Table 1

Summary characteristics of included studies

StudyStudy designStudy periodCountryType of humanitarian settingType of cash transfer (intervention)Health outcome/servicesPopulation sourceN participants
Abu-Hamad et al. 201429Mixed-methods
Quantitative: Quasi-experimental
Qualitative:
In-depth interviews, FGDs, key informant interviews, observations
April–May 2013
June/July 2013
Gaza, PalestineMan-made crises
(human conflict)
Unconditional cash transfer
Monetary value and time-period not given.
-Psychological healthChildren (<18 years) benefiting from the Palestinian National Cash Transfer Programme (PNCTP) and caregivers living in Gaza
Key informants (eg, gov officials, NGOs) were also interviewed
Quantitative: 4497 people
Qualitative:
  • Small group discussion: 74 children

  • In-depth interviews: 10 children

  • Observations: 2 HH

  • FGD: 14 adults

  • Key informant interviews: 11

Aker et al. 201730Randomised control trialAugust/September 2011–March 2012Democratic Republic of the CongoMan-made crisis
(human conflict)
Unconditional cash transfer
US$130 over 7-month period in three disbursements (September, November, February 2012)
  • Household member affected by illness or died

  • Expenditure on medicine

Informal camp in the Masisi territory of DRC, total population ~2500 individuals.474 households
(237 cash intervention, 237 comparison group receiving vouchers)
Bliss et al. 201631Longitudinal cohort studyApril–September 2012NigerEnvironmental
(food crisis)
Unconditional cash transfer
US$296 over 6-month period in monthly disbursements.
(160 000 West African Francs)
  • Presence of acute malnutrition (WHZ <2 or MUAC <125 mm)

  • MUAC

  • WHZ

  • Child dietary diversity

  • Child meal frequency

  • Child illness

  • Maternal mental health

Children aged 6–36 months in 420 households enrolled in an emergency cash transfer programme in Niger420 households
(all enrolled in the intervention)
Bliss et al. 201832Quasi-experimentalJuly–September 2012NigerEnvironmental
(food crisis)
Conditional cash transfer condition: Mothers to attend a health and nutrition education session prior to each cash transfer
~US$250 over 3-month period in 3 monthly disbursements
(125 000 West African Francs)
  • Weight gain

  • Weight gain velocity (g/kg/d)

  • MUAC

  • WHZ

  • Presence of acute malnutrition (WHZ <2 or MUAC <125 mm or the presence of bilateral pitting oedema)

  • Meal frequency

  • Dietary diversity

Households in a conditional emergency CTP programme that occupied the second-lowest wealth category and had a child 6–23 months that was not wasted or had diseases.423 households
(211 cash intervention,
212 comparison group that did not receive cash)
Doocy et al. 2020 A33Prospective cohort studyNovember 2018–April 2019SomaliaMan-made crises (human conflict)
Environmental (drought, food crisis)
Unconditional cash transfer combined with in-kind food and electronic vouchers.
~US$450 over 4-month period
  • Household Hunger Scale (HHS)

  • Minimum Dietary Diversity for Women (MDDW)

  • MUAC, with MUAC <21.0 cm classified as acute malnutrition

  • Meal frequency

Pregnant and lactating women in El-bon Camp in the District of Wajid and adjacent neighbourhoods for 'non-assistance' group.514 pregnant and lactating women (baseline and endline comparison)
Doocy et al. 2020 B 34Prospective cohort studyNovember 2018–April 2019SomaliaMan-made crises (human conflict)
Environmental (drought, food crisis)
Unconditional cash transfer combined with in-kind food and electronic vouchers.
~US$450 over 4-month period
  • Household Hunger Scale (HHS)

  • Children’s dietary diversity

  • Meal frequency

  • Minimum acceptable diet (MAD)

  • Mean MUAC

  • Acute malnutrition (defined as MUAC <12.5 cm)

Households in El-bon Camp in the District of Wajid and adjacent neighbourhoods for 'non-assistance' group with children aged 6–59 months.490 households (n=269 mixed transfer group (cash, in-kind, voucher), n=162 food voucher group comparison group, n=59 no assistance comparison group)
Edmond et al. 201935Non-randomised population-based intervention studyDecember 2016–December 2017AfghanistanMan-made crises
(human conflict)
Conditional cash transfer condition: for mother delivery at a health facility and for CHW when accompanying/referring a mother to the health facility
~US$15 one-time (mother) (1000 Afghani),~US$5 one-time (CHW) (300 Afghani)
  • Child delivery in a health facility

  • Receiving at least one ANC visit

  • Receiving one PNC visit

  • Receiving at least one CHW home visit

Women that had given birth to one or more children in the last 12 months residing in the study districts of the three provinces (Badghis, Bamyan and Kandahar)4929 women
(2453 intervention with 1199 baseline, 1254 endline)
(2476 control receiving standard care with 1242 baseline, 1234 endline)
Falb et al. 202036Mixed methods
Quantitative: Prospective cohort study
Qualitative: in-depth interviews
March–August 2018SyriaMan-made crises
(human conflict)
Unconditional cash transfer
US$228 over a 3-month period in monthly disbursements.
  • Food insecurity via HFIAS

