The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.

Detalhes bibliográficos
Autor(a) principal: Shei, Amie
Data de Publicação: 2014
Outros Autores: Costa, Federico, Reis, Mitermayer Galvão dos, Ko, Albert Icksang
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/7757
Resumo: Analysis Group, Inc. Boston, MA, USA.
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spelling Shei, AmieCosta, FedericoReis, Mitermayer Galvão dosKo, Albert Icksang2014-06-03T17:09:30Z2014-06-03T17:09:30Z2014SHEI, 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, 20141472-698Xhttps://www.arca.fiocruz.br/handle/icict/7757engBioMed CentralThe impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAnalysis 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, USAFundação 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, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil. / Department of Epidemiology of Microbial Diseases. Yale School of Public Health. New Haven, USABACKGROUND: 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.SaúdeEducaçãoFamíliaComunidadeFavelaCriançasPostos de SaúdePrograma Bolsa-alimentaçãoCuidados de saúdeSegurança socialQualidade dos serviçosinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALShei A The impact of Brazil'l....pdfShei A The impact of Brazil'l....pdfapplication/pdf487788https://www.arca.fiocruz.br/bitstream/icict/7757/1/Shei%20A%20The%20impact%20of%20Brazil%27l....pdfe92772f37e071befa191d41e14d28044MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7757/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTShei A The impact of Brazil'l....pdf.txtShei A The impact of Brazil'l....pdf.txtExtracted texttext/plain46070https://www.arca.fiocruz.br/bitstream/icict/7757/5/Shei%20A%20The%20impact%20of%20Brazil%27l....pdf.txtf8f43026a7eefb0f6fc280dcc6ad2df5MD55THUMBNAILShei A The impact of Brazil'l....pdf.jpgShei A The impact of Brazil'l....pdf.jpgGenerated Thumbnailimage/jpeg2330https://www.arca.fiocruz.br/bitstream/icict/7757/4/Shei%20A%20The%20impact%20of%20Brazil%27l....pdf.jpgaf1084f48771e54f30bf7973911c8d3cMD54icict/77572023-03-15 14:33:18.703oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:18Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
title The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
spellingShingle The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
Shei, Amie
Saúde
Educação
Família
Comunidade
Favela
Crianças
Postos de Saúde
Programa Bolsa-alimentação
Cuidados de saúde
Segurança social
Qualidade dos serviços
title_short The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
title_full The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
title_fullStr The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
title_full_unstemmed The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
title_sort The impact of Brazil's Bolsa Família conditional cash transfer program on children's health care utilization and health outcomes.
author Shei, Amie
author_facet Shei, Amie
Costa, Federico
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
author_role author
author2 Costa, Federico
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
author2_role author
author
author
dc.contributor.author.fl_str_mv Shei, Amie
Costa, Federico
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
dc.subject.decs.pt_BR.fl_str_mv Saúde
Educação
Família
Comunidade
Favela
Crianças
Postos de Saúde
Programa Bolsa-alimentação
Cuidados de saúde
Segurança social
Qualidade dos serviços
topic Saúde
Educação
Família
Comunidade
Favela
Crianças
Postos de Saúde
Programa Bolsa-alimentação
Cuidados de saúde
Segurança social
Qualidade dos serviços
description Analysis Group, Inc. Boston, MA, USA.
publishDate 2014
dc.date.accessioned.fl_str_mv 2014-06-03T17:09:30Z
dc.date.available.fl_str_mv 2014-06-03T17:09:30Z
dc.date.issued.fl_str_mv 2014
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv 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
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/7757
dc.identifier.issn.none.fl_str_mv 1472-698X
identifier_str_mv 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
1472-698X
url https://www.arca.fiocruz.br/handle/icict/7757
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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