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Sharing Power?

Sharing Power?

The Landscape of Participatory Practices & Grantmaking Among Large U.S. Foundations

The COVID-19 pandemic and fights for racial justice highlighted questions about whether mission-driven organizations can effectively deliver on their social impact goals without engaging with the communities that they seek to impact. Philanthropic foundations, in particular, have come under scrutiny amidst recent and growing concerns about their undemocratic nature and shrouded grant-making processes.

Philanthropic foundations in the United States hold significant power in the policy landscape, as they can both define societal challenges and determine the manner in which those challenges are addressed. The work of foundations is tax subsidized, but they are held to few standards of accountability, leading to increasing calls for foundations to shift their power to affected communities, to democratize decision-making through greater stakeholder participation, and to be more accountable to those whose lives they affect.

As part of the University of Washington Philanthropy Project, Evans School researchers Kelly Husted, Emily Finchum-Mason, and David Suárez sought to understand how large philanthropic foundations – with substantial assets and power – engage the people they serve in their governance and grant-making policies and practices. They launched a survey of the 500 largest private and community foundations in the United States between May and December 2020 to answer this question. These are their key findings:

  1. Many foundations solicited and incorporated feedback from grantees, community-based organizations, beneficiaries, and the public directly into decisions regarding governance and grant-making, but true decision-making power was rarely given to these stakeholders.
  2. The vast majority of foundations are using stakeholder participation as a way to increase their innovativeness and effectiveness rather than to share power, despite the fact that rhetoric surrounding these practices is focused on breaking down power silos.
  3. For the largest foundations in this country, the primary impediment to stakeholder participation was a perceived lack of time and capacity to implement, despite the sheer volume of assets that these foundations wield.

By learning more about grantmaking practices that are currently in place, the motivations for using these approaches, and the key challenges to incorporating stakeholder participation, researchers hope to lower the barriers that some foundations may face in making stakeholder participation an integral part of their governance and grant-making.

Greater accountability from philanthropic foundations represents an important step to a more equitable future. When large, powerful foundations listen to those they aim to benefit, they can more effectively direct their giving in ways that align with community needs.

About the UW Philanthropy Project

The UW Philanthropy Project is a multiyear research program seeking to understand the many important roles that philanthropic foundations play in American society.

Maternal Cash Transfer’s Impact on Child Nutrition: Vedavati Patwardhan, Ph.D. ’21

UW Evans School Ph.D. Candidate Vedavati Patwardhan was recently awarded a grant from the Horowitz Foundation for Social Policy for continued research on the impacts of providing cash assistance to pregnant and nursing mothers on children’s nutritional status in India – an important indicator for their future life success. We discussed how her work will be crucial in understanding how maternal cash transfer programs can have the most impact in low- and middle-income countries, both in how they are designed and implemented, so that those most in need receive the intended benefits.

“Cash transfer schemes are a popular policy tool in many low- and middle-income countries, and programs specifically targeting pregnant and lactating mothers are also gaining popularity…

My findings of the cash transfer program’s impact in Odisha, India speaks to the importance in design of these cash benefit schemes and who benefits in the long-run.”

What inspired you to research the effectiveness of cash assistance for pregnant and nursing mothers in India?

The first 1000 days of life provide a crucial window of opportunity in shaping a child’s future health. So, cash benefits that target mothers during pregnancy and lactation have a high potential to improve child nutrition. In 2017, the Central Government of India launched a national maternal cash benefit scheme, but the Mamata Scheme, which is a state-level program, was a precursor to the national program by 7 years. This inspired me to analyze the effect of maternal cash benefits in India, and the Mamata Scheme in Odisha in particular.

Malnutrition is a large global problem and India accounts for the largest burden of child undernutrition worldwide despite rapid economic growth following economic liberalization. In 2016, the India National Family Health Survey found that 38% of Indian children under the age of 5 had a low height-for-age, (stunting), and 21% suffered from a low weight-for-height (wasting), meaning more than 70 million children had indicators of malnutrition.

Why is it necessary to focus on program assistance to mothers specifically versus the whole family?

Research shows that women’s economic empowerment is linked to a positive effects on a household’s food security, children’s nutrition & health, and education. There are several female-centric policies in low and middle-income countries like India, and the underlying rationale for this is evidence showing that women spend money differently than men, resulting in better children’s outcomes and second, that these policies also empower women. Specific to cash transfers, providing cash assistance to mothers has been linked to higher female autonomy within the household.

