In 2010, the government of the Republic of Zambia, through the Ministry of Community Development, Mother and Child Health (MCD MCH), began implementing the Child Grant cash transfer program (CGP) in three districts: Kaputa, Kalabo, and Shangombo. The American Institutes for Research (AIR) was contracted by UNICEF Zambia in 2010 to design and implement a randomized controlled trial (RCT) for a 4-year impact evaluation of the program and to conduct the necessary data collection, analysis, and reporting.

This report presents findings from the 48-month follow-up study, updating results from the 24-month and 36-month impact reports, including impacts on expenditures, poverty, food security, living conditions, children, women, and productivity.

The overall results from the collection of evaluation reports over the 4-year period of 2010–2014 demonstrate unequivocally that common perceptions a bout cash transfers—that they are a hand-out and cause dependency, or lead to alcohol and tobacco consumption, or induce fertility—are not true in Zambia. The 1.49 multiplier effect, which is driven by productive activity, speaks directly to the response by poor, rural households in Zambia to use and manage the cash productively to improve their overall standard of living. Labour supply to off-farm work has
increased among CGP households, as has work in family enterprise. At no point during the 4-year evaluation have there been any positive impact s on alcohol and tobacco consumption, nor has there been any impact on fertility during the lengthy evaluation period. In short, this unconditional cash transfer has proven to be an effective approach to alleviating extreme poverty and empowering households to improve their standard
of living in a way that is most appropriate for them, based on their own choices. 

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