What reduces poverty — and what doesn't.
International development has more randomized controlled trials than any other policy domain. The evidence base has fundamentally changed what practitioners believe about cash transfers, microcredit, and health investments.
14
experiments
13
positive results
0
null or negative
8
replicated
Key Findings
01
Direct cash transfers produce broad, durable improvements in wellbeing without evidence of waste or dependency.
GiveDirectly's Kenya experiments — including a long-run universal basic income trial — found that large unconditional cash transfers increased assets, consumption, and psychological wellbeing, with no evidence of increased alcohol use or reduced labor supply. The BRAC graduation program in Bangladesh and similar programs across six countries confirmed that transfers to the ultra-poor produce lasting income gains years after transfers end, provided they also include livelihoods support. The accumulated evidence from Mexico's Progresa, Brazil's Bolsa Família, and direct transfer programs in 40+ countries consistently finds positive effects on education, health, and consumption.
02
Basic investments in health — deworming, bednets, oral rehydration — produce the highest returns per dollar of any development intervention.
Kenya's bednet distribution experiments found near-universal adoption and significant reductions in malaria when nets were provided free; subsidized nets reached far fewer households. The deworming Kenya study found that school-based deworming produced long-run labor market gains at very low cost — effects detectable 10+ years later. The Kenya WASH Benefits study found that water treatment dramatically reduced diarrheal disease in children under 2. These health investments show high returns because they address bottlenecks that prevent all other human capital development.
03
Microfinance improves financial access but does not reliably generate business growth or poverty exit.
Six simultaneous randomized evaluations of microcredit programs across Bosnia, Ethiopia, India, Mexico, Mongolia, and Morocco (published in the American Economic Journal: Applied Economics, 2015) found consistently modest effects. Business investment and profits increased for some households with existing businesses; consumption improved slightly for some. But the hoped-for transformation of the poor into entrepreneurs through credit did not materialize at scale. Compartamos Banco in Mexico showed positive take-up of credit products but no transformative income effects.
Important Null & Negative Results
Widely promoted interventions that failed rigorous evaluation or produced far smaller effects than advocates predicted.
Impact of Microcredit — Mexico
Rural Mexico · 2015
Expanding credit access to poor households improves financial flexibility but does not reliably generate business growth or poverty exit. The credit constraint hypothesis — that lack of credit is the binding constraint on poor households — appears weaker than the broader poverty trap hypothesis.
All Experiments in the Registry
Colombia Familias en Acción
positiveRural Colombia · 2001
India Midday Meal Scheme
positiveIndia (national, with state variation) · 2002
Kenya Insecticide-Treated Bednet Distribution
positiveWestern Kenya · 2003
BRAC Graduation Programme
positiveBangladesh (original); replicated in 10 countries · 2007
Impact of Microcredit — Mexico
mixedRural Mexico · 2015
Primary School Deworming — Kenya
positiveWestern Kenya · 1998
Village Savings and Loan Associations — Africa
positiveSub-Saharan Africa (multiple countries) · 2010
Rwanda Performance-Based Financing for Health
positiveRwanda · 2010
South Africa Child Support Grant
positiveSouth Africa · 2009
Ethiopia Productive Safety Net Programme
positiveEthiopia · 2008
Brazil Bolsa Família Conditional Cash Transfer
positiveBrazil · 2007
The Balsakhi Tutoring Program
positiveVadodara and Mumbai, India · 2002
Kenya Girls' Primary School Merit Scholarship Program
positiveWestern Kenya · 2004
Rwanda Land Tenure Regularization Program
positiveRwanda · 2011
What the Evidence Cannot Yet Tell Us
What is the optimal transfer size for sustained poverty exit? The BRAC and GiveDirectly programs used very different amounts; the dose-response relationship is not well understood.
How do cash transfer effects compare across different macroeconomic contexts? Most evidence comes from relatively stable low-income settings; effects in fragile or conflict-affected states may differ significantly.
Does free delivery of health products (bednets, vaccines) produce better outcomes than subsidized delivery? The bednet debate continues, with evidence on both sides.
What is the long-run effect of conditional cash transfer programs on adult earnings in low-income countries? Mexico's Progresa has 25-year follow-up data; most programs do not.