Turning to interventions targeting pregnant and nursing mothers: these are important, as poor maternal health has adverse consequences on child mortality and nutrition, and women in low- and middle-income countries often face barriers to access crucial maternity care services. Increased financial resources in the hands of mothers may improve their ability to exercise preferences, reduce poverty related stress, and improve physical and mental conditions.

Given the current context of COVID-19’s tremendous impact in India, why do you think this research is vital, particularly now?

The COVID-19 pandemic has greatly exacerbated India’s nutrition challenges. The government’s health and development centers (Anganwadis) were closed, and closed schools meant no midday meals. Economic insecurity has been a double whammy, with rising food prices and job losses forcing people to cope by reducing the quality and quantity of meals. Analyzing government policies such as cash transfers is important to understand the extent these programs mitigate adverse nutritional effects for children in the aftermath of an economic shock.

Are there any general results or themes you are already seeing that you’re able to share?

I find that being eligible for the Mamata Scheme improves some, but not all measures of child nutrition. Children’s weight-for-height and weight-for-age improved after the Mamata Scheme, but, notably, I do not find significant improvements in children’s height-for-age, which is considered a more reliable wellbeing indicator in early childhood. I also find that children in poorer households benefit significantly less than those in wealthier households, suggesting that marginalized populations may be having difficulties with participating in the program.

What do you hope the results from your research will provide for India, as well as other low- and middle-income countries?

Cash transfer schemes are a popular policy tool in many low- and middle-income countries, and programs specifically targeting pregnant and lactating mothers are also gaining popularity (e.g. Indonesia’s Keluarga Harapan, Nicaragua’s Red de Proteccion and the Child Development Grant in Nigeria). The introduction of the national maternal cash benefit scheme in India 2017 signals the rising popularity of these schemes in the Indian context as well.

My findings on the impact of the Mamata Scheme speak to the importance in design of these cash benefit schemes and who benefits in the long-run. Policymakers may wish to pay special attention to whether the universal nature of the scheme (i.e. not selecting beneficiaries based on income) needs modification. Also, further research is needed to understand whether program conditions (women needing to fulfill a set of ante and prenatal care conditions to receive cash) restrict access for marginalized groups. The results are also a reminder that investments in complementary factors such as maternal education, access to clean water, sanitation, and health care are crucial in addition to maternal cash benefit programs.

Evaluating Earned Income Tax Credit (EITC) Policies Potential for Violence Prevention

Blocks spell out tax on desk next to coins and a calculator

Fact Sheet Outlines Health and Safety Implications of EITCs

The federal earned income tax credit (EITC), the largest cash transfer program for low-earning workers in the United States, is an economic policy intended to reduce poverty. Each year, the EITC program provides earning subsidies in the form of tax credits to certain workers based on their pretax earnings, marital status, and number of children.

A multidisciplinary team of researchers with the University of Washington Department of Epidemiology and Evans School of Public Policy and Governance investigated the EITC program an its affects on the rates of multiple types of violence, including child maltreatment, suicide, and intimate partner violence. It is plausible that a tax credit for low-income families could affect violence by improving family income and economic security, which could then lead to less stress, material hardship, and exposure to neighborhood violence.

The results of this investigation are summarized in the EITC & Violence Prevention Fact Sheet.

Researchers find that a 10 percentage-point increase in the generosity of state EITC benefits was associated with:

  • a 9% decline in child neglect
  • a 5% decline in child maltreatment
  • a 4% decline in suicide attempts
  • a 1% decline in suicide deaths

(all per year)

Researchers did not find an association between EITCs and intimate partner violence, but they note some restrictions that make it difficult for victims of IPV to receive the EITC.

These findings have policy relevance right now because there are similar programs being discussed and expanded.  At the federal level, the stimulus package passed in February included an expansion of the child tax credit.  Like the EITC, that credit provides income support to low- and middle-income families.  The expansion was temporary but the Biden budget just released includes funding to make it permanent. At the state level, Washington finally funded our own EITC, the Working Families Tax Credit, after not being operational for many years.  There are other states that do not have an EITC or have an EITC program that does not benefit low-income families at the levels it could.

Through this investigation, researchers aimed to broaden our scientific understanding of the benefits of providing income support to low-income families, and hope that it will influence state and federal policymakers to think about the potential for providing income support.

