The moral perils of conditional cash transfer programmes and their significance for policy: a meta-ethnography of the ethical debate.

Health Policy and Planning
Inger B ScheelAtle Fretheim

Abstract

Conditional cash transfer (CCT) is a compelling policy alternative for reducing poverty and improving health, and its effectiveness is promising. CCT programmes have been widely deployed across geographical, economic and political contexts, but not without contestation. Critics argue that CCTs may result in infringements on freedom and dignity, gender discrimination and disempowerment and power imbalances between programme providers and beneficiaries. In this analysis, we aim to identify the ethical concepts applicable to CCTs and to contextualize these by mapping the tensions of the debate, allowing us to understand the separate contributions as parts of a larger whole. We searched a range of databases for records on public health CCT. Strategies were last run in January 2017. We included 31 dialectical articles deliberating the ethics of CCTs and applied a meta-ethnographic approach. We identified 22 distinct ethical concepts. By analysing and mapping the tensions in the discourse, the following four strands of debate emerged: (1) responsibility for poverty and health: personal vs public duty, (2) power balance: autonomy vs paternalism, (3) social justice: empowerment vs oppression and (4) marketization of human behaviour and...Continue Reading

References

Oct 24, 2007·JAMA : the Journal of the American Medical Association·Mylene LagardeNatasha Palmer
Sep 26, 2009·BMJ : British Medical Journal·Adam Oliver
Feb 26, 2011·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Richard E Ashcroft
Nov 19, 2011·International Journal of Behavioral Medicine·Marita C LynaghBillie Bonevski
Dec 8, 2011·Journal of Health Politics, Policy and Law·Adam Oliver, Lawrence D Brown
Feb 7, 2012·The American Journal of Bioethics : AJOB·J S Blumenthal-Barby, Hadley Burroughs
May 21, 2013·American Journal of Preventive Medicine·Karsten Lunze, Michael K Paasche-Orlow
Jan 1, 2012·HealthcarePapers·Adam Oliver
Oct 1, 2013·International Journal of Behavioral Medicine·Marita C LynaghBillie Bonevski
Mar 7, 2014·International Journal of Health Policy and Management·Evelyn L Forget
Jun 6, 2014·International Journal of Public Health·Ebenezer Owusu-Addo, Ruth Cross
Aug 20, 2016·Journal of the American College of Cardiology·Joseph A Ladapo, Judith J Prochaska
Sep 3, 2016·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Mark C Navin
Dec 8, 2016·Progress in Brain Research·S StrangP Kenning
Sep 2, 2017·International Journal for Equity in Health·Rebeca Carmo de Souza CruzJoaquim José Soares Neto
Feb 3, 2019·BMC Medical Research Methodology·Emma F FranceJane Noyes

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