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Item Conditional cash transfer programs; compliance to health conditions in Tanzania(Springer International Publishing, 2022) Rukiko, M. D.; Mwakalobo, A. B. S.; Mmasa, J. J.Purpose: This study employed logistic regression in three selected regions in Tanzania namely Dodoma, Singida and Kagera to test the predisposing, enabling and need factors in CCT design and implementation to see how they influence conditions compliance. Methodology: The study used secondary data from TASAF PSSN from 2014 to 2019 where compliance with health conditions was a dependent variable. Findings: At 95% CI, the odds ratio ranged from 0.978 for location (District) to 1.74 for PMT whilst some were significant and others were not. Changing the original location to the other decreases the likelihood to comply as well as the poorer and those with chronic illness – similar to the money given in the higher months of the year. Differently, aged members and male members have shown to have higher likelihood to comply than their counterpart beneficiaries. Practical implication: The study concludes that punishments for noncompliance have to re-consider the nature of the factors, whether they are in favour of or against facilitating compliance. Although some beneficiaries agree that penalties invites compliance, this paper suggests penalties to be imposed carefully otherwise the absolute use of the penalties becomes counterproductive in changing behaviour, attainment of the programmes objectives and finally poverty reduction. Originality/Value: Policy makers, designers and implementers of CCT will be informed of the key areas that affects compliance positively or negatively and be able to make design and implementation decisions based on the factors that influences CCT conditions compliance.