COVID-19 and the Impact of Cash Transfers on Health Care Use in Togo

COVID-19 and the Impact of Cash Transfers on Health Care Use in Togo | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article COVID-19 and the Impact of Cash Transfers on Health Care Use in Togo Yaovi TOSSOU This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-145956/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 5 You are reading this latest preprint version Abstract Background : Cash transfer program during pandemics provide a social protection mechanism to improve the health of the most vulnerable households. This article analysis the impact of cash transfers on household demand for health care during Covid-19. Methods : Using data from the survey conducted from 8 to 17 July 2020 covering all 44 districts in the 6 health regions of Togo under the direction of the United Nations Office for Project Services (UNOPS), we used propensity score matching and the ESR model. These models allow us to analysis the impact of cash transfers on health care use during Covid-19. Results : Analysis of the results shows a positive impact of cash transfers on the use of health care services in Togo for beneficiary households. In addition, the health insurance promotes the use of health care among households' socio-economic factors. Conclusion : This cash transfer program is an effective approach to improving access to health care services for the most vulnerable households, particularly in the most disadvantaged settings. Thus, policy makers need to extend these cash transfers to a large part of the population during this Covid-19 health crisis as it has a positive impact on the demand for health care. Health Economics & Outcomes Research Health Policy Cash transfers COVID-19 Pandemics use of care propensity scores recipient households Figures Figure 1 Figure 2 Figure 3 Full Text Tables Due to technical limitations, table 1-4 is only available as a download in the Supplemental Files section. Supplementary Files Table.docx Cite Share Download PDF Status: Under Review Version 1 posted Editorial decision: Major revision 25 Jan, 2021 Editor assigned by journal 21 Jan, 2021 Editor invited by journal 15 Jan, 2021 Submission checks completed at journal 15 Jan, 2021 First submitted to journal 12 Jan, 2021 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-145956","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":8272183,"identity":"7ccbf8c1-7ea0-4f06-bf63-dc62efeb8607","order_by":0,"name":"Yaovi TOSSOU","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA4UlEQVRIiWNgGAWjYHADxsYHDAwHQIwHeNXxIGlpNoBoYTYgVgsDmwRRWuzZ2x9/+Nh2WJ5fIrmtmqfmjhw/AzPbB7y28Jwxk5zZdthw5ozEtts8x54ZSzYwM8/Aq0Uih42Zt+0w44YzB4Fa2A4nbjjAfxi/XyTSH38GarEHaSnm+QfSwsxMQEuCgTRQS+KG441tzGAGQS1ngH6ZcS49eWZ7Y7Pk3L7DxpLNBLSwtwND7EOZtW0/M/vDD2++HZbjZ2/GrwUKmsEkEziWiNLAwFAHJhl/EKd6FIyCUTAKRhgAABnRSgSaRmuVAAAAAElFTkSuQmCC","orcid":"","institution":"University of Lomé","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Yaovi","middleName":"","lastName":"TOSSOU","suffix":""}],"badges":[],"createdAt":"2021-01-12 15:29:18","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-145956/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-145956/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":5067370,"identity":"86c21378-54fd-4b3d-9389-f36e6e2c0bcc","added_by":"auto","created_at":"2021-01-18 23:24:53","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":28000,"visible":true,"origin":"","legend":"Distribution of propensity scores between the two groups ","description":"","filename":"Fig1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-145956/v1/8ef1991519f4f7608edb01c6.jpg"},{"id":5067463,"identity":"681bee7d-6bbe-49d0-a16c-3ba2d43a7bbb","added_by":"auto","created_at":"2021-01-18 23:30:53","extension":"jpg","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":40880,"visible":true,"origin":"","legend":"Analysis of cash transfer recipient households when using health care before and after treatment. ","description":"","filename":"Fig2.jpg","url":"https://assets-eu.researchsquare.com/files/rs-145956/v1/2d4e86c69e811c2bfac37dcd.jpg"},{"id":5067395,"identity":"ce02ff85-2b17-4e2d-b1df-cb4bf3664085","added_by":"auto","created_at":"2021-01-18 23:27:54","extension":"jpg","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":41252,"visible":true,"origin":"","legend":"Analysis of the distribution of propensity scores before and after treatment according to the characteristics of the variables. 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This article analysis the impact of cash transfers on household demand for health care during Covid-19.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e: Using data from the survey conducted from 8 to 17 July 2020 covering all 44 districts in the 6 health regions of Togo under the direction of the United Nations Office for Project Services (UNOPS), we used propensity score matching and the ESR model. These models allow us to analysis the impact of cash transfers on health care use during Covid-19. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: Analysis of the results shows a positive impact of cash transfers on the use of health care services in Togo for beneficiary households. In addition, the health insurance promotes the use of health care among households' socio-economic factors. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: This cash transfer program is an effective approach to improving access to health care services for the most vulnerable households, particularly in the most disadvantaged settings. Thus, policy makers need to extend these cash transfers to a large part of the population during this Covid-19 health crisis as it has a positive impact on the demand for health care.\u003c/p\u003e","manuscriptTitle":"COVID-19 and the Impact of Cash Transfers on Health Care Use in Togo","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2021-01-18 23:24:52","doi":"10.21203/rs.3.rs-145956/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major revision","date":"2021-01-25T05:35:04+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2021-01-21T09:23:08+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2021-01-15T07:06:31+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2021-01-15T06:01:22+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Health Services Research","date":"2021-01-12T15:18:47+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"aa32d19a-5eea-418f-92e7-cd3c9e5eb440","owner":[],"postedDate":"January 18th, 2021","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[{"id":1952840,"name":"Health Economics \u0026 Outcomes Research"},{"id":1952841,"name":"Health Policy"}],"tags":[],"updatedAt":"2021-08-05T02:44:05+00:00","versionOfRecord":[],"versionCreatedAt":"2021-01-18 23:24:52","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-145956","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-145956","identity":"rs-145956","version":["v1"]},"buildId":"-HB7Z8yhvgn0wM9Nzuekk","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}