Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/7757
Title: The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
Authors: Shei, Amie
Costa, Federico
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Affilliation: Analysis Group, Inc. Boston, MA, USA.
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil. / Department of Epidemiology of Microbial Diseases. Yale School of Public Health. New Haven, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil. / Department of Epidemiology of Microbial Diseases. Yale School of Public Health. New Haven, USA / Bahia School of Medicine. Federal University of Bahia. Salvador, BA, Brasil / Bahiana School of Medicine and Public Health. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil. / Department of Epidemiology of Microbial Diseases. Yale School of Public Health. New Haven, USA
Abstract: BACKGROUND: Conditional cash transfer (CCT) programs provide poor families with cash conditional on investments in health and education. Brazil's Bolsa Família program began in 2003 and is currently the largest CCT program in the world. This community-based study examines the impact of Bolsa Família on child health in a slum community in a large urban center. METHODS: In 2010, detailed household surveys were conducted with randomly selected Bolsa Família beneficiaries and non-beneficiaries in a Brazilian slum community of approximately 14,000 inhabitants in a large urban center. 567 families (with 1,266 children) were interviewed. Propensity score methods were used to control for differences between beneficiary and non-beneficiary children to estimate program impacts on health care utilization and health outcomes. RESULTS: Bolsa Família has increased the odds of children's visits to the health post for preventive services. In children under age seven, Bolsa Família was associated with increased odds for growth monitoring (OR = 3.1; 95% CI 1.9-5.1), vaccinations (OR = 2.8; 95% CI 1.4-5.4), and checkups (OR = 1.6; 95% CI 0.98-2.5), and with the number of growth monitoring visits (ß = 0.6; p = 0.049) and checkups (ß = 0.2; p = 0.068). There were positive spillover effects on older siblings (ages 7-17) no longer required to meet the health conditionalities. Bolsa Família increased their odds for growth monitoring (OR = 2.5; 95% CI 1.3-4.9) and checkups (OR = 1.7; 95% CI 0.9-3.2) and improved psychosocial health (ß = 2.6; p = 0.007). CONCLUSIONS: Bolsa Família has improved health care utilization, especially for services related to the health conditionalites, and there were positive spillover effects on older siblings. The findings of this study are promising, but they also suggest that further improvements in health may depend on the quality of health care services provided, the scope of services linked to the health conditionalities, and coordination with other social safety net programs.
DeCS: Saúde
Educação
Família
Comunidade
Favela
Crianças
Postos de Saúde
Programa Bolsa-alimentação
Cuidados de saúde
Segurança social
Qualidade dos serviços
Issue Date: 2014
Publisher: BioMed Central
Citation: SHEI, A. et al. The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes. BMC International Health & Human Rights, v. 14, p. 10, 2014
ISSN: 1472-698X
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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