Strengthening Household Health Outcomes in Ethiopia: Comparative Insights From Social Protection and Broader Development Strategies

Strengthening Household Health Outcomes in Ethiopia: Comparative Insights From Social Protection and Broader Development Strategies | 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 Strengthening Household Health Outcomes in Ethiopia: Comparative Insights From Social Protection and Broader Development Strategies Daregot Berihun Tenessa This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7444896/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract This study attempts to address the comparative and joint effects of factors like social protection and broader development initiatives on household health quality levels in Ethiopia. While some studies do stress their separate utility, evidence is missing on one versus the other kind, or synergistic impacts are uncommon. Based on five waves of Ethiopian Living Standards Measurement Study data from 2011 to 2021, a pseudo-panel consisting of 15,191 cohorts was constructed with cohorts defined by location, gender, and age groups. Using a panel beta regression model with a logit link and fixed year effects together with random strata effects based on age, marginal impacts were estimated. The findings show that intensifying social protection programmes raises household health quality by 8.41 percentage points, and in contrast, broader development programmes show a weak effect of 1.52, which, however, is statistically insignificant. In this case, the interaction exhibits an opposite effect of synergy, improving health by 12.83 percentage points. Other factors, such as food security, wealth, resilience, and access to electricity, also have notable positive links. The research hence stresses the importance of integrated policy approaches, which give actionable lessons for Ethiopian policymakers and global health development initiatives. Beta-Regression Broader-development Ethiopia Health Social-protection Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted 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. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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-7444896","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":509954886,"identity":"3218453c-3e9f-4a7a-9f1a-ff576a51da4d","order_by":0,"name":"Daregot Berihun Tenessa","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABF0lEQVRIiWNgGAWjYDCCA1DaAIgPA7GcAUMCkGIjqMUArsUYoQWXNmQtzECcuIGQFr7jZx8+/FLxh8Gcvffh4cK2O+nb2XMMGD6UHWbgl2/AqkXyTLqxscwZAwbLnuMGh2e2Pcvd2fPGgHHGucMMkm3YbTE4kMYmLdkGdNiNNIbDvG2HczfcyDFgBjIYDI7h0HL+GftvsJb7z8Ba0g1AWv4Ctdjj0nIjjY3xI9gWNrCWBLAWRpAtOLwveeMZszTDGWMeyx6gw3jOHTbc2fOs4GDPuXQeiWMJ2EPsfBrjxx8VcnLm7MeYP/OUHZY3Z0/e+OBHmbUcf/MB7NYAATMPAwMPighILQ9WtVDA+AOf7CgYBaNgFIwCAMcuYGY/XZzIAAAAAElFTkSuQmCC","orcid":"","institution":"Bahir Dar University","correspondingAuthor":true,"prefix":"","firstName":"Daregot","middleName":"Berihun","lastName":"Tenessa","suffix":""}],"badges":[],"createdAt":"2025-08-24 08:23:16","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-7444896/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7444896/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":90672556,"identity":"1eca1e83-0a82-4000-af81-425c0b34a30c","added_by":"auto","created_at":"2025-09-05 13:52:59","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":688693,"visible":true,"origin":"","legend":"","description":"","filename":"3HEALTHBR.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7444896/v1_covered_c6c7942f-6f6f-4792-abaf-4ace550cc54a.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"\u003cp\u003eStrengthening Household Health Outcomes in Ethiopia: Comparative Insights From Social Protection and Broader Development Strategies\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Beta-Regression, Broader-development, Ethiopia, Health, Social-protection","lastPublishedDoi":"10.21203/rs.3.rs-7444896/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7444896/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eThis study attempts to address the comparative and joint effects of factors like social protection and broader development initiatives on household health quality levels in Ethiopia. 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