Can social protection improve Sustainable Development Goals for adolescent health?

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dc.contributor.authorCluver, Lucie Den_ZA
dc.contributor.authorOrkin, F Marken_ZA
dc.contributor.authorMeinck, Franziskaen_ZA
dc.contributor.authorBoyes, Mark Een_ZA
dc.contributor.authorYakubovich, Alexa Ren_ZA
dc.contributor.authorSherr, Lorraineen_ZA
dc.date.accessioned2016-10-31T07:43:32Z
dc.date.available2016-10-31T07:43:32Z
dc.date.issued2016en_ZA
dc.description.abstractBACKGROUND: The first policy action outlined in the Sustainable Development Goals (SDGs) is the implementation of national social protection systems. This study assesses whether social protection provision can impact 17 indicators of five key health-related SDG goals amongst adolescents in South Africa. METHODS: We conducted a longitudinal survey of adolescents (10-18 years) between 2009 and 2012. Census areas were randomly selected in two urban and two rural health districts in two South African provinces, including all homes with a resident adolescent. Household receipt of social protection in the form of 'cash' (economic provision) and 'care' (psychosocial support) social protection, and health-related indicators within five SDG goals were assessed. Gender-disaggregated analyses included multivariate logistic regression, testing for interactions between social protection and socio-demographic covariates, and marginal effects models. FINDINGS: Social protection was associated with significant adolescent risk reductions in 12 of 17 gender-disaggregated SDG indicators, spanning SDG 2 (hunger); SDG 3 (AIDS, tuberculosis, mental health and substance abuse); SDG 4 (educational access); SDG 5 (sexual exploitation, sexual and reproductive health); and SDG 16 (violence perpetration). For six of 17 indicators, combined cash plus care showed enhanced risk reduction effects. Two interactions showed that effects of care varied by poverty level for boys' hunger and girls' school dropout. For tuberculosis, and for boys' sexual exploitation and girls' mental health and violence perpetration, no effects were found and more targeted or creative means will be needed to reach adolescents on these challenging burdens. Interpretation National social protection systems are not a panacea, but findings suggest that they have multiple and synergistic positive associations with adolescent health outcomes. Such systems may help us rise to the challenges of health and sustainable development.en_ZA
dc.identifier.apacitationCluver, L. D., Orkin, F. M., Meinck, F., Boyes, M. E., Yakubovich, A. R., & Sherr, L. (2016). Can social protection improve Sustainable Development Goals for adolescent health?. <i>PLoS One</i>, http://hdl.handle.net/11427/22375en_ZA
dc.identifier.chicagocitationCluver, Lucie D, F Mark Orkin, Franziska Meinck, Mark E Boyes, Alexa R Yakubovich, and Lorraine Sherr "Can social protection improve Sustainable Development Goals for adolescent health?." <i>PLoS One</i> (2016) http://hdl.handle.net/11427/22375en_ZA
dc.identifier.citationCluver, Lucie D., F. Mark Orkin, Franziska Meinck, Mark E. Boyes, Alexa R. Yakubovich, and Lorraine Sherr. "Can social protection improve Sustainable Development Goals for adolescent health?." PloS one 11, no. 10 (2016): e0164808. doi:10.1371/journal.pone.0164808en_ZA
dc.identifier.ris TY - Journal Article AU - Cluver, Lucie D AU - Orkin, F Mark AU - Meinck, Franziska AU - Boyes, Mark E AU - Yakubovich, Alexa R AU - Sherr, Lorraine AB - BACKGROUND: The first policy action outlined in the Sustainable Development Goals (SDGs) is the implementation of national social protection systems. This study assesses whether social protection provision can impact 17 indicators of five key health-related SDG goals amongst adolescents in South Africa. METHODS: We conducted a longitudinal survey of adolescents (10-18 years) between 2009 and 2012. Census areas were randomly selected in two urban and two rural health districts in two South African provinces, including all homes with a resident adolescent. Household receipt of social protection in the form of 'cash' (economic provision) and 'care' (psychosocial support) social protection, and health-related indicators within five SDG goals were assessed. Gender-disaggregated analyses included multivariate logistic regression, testing for interactions between social protection and socio-demographic covariates, and marginal effects models. FINDINGS: Social protection was associated with significant adolescent risk reductions in 12 of 17 gender-disaggregated SDG indicators, spanning SDG 2 (hunger); SDG 3 (AIDS, tuberculosis, mental health and substance abuse); SDG 4 (educational access); SDG 5 (sexual exploitation, sexual and reproductive health); and SDG 16 (violence perpetration). For six of 17 indicators, combined cash plus care showed enhanced risk reduction effects. Two interactions showed that effects of care varied by poverty level for boys' hunger and girls' school dropout. For tuberculosis, and for boys' sexual exploitation and girls' mental health and violence perpetration, no effects were found and more targeted or creative means will be needed to reach adolescents on these challenging burdens. Interpretation National social protection systems are not a panacea, but findings suggest that they have multiple and synergistic positive associations with adolescent health outcomes. Such systems may help us rise to the challenges of health and sustainable development. DA - 2016 DB - OpenUCT DO - 10.1371/journal.pone.0164808 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Can social protection improve Sustainable Development Goals for adolescent health? TI - Can social protection improve Sustainable Development Goals for adolescent health? UR - http://hdl.handle.net/11427/22375 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0164808en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/22375
dc.identifier.vancouvercitationCluver LD, Orkin FM, Meinck F, Boyes ME, Yakubovich AR, Sherr L. Can social protection improve Sustainable Development Goals for adolescent health?. PLoS One. 2016; http://hdl.handle.net/11427/22375.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2016 Cluver et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherAdolescentsen_ZA
dc.subject.otherMental health and psychiatryen_ZA
dc.subject.otherBehavioral and social aspects of healthen_ZA
dc.subject.otherSchoolsen_ZA
dc.subject.otherTuberculosisen_ZA
dc.subject.otherPregnancyen_ZA
dc.subject.otherSubstance abuseen_ZA
dc.subject.otherChildrenen_ZA
dc.titleCan social protection improve Sustainable Development Goals for adolescent health?en_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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