This fact sheet was developed by Ali Rowhani-Rahbar (PI), Heather Hill, Steve Mooney, Frederick Rivara, Caitlin Moe, Nicole Kovski, Erin Morgan, and Kim Dalve. Funding for this research was provided by Cooperative Agreement Award U01CE002945 from the Centers for Disease Control and Prevention.

Learn more about the fact sheet

COVID-19’s Impact on Low-Income Tenants’ Housing Security

A mask and a large apartment complex

The COVID-19 pandemic and related economic recession have had a substantial negative impact on low-income tenants’ housing security. A record number of households have been unable to pay their rent on-time. To stem the threat of eviction for non-payment of rent, governments have implemented eviction moratoria. This mixed methods study, in partnership with the Tenants Union of Washington State, draws on semi-structured interviews (n=25) and a survey (n=410) with low-income tenants to examine the extent to which the COVID-19 pandemic and eviction moratoria have impacted housing security in Washington state.

The study led by Matthew Fowle and Rachel Fyall finds that the pandemic has led to downward residential mobility, increased rental debt, and poorer housing quality for low-income households. The pandemic has also exacerbated the negative impact of housing insecurity on health as tenants are spending more time in substandard housing that is harmful to their physical and mental health. Overall, households of color have been disproportionately affected by this worsening housing security, in particular Black and Latinx tenants. The eviction moratorium has likely been successful in preventing a surge in formal evictions during the pandemic. However, methods of informal evictions and forced moves, such as landlords changing door locks and refusing to renew leases, have significantly increased.

Read the full report

Evans researchers examine COVID-19 business grant and loan programs

Evans School Professor Crystal Hall, and alumni Puja Kumar, MPA ’20,  and Sehej Singh, MPA’20, worked with the U.S. Office of Evaluation Sciences (OES) and Small Business Administration (SBA) to conduct a descriptive study of local grant and loan programs using public information about funding programs and conversations with local officials.

Local Impacts of a Global Crisis

Mount Rainier on a sunny day

How Washington State Nonprofits Respond to COVID-19

This report confirms what those working for nonprofits already knew: Nonprofits are being asked to do more and more with less and less. Funding is down 30% and volunteerism is down 30-50%. Yet the need for, and dependence on, nonprofits continues to grow. This trend must be reversed in short order if nonprofits are going to be able to serve long-term.

The research team would like to thank the staff of all the nonprofit organizations that took the time to complete this survey. We realize that the leaders and staff of these organizations are under incredible pressure to serve their communities during this tumultuous time with increasingly tightening resources. Finally, we want to thank the nonprofit leaders and staff who piloted our survey and provided insights on how to maximize the relevance of the survey as it relates to nonprofit management, governance, and policy.

Erica Mills Barnhart
Associate Teaching Professor, Daniel J. Evans School of Public Policy & Governance

Emily A. Finchum-Mason
Ph.D. Candidate, Daniel J. Evans School of Public Policy & Governance

Mary Kay Gugerty
Nancy Bell Evans Professor of Nonprofit Management, Daniel J. Evans School of Public Policy & Governance

Kelly Husted
Ph.D. Candidate, Daniel J. Evans School of Public Policy & Governance

Executive Summary

The COVID-19 crisis has caused deep and widespread strain across sectors and individuals since taking hold in early 2020. Despite this adversity, nonprofits—especially those comprising the modern social safety net—have continued to serve their communities during this tumultuous time (Kulish, 2020). This report seeks to understand (a) the major challenges facing nonprofits in Washington state as a result of the COVID-19 pandemic, (b) the strategies that nonprofits are using to mitigate the effects of the crisis, (c) how nonprofits are experiencing changes in funder relationships as a result of the crisis, (d) the degree to which nonprofits in the state have accessed assistance under the CARES Act, and (e) the most pressing needs nonprofits have as they face the ongoing uncertainty and hardship presented by COVID-19.

Not surprisingly, this report finds that nonprofits face considerable financial difficulty, with many already experiencing steep declines in total revenue and projecting declines over the next year. The average decline in total revenue experienced across nonprofits is approximately 30%. These declines are largely driven by a drop in program service revenue and are particularly challenging as many nonprofits are shifting their modes of service provision and incurring costs as they seek to prevent the spread of the disease. Declines in total revenue are projected to continue over the next year by an average of
16%, including a 4.2% decrease for health and human service organizations and a 25.6% decrease for other nonprofits.

Health and human service nonprofits are also seeing significant changes in service demand—an average increase of 28%—without a requisite increase in funding. At the same time, nonprofits are seeing a significant reduction in the number of people willing and able to volunteer in order to provide needed services. Other nonprofits, such as arts organizations, are seeing a drop off in demand that is jeopardizing their ability to survive.

