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Inconsistent implementation: Implementation of the Livelihood Empowerment Against Poverty Program (LEAP) has been inconsistent. Over this 24-month evaluation period households received only 20 months’ worth of payments. There was a long gap in cash payments to households in 2011, followed by a triple payment in February 2012 to settle arrears. Thus, LEAP households did not receive a steady flow of predictable cash with which to smooth their consumption. However the implementation of the National Health Insurance Scheme (NHIS) coverage among LEAP households was impressive, with 90 percent of LEAP households having at least one member enrolled in NHIS at the follow-up.