  • Depressive via PHQ-9

  • Disability status, via an adapted version of the WG-SS

  • Women’s experiences of violence

All HH with a woman aged 18–59 years from a beneficiary household in Raqqa Governorate, Syria.512 women at baseline, 456 at endline
(baseline and endline comparison)
Freccero et al. 201937Qualitative study (focus groups+in-depth interviews)2017–2018Cameroon, AfghanistanMan-made crises
(human conflict)
Cameroon: multipurpose cash programme (~US$300 over a 6-month period in monthly disbursements)
Afghanistan: one-time amount for non-food items (~US$80–198)
(for both: unclear whether conditional or unconditional)
Self-reported changes in health
(not more detail provided on specific health outcomes)
Participants receiving multipurpose cash transfers through International Red Cross programmes in Cameroon and Afghanistan.211 individuals, 100 Afghanistan, 111 Cameroon
(all enrolled in intervention)
Green et al. 201638Cluster-randomised trialApril 2009UgandaMan-made crises
(human conflict)
Unconditional cash transfer
~US$150 one-time combined with a programme for business skills training and follow-up support
Depression using modified version APAI depression subscale120 communities (villages, transit sites, and displacement camps in Gulu and Kitgum districts) in Northern Uganda1800 individuals (868 intervention receiving cash, 866 comparison group not receiving cash)
Grijalva-Eternod et al. 201839Non-randomised cluster trialMarch–November 2016SomaliaMan-made crises
(IDP camps)
Unconditional cash transfer
~US$420 over a 5- month period in monthly disbursements
  • Mean child, household and women DDS values

  • Incidence acute malnutrition, defined by low MUAC or oedema

  • Prevalence acute malnutrition, defined by low WHZ or oedema

  • Mean WHZ value

  • Mean FCS

  • Mean HFIAS score

  • Mean Reduced Coping Strategies Index (rCSI) score

IDP camps located in Weydow area, Deyniile district, Mogadishu.
Recipients of cash transfer were female household representatives
228 households
(111 intervention, 117 comparison not receiving cash) with 332 children (155 intervention, 177 comparison not receiving cash)
Gros et al. 201940Mixed-methods Quantitative: quasi-experimental Qualitative: focus groups and in-depth interviewsMay 2016–October 2017BangladeshEnvironmental
(flooding)
Unconditional cash transfer (forecast-based)
~US$60 one-time
(5000 Bangladesh taka)
  • Psychosocial distress

  • Health expenses

Poor households in flood-prone communities of the Brahmaputra river basin.390 households (174 intervention, 216 comparison not receiving cash)
Hagen-Zanker et al. 201841Qualitative study (focus groups+in-depth semi-structured interviews)2016JordanMan-made crises
(refugees)
Unconditional cash transfer
Monetary value and time-period not given.
Self-reported effect on access to health, stress, and anxietyWorking age Syrian refugees in Jordan and key informants (policy-makers, practitioners at national level)Over 140 Syrian refugees across 60 interviews and FGDs
(37 interviews and 7 FGDs intervention, 10 interviews and 5 FGDs comparison group not receiving cash)
Hidrobo et al. 201442Randomised control trialMay–October 2011EcuadorMan-made crises
(IDP camps)
Unconditional cash transfer
US$240 over 6-month period in 6 monthly disbursements
  • DDS

  • HDDS

  • FCS

  • Caloric intake per capita (daily)

Colombian refugees and Ecuadorian locals in seven urban centres in the provinces of Carchi and Sucumbíos2087 households receiving either cash, food or control
(unclear N for each group)
Hou 201043Randomised control trial1998–2000MexicoEnvironmental
(drought)
Conditional cash transfer condition: not given
Monetary value and time-period not given.
  • Total calorie consumption

  • Diversity of diet including vegetables, fruits and animal products

HH across seven states in Guerrero, Hidalgo, Michoacan, Puebla, Queretaro, San Luis Potosi, and Veracruz10 541 (6362 intervention, 4179 controls not receiving cash)
Kurdi 202147Cluster randomised control trialBaseline sample: December 2014–January 2015
Follow-up sample:
July–August 2017
YemenMan-made crisis
(Civil war)
Conditional cash transfer condition: attendance of nutritional training and compliance with monitoring and treatment of malnutrition
2015:~42 US$ per woman per 3 months in 2015 (9000 Yemeni riyal)
2016/2017:~28 US$ per woman in 10–11 monthly disbursements
  • HDDS

