An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil

Detalhes bibliográficos
Autor(a) principal: Felipe Garcia Ribeiro
Data de Publicação: 2018
Outros Autores: Gisele Braun, André Carraro, Gibran da Silva Teixeira, Denise Petrucci Gigante
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778
Resumo: We investigate the effect of a family-based primary health care program (Healthly Early Childhood Program) on infant mortality in the state of Rio Grande do Sul, Brazil. We estimate infant mortality’s counterfactual trajectories using the differences-in-differences approach, combined with the use of longitudinal data for all municipalities in the state of Rio Grande do Sul. Our main result is that the program reduced the number of deaths caused by external causes. The length of exposure to the program seems to potentiate the effects. For the number of deaths by general causes, there is no evidence of impact. Our findings are consistent with the nature of the program that aims to improve adults care with children. The Healthly Early Childhood Program is effective in reducing the number of avoidable deaths in infants.
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spelling An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, BrazilInfant MortalityPrimary Health CareProgram EvaluationWe investigate the effect of a family-based primary health care program (Healthly Early Childhood Program) on infant mortality in the state of Rio Grande do Sul, Brazil. We estimate infant mortality’s counterfactual trajectories using the differences-in-differences approach, combined with the use of longitudinal data for all municipalities in the state of Rio Grande do Sul. Our main result is that the program reduced the number of deaths caused by external causes. The length of exposure to the program seems to potentiate the effects. For the number of deaths by general causes, there is no evidence of impact. Our findings are consistent with the nature of the program that aims to improve adults care with children. The Healthly Early Childhood Program is effective in reducing the number of avoidable deaths in infants.Hemos investigado los efectos de un programa de atención primaria a la salud basado en la familia, denominado Primera Infancia Mejor, sobre la mortalidad infantil en el estado de Río Grande do Sul, Brasil. Estimamos las trayectorias comparativas de la mortalidad infantil, utilizando la técnica diferencias en diferencias, combinándola con el uso de información longitudinal para todos los municipios en el estado de Río Grande do Sul. Nuestro resultado más significativo es que el programa redujo el número de muertes debidas a causas externas. La duración de exposición al programa pareció potenciar sus efectos. Para el número de muertes debidas a causas generales, no hay evidencia de impacto. Nuestros hallazgos son consistentes con la naturaleza del programa, cuyo objetivo es mejorar el cuidado de niños por parte de los adultos. El programa Primera Infancia Mejor es efectivo en la reducción del número evitable de muertes en niños.Investigamos o efeito de um programa de atenção primária de base familiar, o Programa Primeira Infância Melhor, sobre a mortalidade infantil no Estado do Rio Grande do Sul, Brasil. Estimamos as trajetórias contrafactuais da mortalidade infantil, usando a técnica das diferenças nas diferenças, combinada com o uso de dados longitudinais para todos os municípios do Estado do Rio Grande do Sul. O principal resultado é que o programa reduziu o número de óbitos por causas externas. O tempo de exposição ao programa parece potencializar os efeitos. Não há evidências de impacto sobre o número de óbitos por causas gerais. Nossos achados são compatíveis com a natureza do programa, que procura melhorar a saúde tanto dos adultos quanto das crianças. O Programa Primeira Infância Melhor mostra eficácia na redução do número de mortes evitáveis em lactentes.Reports in Public HealthCadernos de Saúde Pública2018-04-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778Reports in Public Health; Vol. 34 No. 4 (2018): AprilCadernos de Saúde Pública; v. 34 n. 4 (2018): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778/14638https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778/14639Felipe Garcia RibeiroGisele BraunAndré CarraroGibran da Silva TeixeiraDenise Petrucci Giganteinfo:eu-repo/semantics/openAccess2024-03-06T15:29:31Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6778Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:45.258471Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
title An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
spellingShingle An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
Felipe Garcia Ribeiro
Infant Mortality
Primary Health Care
Program Evaluation
title_short An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
title_full An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
title_fullStr An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
title_full_unstemmed An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
title_sort An empirical assessment of the Healthy Early Childhood Program in Rio Grande do Sul State, Brazil
author Felipe Garcia Ribeiro
author_facet Felipe Garcia Ribeiro
Gisele Braun
André Carraro
Gibran da Silva Teixeira
Denise Petrucci Gigante
author_role author
author2 Gisele Braun
André Carraro
Gibran da Silva Teixeira
Denise Petrucci Gigante
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Felipe Garcia Ribeiro
Gisele Braun
André Carraro
Gibran da Silva Teixeira
Denise Petrucci Gigante
dc.subject.por.fl_str_mv Infant Mortality
Primary Health Care
Program Evaluation
topic Infant Mortality
Primary Health Care
Program Evaluation
description We investigate the effect of a family-based primary health care program (Healthly Early Childhood Program) on infant mortality in the state of Rio Grande do Sul, Brazil. We estimate infant mortality’s counterfactual trajectories using the differences-in-differences approach, combined with the use of longitudinal data for all municipalities in the state of Rio Grande do Sul. Our main result is that the program reduced the number of deaths caused by external causes. The length of exposure to the program seems to potentiate the effects. For the number of deaths by general causes, there is no evidence of impact. Our findings are consistent with the nature of the program that aims to improve adults care with children. The Healthly Early Childhood Program is effective in reducing the number of avoidable deaths in infants.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-23
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778/14638
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6778/14639
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 34 No. 4 (2018): April
Cadernos de Saúde Pública; v. 34 n. 4 (2018): Abril
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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