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Sustainable Development Goals
01 Erradicação da pobreza03 Saúde e Bem-Estar
10 Redução das desigualdades
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EFFECT OF THE BRAZILIAN CONDITIONAL CASH TRANSFER AND PRIMARY HEALTH CARE PROGRAMS ON THE NEW CASE DETECTION RATE OF LEPROSY
Programa Bolsa Família
Atenção primária à saúde
Doenças infecciosas
Programa Bolsa Família
Primary health care
Communicable diseases
Public assistance
Poverty
Atenção Primária à Saúde
Programa Bolsa-alimentação
Doenças Transmissíveis
Pobreza
Renda
Author
Affilliation
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal Fluminense. Instituto de Saúde Coletiva. Niterói, RJ, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
London School of Hygiene & Tropical Medicine. Faculty of Epidemiology and Population Health. London, United Kingdom.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal Fluminense. Instituto de Saúde Coletiva. Niterói, RJ, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
London School of Hygiene & Tropical Medicine. Faculty of Epidemiology and Population Health. London, United Kingdom.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade de Brasília. Faculdade de Medicina. Núcleo de Medicina Tropical. Brasília, DF, Brasil.
Abstract
Background: Social determinants can affect the transmission of leprosy and its progression to disease. Not much is known about the effectiveness of welfare and primary health care policies on the reduction of leprosy occurrence. The aim of this study is to evaluate the impact of the Brazilian cash transfer (Bolsa Família Program-BFP) and primary health care (Family Health Program-FHP) programs on new case detection rate of leprosy. Methodology/Principal Findings: We conducted the study with a mixed ecological design, a combination of an ecological multiple-group and time-trend design in the period 2004–2011 with the Brazilian municipalities as unit of analysis. The main independent variables were the BFP and FHP coverage at the municipal level and the outcome was new case detection rate of leprosy. Leprosy new cases, BFP and FHP coverage, population and other relevant socio-demographic covariates were obtained from national databases. We used fixed-effects negative binomial models for panel data adjusted for relevant socio-demographic covariates. A total of 1,358 municipalities were included in the analysis. In the studied period, while the municipal coverage of BFP and FHP increased, the new case detection rate of leprosy decreased. Leprosy new case detection rate was significantly reduced in municipalities with consolidated BFP coverage (Risk Ratio 0.79; 95% CI = 0.74– 0.83) and significantly increased in municipalities with FHP coverage in the medium (72–95%) (Risk Ratio 1.05; 95% CI = 1.02–1.09) and higher coverage tertiles (.95%) (Risk Ratio 1.12; 95% CI = 1.08–1.17). Conclusions: At the same time the Family Health Program had been effective in increasing the new case detection rate of leprosy in Brazil, the Bolsa Família Program was associated with a reduction of the new case detection rate of leprosy that we propose reflects a reduction in leprosy incidence.
Keywords in Portuguese
HanseníasePrograma Bolsa Família
Atenção primária à saúde
Doenças infecciosas
Keywords
LeprosyPrograma Bolsa Família
Primary health care
Communicable diseases
Public assistance
Poverty
DeCS
HanseníaseAtenção Primária à Saúde
Programa Bolsa-alimentação
Doenças Transmissíveis
Pobreza
Renda
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