  • CDDS

  • Height-for-age

HH with young children in Yemen. To meet treatment arm criteria women had to be “second priority” potential beneficiaries.Baseline: 2000 HH (1001 treatment, 999 control HH)
Follow-up: 1850 re-surveyed, 95 additional replacement HH
Lyles et al. 2021 A48Quasi-experimental prospective cohortOctober 2018–January 2020JordanMan-made crisis
(refugees)
CHV intervention +conditional cash transfer group condition: quarterly group education sessions and home visits, usage of appropriate services requiring participants to provide receipts
~211 US$ per person per 3 months
(150 Jordanian Dinar)
Multi-purpose unconditional cash (MPC) transfer group
~113–219 US$ per household per 3 months (80–155 Jordanian Dinar)
Time period not given
  • Health service utilisation (diabetes care visits)

  • Diabetes medication adherence

  • Blood glucose self-monitoring

  • BMI

  • HbA1C

  • Blood pressure

  • Health expenditure

Syrian refugees with type II diabetes residing outside of camps in Amman and Zarqa governorates of JordanBaseline: 560 (156 CHV only, 203, CHV +CCT, 201 MPC)
Endline: 482 (128 CHV only, 179 CHV +CCT, 175 MPC)
Lyles et al. 2021 B49Prospective cohortMay 2018–July 2019LebanonMan-made crisis
(refugees)
Multi-purpose unconditional cash transfer
~173.5 US$ per family per month (260 000 Lebanese pound)
Time period not given.
  • Health service utilisation (care-seeking for children and chronic or acute illness among adults)

  • Access to medication

  • Health expenditure

Vulnerable Syrian refugee households sampled from UNHCR registration lists receiving MPCs (intervention) and similarly vulnerable households not receiving MPCsBaseline: 617 HH (173 MPC intervention, 444 control group)
Endline: 168 MPC, 375 control group (follow-up 1 year)
MacPherson and Sterck 202144Quasi-experimentalSeptember–October 2017KenyaMan-made crises
(refugee settlement)
Cash transfer (unclear whether conditional or unconditional)
~US$14–17 per person per month (unclear time period) (1400–1708 Kenyan Shilling)
  • DDS

  • Calories per adult equivalent

  • HFIAS

  • Subjective well-being

Refugees in Kakuma camp and Kalobeyei settlement in Kenya1874 refugees (1126 households)
(914 intervention, 960 control (Kakuma camp))
Moussa et al. 202250Quasi-experimental
(regression discontinuity design)
Survey (wave 1): February–March 2019
Survey (wave 2):
July–August 2019
LebanonMan-made crises
(refugees)
Multi-purpose unconditional cash transfer (monetary value unclear)
Discontinued (12 months)
Short run (up to 10 months)
Long-term (16–22 months)
  • Acute illness

  • Diarrhoea

  • Respiratory infection

  • Needed primary healthcare

  • Accessed primary healthcare

Syrian refugee children (<19 years) from discontinued cash recipient households, short-run and long-term recipient households living in Lebanon6,207 HH (2992 wave 1, 3215 wave 2) with 24 859 observations (11 843 wave 1, 13 016 wave 2)
Schwab 202045Cluster randomised control trialNovember 2011–October 2012YemenMan-made crises
(human conflict)
Unconditional cash transfer
~US$147 over 3-month period in 3 monthly disbursements (10 500 Yemeni riyals)
  • HDSS

  • FCS

  • Value of food consumed

  • Caloric intake

135 village clusters in rural Yemen.1983 people (982 intervention receiving cash, 1001 comparison receiving in-kind food)
Sibson et al. 201846Cluster randomised control trialMarch 2015–November 2015NigerEnvironmental
(food-crisis)
Unconditional cash transfer
  • Standard intervention = ~£144 over 4 month period in 4 monthly disbursements

  • Modified intervention = ~ £144 over 6 month period in 6 monthly disbursements

  • Acute Malnutrition

  • MUAC

  • WHZ

  • Dietary diversity

Children aged 6–59 months, living in villages receiving unconditional cash transfer.1130 HH standard intervention
963 HH modified intervention. Sampled 1959 children and obtained baseline measures from 1831 (2093 intervention,
495 control)
Tossou 202151Cross-sectionalJuly 2020TogoEnvironmental
(COVID-19 pandemic)
Unconditional cash transfer
Monetary value and time period not given.
Health service and healthcare utilisationNational household survey covering 44 districts in six health regions in Togo: HH heads, consenting adults, children 10–17 years were surveyed955 beneficiaries
  • ANC, antenatal care; APAI, Acholi Psychosocial Assessment Instrument; CHV, community health volunteer; CHW, community healthcare worker; CTP, cash transfer program.programme; DDS, dietary diversity score; DRC, Democratic Republic of the Congo; FCS, food consumption score; HFIAS, household food insecurity access scale; HH, household; HHS, household hunger scale; IDP, internally displaced people; MAD, minimum acceptable diet; MDDW, minimum dietary diversity for women; MUAC, mid-upper arm circumference; PHQ-9, Patient Health Questionnaire; PNC, postnatal care; PNCTP, Palestinian National Cash Transfer Programme; WG-SS, Washington group disability short set; WHZ, waist-to-hip ratio.