9 research outputs found
The impact of Brazil’s Bolsa FamĂlia conditional cash transfer program on children’s health care utilization and health outcomes
BACKGROUND: Conditional cash transfer (CCT) programs provide poor families with cash conditional on investments in health and education. Brazil’s Bolsa FamĂlia program began in 2003 and is currently the largest CCT program in the world. This community-based study examines the impact of Bolsa FamĂlia on child health in a slum community in a large urban center. METHODS: In 2010, detailed household surveys were conducted with randomly selected Bolsa FamĂlia 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 FamĂlia has increased the odds of children’s visits to the health post for preventive services. In children under age seven, Bolsa FamĂlia 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 (β = 0.6; p = 0.049) and checkups (β = 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 FamĂlia 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 (β = 2.6; p = 0.007). CONCLUSIONS: Bolsa FamĂlia 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
Societal Economic Benefits Associated with an Extended-Release Opioid with Abuse-Deterrent Technology in the United States
Brazil’s Conditional Cash Transfer Program Associated With Declines In Infant Mortality Rates
Collaborative teaching and learning: a model for building capacity and partnerships to address NTDs.
From the Schools of Public Health BUILDING COMMUNITY-BASED SURGE CAPACITY THROUGH A PUBLIC HEALTH AND ACADEMIC COLLABORATION: THE ROLE OF COMMUNITY HEALTH CENTERS
Articles for From the Schools of Public Health highlight practice-based activities at the schools. To submit an article, faculty should send a short abstract (50-100 words) via e-mail to Allison Foster, ASPH Deputy Executive Director, at [email protected]