Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities

Detalhes bibliográficos
Autor(a) principal: Rasella, Davide
Data de Publicação: 2013
Outros Autores: Pereira, Rosana Aquino Guimarães, Santos, Carlos Antonio de Souza Teles, Paes-Sousa, Rômulo, Barreto, Mauricio Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/13361
Resumo: Texto completo. Acesso restrito. p. 57–64
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spelling Rasella, DavidePereira, Rosana Aquino GuimarãesSantos, Carlos Antonio de Souza TelesPaes-Sousa, RômuloBarreto, Mauricio LimaRasella, DavidePereira, Rosana Aquino GuimarãesSantos, Carlos Antonio de Souza TelesPaes-Sousa, RômuloBarreto, Mauricio Lima2013-10-30T18:12:29Z2013-10-30T18:12:29Z20130140-6736http://repositorio.ufba.br/ri/handle/ri/13361v. 382, n. 9886Texto completo. Acesso restrito. p. 57–64Background In the past 15 years, Brazil has undergone notable social and public health changes, including a large reduction in child mortality. The Bolsa Familia Programme (BFP) is a widespread conditional cash transfer programme, launched in 2003, which transfers cash to poor households (maximum income US$70 per person a month) when they comply with conditions related to health and education. Transfers range from $18 to $175 per month, depending on the income and composition of the family. We aimed to assess the effect of the BFP on deaths of children younger than 5 years (under-5), overall and resulting from specific causes associated with poverty: malnutrition, diarrhoea, and lower respiratory infections. Methods The study had a mixed ecological design. It covered the period from 2004–09 and included 2853 (of 5565) municipalities with death and livebirth statistics of adequate quality. We used government sources to calculate all-cause under-5 mortality rates and under-5 mortality rates for selected causes. BFP coverage was classified as low (0·0–17·1%), intermediate (17·2–32·0%), high (>32·0%), or consolidated (>32·0% and target population coverage ≥100% for at least 4 years). We did multivariable regression analyses of panel data with fixed-effects negative binomial models, adjusted for relevant social and economic covariates, and for the effect of the largest primary health-care scheme in the country (Family Health Programme). Findings Under-5 mortality rate, overall and resulting from poverty-related causes, decreased as BFP coverage increased. The rate ratios (RR) for the effect of the BFP on overall under-5 mortality rate were 0·94 (95% CI 0·92–0·96) for intermediate coverage, 0·88 (0·85–0·91) for high coverage, and 0·83 (0·79–0·88) for consolidated coverage. The effect of consolidated BFP coverage was highest on under-5 mortality resulting from malnutrition (RR 0·35; 95% CI 0·24–0·50) and diarrhoea (0·47; 0·37–0·61). Interpretation A conditional cash transfer programme can greatly contribute to a decrease in childhood mortality overall, and in particular for deaths attributable to poverty-related causes such as malnutrition and diarrhoea, in a large middle-income country such as Brazil. Funding National Institutes of Science and Technology Programme, Ministry of Science and Technology, and Council for Scientific and Technological Development Programme (CNPq), Brazil.Submitted by Santiago Fabio (fabio.ssantiago@hotmail.com) on 2013-10-16T18:43:59Z No. of bitstreams: 1 1111.pdf: 183467 bytes, checksum: f3ac5186bb3a7ffd4b5164269fba2a80 (MD5)Approved for entry into archive by Patricia Barroso (pbarroso@ufba.br) on 2013-10-30T18:12:29Z (GMT) No. of bitstreams: 1 1111.pdf: 183467 bytes, checksum: f3ac5186bb3a7ffd4b5164269fba2a80 (MD5)Made available in DSpace on 2013-10-30T18:12:29Z (GMT). No. of bitstreams: 1 1111.pdf: 183467 bytes, checksum: f3ac5186bb3a7ffd4b5164269fba2a80 (MD5) Previous issue date: 2013SalvadorLancethttp://www.sciencedirect.com/science/article/pii/S0140673613607151reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAFamily scholarship programInfant MortalityChild Nutrition DisordersEffect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalitiesLancetinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessengLICENSElicense.txtlicense.txttext/plain1365https://repositorio.ufba.br/bitstream/ri/13361/2/license.txt5371a150bdc863f78dcf39281543bd86MD52ORIGINAL1111.pdf1111.pdfapplication/pdf183467https://repositorio.ufba.br/bitstream/ri/13361/1/1111.pdff3ac5186bb3a7ffd4b5164269fba2a80MD51TEXT1111.pdf.txt1111.pdf.txtExtracted texttext/plain47330https://repositorio.ufba.br/bitstream/ri/13361/3/1111.pdf.txt54882ae48d02b84dc341fc45e7d3402aMD53ri/133612022-07-05 14:03:43.084oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:43Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
dc.title.alternative.pt_BR.fl_str_mv Lancet
title Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
spellingShingle Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
Rasella, Davide
Family scholarship program
Infant Mortality
Child Nutrition Disorders
title_short Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
title_full Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
title_fullStr Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
title_full_unstemmed Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
title_sort Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities
author Rasella, Davide
author_facet Rasella, Davide
Pereira, Rosana Aquino Guimarães
Santos, Carlos Antonio de Souza Teles
Paes-Sousa, Rômulo
Barreto, Mauricio Lima
author_role author
author2 Pereira, Rosana Aquino Guimarães
Santos, Carlos Antonio de Souza Teles
Paes-Sousa, Rômulo
Barreto, Mauricio Lima
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Rasella, Davide
Pereira, Rosana Aquino Guimarães
Santos, Carlos Antonio de Souza Teles
Paes-Sousa, Rômulo
Barreto, Mauricio Lima
Rasella, Davide
Pereira, Rosana Aquino Guimarães
Santos, Carlos Antonio de Souza Teles
Paes-Sousa, Rômulo
Barreto, Mauricio Lima
dc.subject.por.fl_str_mv Family scholarship program
Infant Mortality
Child Nutrition Disorders
topic Family scholarship program
Infant Mortality
Child Nutrition Disorders
description Texto completo. Acesso restrito. p. 57–64
publishDate 2013
dc.date.accessioned.fl_str_mv 2013-10-30T18:12:29Z
dc.date.available.fl_str_mv 2013-10-30T18:12:29Z
dc.date.issued.fl_str_mv 2013
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/13361
dc.identifier.issn.none.fl_str_mv 0140-6736
dc.identifier.number.pt_BR.fl_str_mv v. 382, n. 9886
identifier_str_mv 0140-6736
v. 382, n. 9886
url http://repositorio.ufba.br/ri/handle/ri/13361
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Lancet
publisher.none.fl_str_mv Lancet
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