.

    I used to believe that just giving people money directly was better. I assumed that welfare recipients were mostly people who got stuck in a rut, and just need help getting out, and they can make better decisions about how to spend their money than some big a government organization. Then, I met actually poor and homeless people, talked to the councilors who work with them, and realized how naive I was. The situation is much more complex than the politically-charged stories of someone whose job was replaced by automation. Those are great for putting politicians in office but not for helping people on the street.

    There are lots of people who, given a sum of money, have no idea what to do with it. They don't have sufficient math skills to budget, or sufficient literacy to read and understand and pay their bills. A significant portion of welfare recipients have poor education, mental health problems, or drug addiction. As such they are "reactive" with money. They throw it at the thing that has the most short term benefit. So, for example, they might pay their electric bill, then by a new TV, then some drugs, then fall behind on their rent. To help with this, lots of these programs pay the bill directly, or take the form of discounts by paying the bills partially. That way, the person can't choose to spend the money on a TV since the check went straight to the landlord. Or if the rent appears to be so much cheaper, so they are more likely to pay it. Some people take checks to check cashing locations that take 10% off the top. If you live on the poverty level, a 10% hit like that id destructive! So instead the programs give them bank accounts or ATM cards or specialty welfare cards. In Europe and the US much of the welfare state is aimed at these individuals with mental health problems who really can't manage the cash on their own. Giving them cash is disastrous.

    An example of this that doesn't involve mental health problems is with young NFL players. The NFL realized that when someone comes straight out of college and gets a multi-million dollar salary, they tend to spend it on hookers and blow. So the NFL began a program of training players how to save and invest. If that seems obvious, consider the humor of walking into the local tax office with a 1040EZ form that shows income of $1 million, showing that you owe the government 20% of that. That's a holy !@#$ wake-up moment that most people don't think about. Similar problems happen with child actors or young musicians.

    It's good that we are doing these studies, but I see a lot of responses say "See, we knew all along that giving people cash was better." BUI FTW! But that isn't really what this study is showing us, and we have lots of experience that got us to the system we have today.

    • Drug use among welfare recipients is very low around %3.6 which is far lower then the %8 of general population thought to use drugs. "Talking to the councilors" you will get a oven-representation of drug use as those are the sort of difficult cases they deal with most

      I will agree with you on one thing, our mental-healthcare system is extremely underfunded. We need to do more, especially for the most vulnerable

    • Man, if you said this on facebook, twitter, or YouTube you'd be banned. How is it dog whistle racism like this doesn't get deleted from Slashdot?
    • A number of researches have shown that it applies very well to welfare. It helps much more than other welfare systems (which have little benefit) and has much clearer results for reduced crime, increased education, helping people find work, etc.

      I'm sure that it won't solve all cases, but it will solve a lot more cases then current welfare systems do, and will cost less.

    • One thing that appears to be common to all programs that use financial incentives is that if you want to have a genuine impact it is better to go short and fast rather than slow and steady. Slow and steady just supports the status quo but a quick change cause disruption which can make things better or worse. Instead of providing an extra $20 a week you give a one-time payment of $1000. The extra $20 will just get absorbed into the budget and dissapear but the $1000 will allow the recipient to pay off debt'
  • You know what they say, it's better 1,000 kids starve then allow one person to misuse the money.

  • How do we get to feel superior if we can't tell them exactly what to do with the money?
  • The reason we stopped giving money is because it was being confiscated by corrupt governments and used to fund terrorism of the local populations.

    Giving food, etc, means the help is far more likely to go to the people.

    The real issue is corrupt governments and we're not about to dispense of them. That's called "colonialism."

    Without property rights and security, there is little good that can come with sending cash.

  • by presidenteloco ( 659168 ) on Friday September 14, 2018 @03:49PM (#57316104)
    Give them trackable stablecoins.

    Recipient must click to agree to tracking of those funds through the economy.

    (See corruption in action, or not as the case may be)

    Learn.
    Optimize.
    Repeat.

    Profit?
  • If you give the cash to the men, it tends to get spent on drink and parties, whereas if it goes to women with kids, it tends to get invested in small business and improving the family's health.

    And stolen sometimes.

    What was your end goal?

  • In an unrelated story, Apple announced their sales in Rawanda skyrocketted last year.

  • By cutting out the middleman you will be putting tens of thousands of white NGO workers on the dole. Why would you want to do that?

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