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首页> 外文期刊>Social science and medicine >'There is no point giving cash to women who don't spend it the way they are told to spend it' - Exploring women's agency over cash in a combined participatory women's groups and cash transfer programme to improve low birthweight in rural Nepal
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'There is no point giving cash to women who don't spend it the way they are told to spend it' - Exploring women's agency over cash in a combined participatory women's groups and cash transfer programme to improve low birthweight in rural Nepal

机译：“没有任何不花费他们被告知的女性的现金，这些妇女在被告知要花钱的方式 - 探索妇女的代理商在综合的参与式妇女团体和现金转移方案中探索妇女的现金，以改善尼泊尔农村的低出生体重

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摘要

Cash transfer programmes form an integral part of nutrition, health, and social protection policies worldwide, but the mechanisms through which they achieve their health and nutritional impacts are incompletely understood. We present results from a process evaluation of a combined participatory women's groups and cash transfer programme to improve low birth weight in rural Nepal. We explored the ways in which context, implementation, and mechanism of the intervention affected beneficiary women's agency over cash transfers. Informed by a grounded theory framework, we conducted and analysed semi-structured interviews with 22 beneficiary women, 15 of their mothers-in-law, 3 of their elder sisters-in-law and 20 husbands, as well as a focus group discussion with 7 supervisors of the women's group intervention. Our study reveals how women's group facilitators, their supervisors and community members developed a shared dynamic around persuading and compelling recipients of unconditional cash transfers into spending them according to criteria developed by the group. We found these dynamics effectively constituted 'soft conditions' on beneficiary spending which restricted women's ability to make decisions over their cash transfers, but also increased their likelihood of spending them on their own pregnancy. Our findings demonstrate the importance of understanding how programmes are implemented and responded to in order to understand their implications for beneficiary agency and empowerment.
机译：现金转移计划在全球范围内形成营养，健康和社会保护政策的组成部分，但它们通过其实现健康和营养影响的机制是不完全理解的。我们呈现出对联合参与式妇女团体和现金转移方案的过程评估的结果，以改善尼泊尔农村的低出生体重。我们探讨了干预措施影响受益人妇女代理商通过现金转移的方式。由一个接地的理论框架通报，我们进行了半结构化访谈，与22名受益者女性，其中15名母亲媳妇，其中3名，他们的姐妹媳妇，以及20名丈夫，以及焦点小组讨论7妇女团体干预的监督员。我们的研究揭示了妇女的团体协调人，其主管和社区成员如何根据本集团开发的标准制定了围绕说服和引人注目的现金转移的共享动态。我们发现这些动态有效地构成了受益人支出的“软弱条件”，限制了妇女对其现金转移做出决定的能力，而且还增加了他们在怀孕时花费的可能性。我们的调查结果表明了了解计划如何实施和响应计划的重要性，以了解他们对受益机构和赋权的影响。

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