Despite these challenges, we find that nonprofits are being flexible and creative in their response to the COVID-19 crisis. Many organizations have effectively reimagined what service provision looks like during this challenging and uncertain time, with nearly 64% of nonprofits changing how they provide programs and services. Approximately 58% of nonprofits have altered their short-term organizational goals, and nearly half have changed their programmatic priorities.

These changes come at a cost, and the strain on nonprofits is visible: 62% have had to pause one or more programs, and 14% have had to end one or more programs. Subsequently, many nonprofits have spent down cash reserves and made significant cuts to their number of staff, staff hours, and program capacity in order to stay afloat. Partnerships between nonprofits and local governments have become a common means of maximizing limited resources and tending to communities hardest hit by the crisis.

While some funders are moving to ease the burden on nonprofits through actions such as increasing funding and loosening grant restrictions for grantees, nonprofits reported that changes in funder/grantee relationships have been limited. A majority of nonprofits (for whom the questions were applicable) report that none of their funders have changed how existing funding can be used, reduced reporting requirements, or made new funding unrestricted so that it can be flexibly used to meet needs.
Many nonprofits—56% of our sample—have successfully accessed CARES Act Paycheck Protection Program loans to support their employees. While nearly 30% reported some difficulties in applying, 95% that did apply were approved for their loans. Qualitative evidence suggests that there is still confusion though about whether and how these loans will be forgiven, and while assistance with payroll is helpful, nonprofits note that other costs associated with operating during the pandemic are still challenging.

Finally, we asked nonprofits what types of assistance would be most useful during this time in the hopes of stimulating action on the part of policy-makers, government agencies, institutional funders, and donors. Nonprofits overwhelmingly responded that they require assistance in terms of additional funding—from foundations, government, and individuals. Nonprofits also stated that reduced restrictions on current funding streams, information about the emergent state and local regulations pertaining to COVID-19, and information and data sharing would be useful during this time.

Many nonprofits are currently struggling to cope with the hardships associated with COVID-19, the economic downturn, and an uncertain future. Based on our findings along with other recent research on nonprofit responses to the COVID-19 crisis, we recommend that:

1. Philanthropic foundations and corporate funders provide more funding to the nonprofit sector to alleviate short-term solvency concerns.

2. Institutional funders increase flexibility as nonprofits try to navigate their new implementation environment and survive these turbulent times by reducing reporting requirements, loosening restrictions on current funding agreements, and making new grants unrestricted.

3. Legislators, government agencies, and institutional funders support communities most affected by COVID-19 and the subsequent economic downturn, including Black communities, Indigenous communities, and People of Color (BIPOC), by: (1) targeting funding towards BIPOC-led and BIPOC-serving organizations and (2) developing partnerships with BIPOC-led organizations, listening to the concerns and needs of those communities and translating those needs into action.

Caring for Washington’s Older Adults in the COVID-19 Pandemic

four seniors

This study was funded by the University of Washington Population Health Initiative’s COVID-19 Economic Recovery Research Grant, along with matching funds from the University of Washington School of Public Health, School of Social Work, and School of Medicine, Department of Neurology. The authors thank Nancy Hooyman for reviewing a draft of this report.

Read the Full Report

Clara Berridge, PhD, MSW
Assistant professor, School of Social Work

Carolyn M. Parsey, PhD
Assistant professor, School of Medicine, Department of Neurology

Maggie Ramirez, PhD, MS, MS
Assistant professor, School of Public Health, Department of Health Services

Callie Freitag, MA
Doctoral student, Evans School of Public Policy & Governance

Ian Johnson, MSW
Doctoral student, School of Social Work

Scott W. Allard, PhD
Daniel J. Evans Endowed Professor of Social Policy, Evans School of Public Policy & Governance

Executive Summary

The COVID-19 pandemic presents significant and costly disruptions to social service and health care systems. Eight in ten deaths from the COVID-19 virus in the U.S. have occurred in people age 65 and older (CDC, 2020). In addition to the mortality risk, the pandemic presents grave health and economic risks by disrupting services to older adults that prevent institutionalization, emergency room visits, and other negative health outcomes. This report examines how the pandemic has affected the operation of social service and healthcare organizations that support Washington’s 1.7 million older adults (60+), including 107,000 people with Alzheimer’s disease and other dementias (State Plan on Aging, 2018).

