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E-book Unjust Conditions : Women's Work and the Hidden Cost of Cash Transfer Programs
In July of 2013, I huddled closely with Yesenia, a mother of two and a respected community leader. We sat on a low wooden bench in the quiet green courtyard behind her home, high in the brown mountains of Andean Peru. I met Yesenia while doing research on the gendered impacts of Peru’s conditional cash transfer program, Juntos. Like most of the other women in the village, Yesenia received a small cash payment every two months from Juntos, so long as she met a number of conditions related to her children’s use of health and education services. I had called Yesenia earlier that morning, hoping for one last visit before I left Peru for the United Kingdom, where I would write up my research findings. Yesenia was unusually upset when she answered the phone, so I immediately caught a rum-bling combi (minibus) to the village near her home. Along the way I met Yesenia’s young neighbor Judit, who was my research assistant, and we ascended the hill to Yesenia’s earthen home on foot. We found Yesenia alone under her Andean egg-plant tree, folded over in despair. Yesenia confided that she had been diagnosed with breast cancer. Sobbing, she clutched my hand to her breast, asking if I could feel the noxious lump.Yesenia was a reserved, strong woman. Once trained by a nonprofit organiza-tion as a community health worker, she now ran the state day-care program out of a room with a packed-earth floor in her two-story house, work that was unpaid but which allowed her an opportunity for self-development. Her kind husband migrated to the far-away coast for work, which meant that she was the primary caregiver for her two children. As we sat in her garden, Yesenia explained to me that the nearest cancer treatment center was in Trujillo, a ten-hour journey by bus from her village. Going to Trujillo would mean leaving her two children behind—but who, she wept, would care for them? There was also the issue of finances—Yesenia’s Juntos payment would not cover the cost of living in the city while she accessed treatment.Later, Judit and I descended the hill from Yesenia’s house. At seventeen, quiet Judit was perceptive. When she did get talking, she was often frank. Breaking the silence we held on our walk, Judit remarked that for rural women in such circum-stances as Yesenia, “the only option is to die or hope that God saves you.”Grounded in the stories of women like Yesenia, this book provides an alterna-tive view of one of the fastest-growing new measures in global health and devel-opment: making aid conditional. From Mexico and Brazil to Indonesia and New York, relief from the most acute impacts of poverty is often made conditional upon the capacity of the poor to demonstrate their willingness to lift themselves out of poverty. Conditional cash transfer (CCT) programs, which The Economist maga-zine crowned in 2010 as “the world’s favorite new anti-poverty device,” provide poor households with cash incentives to adopt the health- and education-seekingbehaviors that development experts see as imperative to improving their lives.
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