Poster Paper: Cash Transfers and Adolescent Mental Health: Causal Evidence and Mechanisms

Thursday, November 3, 2016
Columbia Ballroom (Washington Hilton)

*Names in bold indicate Presenter

Kelly Kilburn1, Sudhanshu Handa2 and Gustavo Angeles1, (1)University of North Carolina at Chapel Hill, (2)University of North Carolina, Chapel Hill


Mental health disorders in adolescence, such as depression, can damage child development and prevent a

successful transition to adulthood; however, income increases have been shown to improve child socioemotional

well-being. Using experimental data from an unconditional cash transfer program in Malawi,

this study analyzes the impact of a positive income shock on adolescent mental health. In addition, we

assess potential intervening pathways that lie on the causal pathway between household cash transfers and

adolescent mental health since parents are responsible for spending the cash and because there are no

conditions for how to use the money. The data for this study comes from a cluster-randomized study of

Malawi’s national Social Cash Transfer Program. After the baseline survey, households were randomly

chosen to the treatment group (T) to receive transfers immediately or to the later entry control group (C).

We use a two-wave panel of 3,369 households and 1,332 adolescents. Results from our differences-indifferences

model show no significant effects of the cash transfer on depression for the full sample.

However, for females and orphans known to be more at risk of depression, there is a significant reduction

of depression in the treatment arm. While there are strong impacts from the cash transfer on potential

intervening pathways, we do not find that these pathways explain much of the treatment effect on

adolescent mental health.