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    Is unconditional cash the missing link in maternal and child survival?

    In parts of Africa, pregnant women and new moms are using direct cash aid to pay for hospital care, food and even farmland — as part of a program to cut child and maternal deaths.

    By David Njagi // 08 May 2025

    Every year, around 178,000 mothers in Africa die from complications related to childbirth. For their babies, the odds are just as dire: 1 million newborns die in the region each year.

    According to Miriam Laker, a medical doctor and researcher working with the global charity GiveDirectly, traditional aid has made progress in terms of reducing maternal and child mortality. But many of the solutions were one-sided, meaning they failed to address the problem in totality.

    “In sub-Saharan Africa, majority of the problems that mothers and babies face are related to either lack of services that they need to live healthily or lack of access to those services. Even in situations where health facilities might be present, the services are not free of charge,” Laker said.

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    More reading:

    ► Opinion: Deep aid cuts show cash transfers have never been more urgent

    ► How is a shift to cash changing the aid sector? (Pro)

    ► Rory Stewart: Cash is 'the most radical form of localization' (Pro)

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    About the author

    • David Njagi

      David Njagi

      David Njagi is a Kenya-based Devex Contributing Reporter with over 12 years’ experience in the field of journalism. He graduated from the Technical University of Kenya with a diploma in journalism and public relations. He has reported for local and international media outlets, such as the BBC Future Planet, Reuters AlertNet, allAfrica.com, Inter Press Service, Science and Development Network, Mongabay Reporting Network, and Women’s Media Center.

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