Drawing on surveys and interviews with 45 senior leaders of social services and health care organizations serving older adults throughout Washington State, this report identifies current challenges confronting service delivery and client care, as well as those that will persist to shape future strategy and planning. Several key findings and themes emerge relevant to policy and practice:

Senior leaders describe rapid declines in the physical and mental health and functioning of their older adult patients and clients as a result of the pandemic. Healthcare providers report that chronic medical conditions are often not being well managed, resulting in significant physical deconditioning, increased frailty, and heightened health risks.

Providers believe that a high number of older adults are not seeking care for existing or new conditions, which will have important downstream effects on the health of older adults. Care organizations are particularly concerned about people living with dementia because they are less active and engaged during the pandemic, leading to increased severity and frequency of delusions as well as worsening behavioral symptoms. Moreover, many vulnerable older adult population sub-groups may be falling through the cracks of Washington’s service systems, including those with low-incomes, those who are living alone or unhoused, Latinx immigrant and migrant older adults, people with limited English proficiency, and tribal elders.

Social isolation creates a “double pandemic” and is believed to exacerbate problems of dementia, depression, suicide risk, and disrupted care. Organization leaders described making inroads to address social isolation during the pandemic but also expect the problems created by isolation to persist for some time. Leaders want to see guidelines evolve from isolating in place to recommending ways to provide safe social interaction.

The pandemic is exacerbating service gaps and leading to caregiver strain in Washington. Demand for aging services during the COVID-19 virus remains steady and is expected to increase over time due to demographic trends and caregiver shortages. Family caregivers now have limited respite options and have to assume additional caregiving responsibilities because of service restrictions due to the pandemic.

A digital divide exists in many parts of Washington State, particularly for older adults of color with low incomes and those in rural communities, where unreliable and costly internet and cell phone services may negate well-intended telemedicine and videoconferencing efforts. Senior leaders report barriers to the use of digital tools and training among the oldest adults and those with sensory disabilities or dementia.

Social service and healthcare organizations serving older adults report urgent fiscal shortfalls and budget crises. Layoffs and furloughs have occurred in many organizations, with senior leaders emphasizing the need for additional public funds to prevent further layoffs and staffing shortages. In addition, organizations need assistance obtaining PPE and purchasing supplies or equipment to accommodate new service realities and to provide nutrition services.

Interviews identify several strategies for addressing the challenges of the pandemic and providing high-quality care to older Washingtonians:

  • Organizations leveraged targeted funding, partnerships, and transportation networks to enable delivery and drive through meals on a larger scale than previously possible.
  • Some in-person services and programming have been moved to virtual platforms, expanding their reach and capacity.
    Virtual support groups and activity-based socialization groups have been particularly successful.
  • Providing technology skills training to older adults through staff, peers, family members, and targeted tutorials has been effective for some.
  • Many organizations provide digital devices, particularly prepaid cell phones.
  • Organizations creatively adapted where trial and error showed that non-digital service delivery was needed, such as wellness and reassurance phone calls, care packages with pantry staples, outdoor distanced social events, and pod formation for limited social contact.
  • Existing and new partnerships have been leveraged to reach older Washingtonians in their homes. Collaborations formed to meet the crisis, however, could be expanded to better serve immigrants and older adults of color.

It is critical for public agencies and private philanthropy to ensure service providers in the aging network are able to continue supporting the needs of older Washingtonians. These service organizations play an essential role in alleviating loneliness and isolation, meeting nutritional needs, improving health outcomes, and enabling access to health care, long-term services and supports, care transitions, and housing. Current and future reductions in revenues from public and private sources jeopardize the sustainability of these critical organizations, particularly those serving older adult populations on fixed incomes.

Prof. Ann Bostrom to Join NSF AI Institute for Research on Trustworthy AI in Weather, Climate, And Coastal Oceanography

The NSF AI Institute for Research on Trustworthy AI in Weather, Climate, and Coastal Oceanography assembles researchers in machine learning, atmospheric and ocean science and risk communication to develop user-driven, trustworthy AI that addresses pressing concerns in weather, climate and coastal hazards prediction.

“…The risk communication research team will examine how AI information influences trust and use of AI over time by decision makers in ecological and water resource management, weather forecasting and emergency management,” says Prof. Bostrom. “It’s an exciting opportunity to advance fundamental research on mental models and perceptions of AI in environmental science contexts that have critical consequences for all of us.”