CVA in Sectors

This section covers resources from the Health, WASH, Shelter, FSL (Food, Security and Livelihoods) Markets sectors. Explore this page for resources linked to latest evidence, learning and technical aspects of the use of CVA as a tool for technical programming in the Movement.

CVA for Health

Health expenditures can differ greatly between households as these are based on risk rather than on average need. For this reason, ensuring access to health care services for people affected by crisis poses specific challenges to humanitarian organisations.  Cash and voucher assistance is a complementary tool to traditional supply-side public health programming. In line with commitments made at The Grand Bargain to increase the use and coordination of CVA, the International Red Cross and Red Crescent Movement is committed to establish, coordinate and develop CVA for health interventions.

© Norcross, Cox Bazaar ERU field hospital

Scroll down to explore this page for resources linked to latest evidence, learning and technical aspects of the use of CVA as a tool for health programming in the Movement.

WASH – Water, Sanitation and Hygiene

Water, sanitation and hygiene (WASH) activities are key to ensure people have access to their basic needs during and after a disaster.

Cash assistance can be used to restore access to Water and Sanitation and restore Hygiene practices of communities. For example, cash assistance can be provided to incentivise the building of latrines or other essential sanitation services, to purchase hygiene products, or to pay for water utilities. Below you can find out more about the work of the Red Cross Red Crescent Movement in this field, accessing different resources related to cash and wash.

© Corinne Ambler/IFRC

The Cash and Wash Technical Working Group of the International Red Cross and Red Crescent Movement, has created a site dedicated to this topic which can be accessed clicking here. Watch the video below (8mins) to see the TWG’s 2022 achievements, or read the full report.

For practitioners interested in the use of cash and voucher assistance to support WASH outcomes, some essential resources can be found on the Global WASH Cluster (GWC) website.

The IFRC Watsan Mission Assistant shares a range of resources related to WASH, which can be accessed clicking here. The Watsan Mission Assistant page dedicated to cash is under development and can be found here.


The International Red Cross Red Crescent Movement has a long history of using Cash and Voucher Assistance (CVA) to support people affected by crisis to meet their shelter and settlement needs. Examples include vouchers to support people to access hostels in a migration crisis, cash as part of an owner-driven shelter reconstruction programme, and cash for winterisation support to allow people to access insulation materials. Below you can find out more about the work of the Red Cross Red Crescent Movement in this field, accessing different resources related to cash and shelter.

© Alanah Torralba/ IFRC

Rental Assistance is a shelter programming option particularly suited to urban contexts. IFRC has recently been developing resources on this and they can be accessed on this dedicated page

FSL – Food, Securities and Livelihoods

Livelihoods encompass the capabilities, assets and activities required to make a living. Ensuring that vulnerable households have sustainable livelihoods increases their access to a stable income, as well as their dignity, resilience, and ability to be active in society. Livelihoods support helps people affected by crisis to build more sustainable means of living, develop skills and gain greater access to opportunities.

Cash assistance can be an effective way to protect, restore, or enhance livelihoods which enable people to become self-sufficient and improve wellbeing for current and future generations.

© Nepal Red Cross Society

Learn about the work of the Red Cross Red Crescent Movement in this field by accessing different resources related to cash and livelihoods below.

For more information on livelihoods, visit the IFRC Livelihoods Centre, hosted by the Spanish Red Cross


Markets are analysed as part of cash feasibility, a step related to the broader analysis of the different response options, needed to inform which type of assistance should be provided to meet the needs of those affected by crisis (cash, vouchers, goods, services or a combination of these).  Market analysis will also ensure we follow the principle of do no harm in our responses.  Shipping food and non-food items from abroad can severely disrupt the local market and put traders out of business so where goods are available on the local market with sufficient quality and quantity, CVA can allow people to purchase these directly and without delay.  

Cash and Markets

© IFRC/Moustapha Diallo

A thorough understanding of market actors and dynamics is also essential to the monitoring and evaluation phase of any activities implemented, be them in kind or through CVA. 

Learn more about Cash and Markets  below and/or attending a practical “Market Assessment and Analysis Training” (MAAT), to build the skills of all staff and volunteers involved in Market Analysis.

5 September 2022

Cash for Health Outcomes




The RCRCM CVA for Health Outcomes Technical Working Group Position Paper on Cash for Health Outcomes explores how CVA (a form of demand side financing) can be used to support…

  • Cash and health

29 July 2022

Tip sheet: Cash and Voucher Assistance (CVA) in Recovery


Tip sheet


Cash Hub, IFRC

This guidance provides technical tips and considerations to apply when using CVA to support recovery as well as programme examples of when CVA has successfully promoted recovery

  • Cash and livelihoods
  • cva

24 May 2022

Guidance notes on Cash Transfers in Livelihood Programming – learning workshop in Dakar (Oct 2015)





This documents shares lessons learned on the context in West Africa, makes references to practical examples, and highlights details of cash transfer programmes for livelihoods. These guidance notes are intended…

  • Africa
  • Cash and livelihoods

12 May 2022

Cash community for the Red Cross and Red Crescent Movement





Within the International Red Cross and Red Crescent Movement our work on cash is guided by the Cash Peer Working Group (CPWG), a body of technical advisers who collaborate on…

  • Africa
  • Cash and markets

4 April 2022

Market stakeholders and their roles in CVA interventions


Case study


Danish Red Cross, Nepal Red Cross Society

This case study looks at the importance of identifying market stakeholders and their roles in successful CVA interventions for livelihoods in Nepal.

  • Asia-Pacific
  • Cash and livelihoods
  • Development programme

27 March 2022

Guidelines for Livelihoods in Migration and Displacement contexts




Danish Red Cross, IFRC, Livelihoods Centre

Migrants and displaced populations are often ill-protected from economic shocks and are therefore particularly vulnerable in crisis, as with the COVID19 pandemic. The aim of these guidelines is to support…

  • Cash and livelihoods

In partnership with:

British Red Cross