Conditional cash transfer (CCT) programs have been widely used in the developing world as a tool to break the poverty cycle. Short-term studies have found positive impacts of CCTs on education and health outcomes. However, little is known about longer-term outcomes of beneficiaries and any unintended consequences, namely on fertility, that there may be. This paper assesses medium-term (5-6 years after program implementation) impacts of a Honduran CCT, PRAF-II, on education and fertility. PRAF-II was a random experiment that provided cash transfers to 40 out of 70 poor municipalities. Conditions included school enrollment and regular health checkups. Using data from USAID’s Honduran DHS Survey from 2005-2006, I find that very young children ...