Campo DC | Valor | Idioma |
dc.contributor.author | Rasella, Davide | - |
dc.contributor.author | Pereira, Rosana Aquino Guimarães | - |
dc.contributor.author | Santos, Carlos Antonio de Souza Teles | - |
dc.contributor.author | Paes-Sousa, Rômulo | - |
dc.contributor.author | Barreto, Mauricio Lima | - |
dc.creator | Rasella, Davide | - |
dc.creator | Pereira, Rosana Aquino Guimarães | - |
dc.creator | