Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2014 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/41323 |
Resumo: | Gerson Oliveira Penna - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento. |
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Nery, Joilda SilvaPereira, Susan MartinsRasella, DavidePenna, Maria Lucia FernandesPereira, Rosana Aquino GuimarãesRodrigues, Laura CunhaBarreto, Maurício LimaPenna, Gerson Oliveira2020-05-20T14:53:18Z2020-05-20T14:53:18Z2014NERY, Joilda Silva et al. Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of Leprosy. PLoS Neglected Tropical Diseases, [San Francisco], v. 8, n. 11, p.1-7, nov. 2014.1935-2727https://www.arca.fiocruz.br/handle/icict/4132310.1371/journal.pntd.0003357Gerson Oliveira Penna - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)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.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.engPublic Library of ScienceBrazilCross-Sectional StudiesLeprosyPovertyPrimary Health CareReimbursement, IncentiveHanseníasePrograma Bolsa FamíliaAtenção primária à saúdeDoenças infecciosasLeprosyPrograma Bolsa FamíliaPrimary health careCommunicable diseasesPublic assistancePovertyHanseníaseAtenção Primária à SaúdePrograma Bolsa-alimentaçãoDoenças TransmissíveisPobrezaRendaEffect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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| dc.title.en.fl_str_mv |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| title |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| spellingShingle |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy Nery, Joilda Silva Brazil Cross-Sectional Studies Leprosy Poverty Primary Health Care Reimbursement, Incentive Hanseníase Programa Bolsa Família Atenção primária à saúde Doenças infecciosas Leprosy Programa Bolsa Família Primary health care Communicable diseases Public assistance Poverty Hanseníase Atenção Primária à Saúde Programa Bolsa-alimentação Doenças Transmissíveis Pobreza Renda |
| title_short |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| title_full |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| title_fullStr |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| title_full_unstemmed |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| title_sort |
Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of leprosy |
| author |
Nery, Joilda Silva |
| author_facet |
Nery, Joilda Silva Pereira, Susan Martins Rasella, Davide Penna, Maria Lucia Fernandes Pereira, Rosana Aquino Guimarães Rodrigues, Laura Cunha Barreto, Maurício Lima Penna, Gerson Oliveira |
| author_role |
author |
| author2 |
Pereira, Susan Martins Rasella, Davide Penna, Maria Lucia Fernandes Pereira, Rosana Aquino Guimarães Rodrigues, Laura Cunha Barreto, Maurício Lima Penna, Gerson Oliveira |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Nery, Joilda Silva Pereira, Susan Martins Rasella, Davide Penna, Maria Lucia Fernandes Pereira, Rosana Aquino Guimarães Rodrigues, Laura Cunha Barreto, Maurício Lima Penna, Gerson Oliveira |
| dc.subject.mesh.pt_BR.fl_str_mv |
Brazil Cross-Sectional Studies Leprosy Poverty Primary Health Care Reimbursement, Incentive |
| topic |
Brazil Cross-Sectional Studies Leprosy Poverty Primary Health Care Reimbursement, Incentive Hanseníase Programa Bolsa Família Atenção primária à saúde Doenças infecciosas Leprosy Programa Bolsa Família Primary health care Communicable diseases Public assistance Poverty Hanseníase Atenção Primária à Saúde Programa Bolsa-alimentação Doenças Transmissíveis Pobreza Renda |
| dc.subject.other.pt_BR.fl_str_mv |
Hanseníase Programa Bolsa Família Atenção primária à saúde Doenças infecciosas |
| dc.subject.en.en.fl_str_mv |
Leprosy Programa Bolsa Família Primary health care Communicable diseases Public assistance Poverty |
| dc.subject.decs.pt_BR.fl_str_mv |
Hanseníase Atenção Primária à Saúde Programa Bolsa-alimentação Doenças Transmissíveis Pobreza Renda |
| description |
Gerson Oliveira Penna - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento. |
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2014 |
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2014 |
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2020-05-20T14:53:18Z |
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2020-05-20T14:53:18Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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NERY, Joilda Silva et al. Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of Leprosy. PLoS Neglected Tropical Diseases, [San Francisco], v. 8, n. 11, p.1-7, nov. 2014. |
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https://www.arca.fiocruz.br/handle/icict/41323 |
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1935-2727 |
| dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pntd.0003357 |
| identifier_str_mv |
NERY, Joilda Silva et al. Effect of the Brazilian conditional cash transfer and primary health care programs on the new case detection rate of Leprosy. PLoS Neglected Tropical Diseases, [San Francisco], v. 8, n. 11, p.1-7, nov. 2014. 1935-2727 10.1371/journal.pntd.0003357 |
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Public Library of Science |
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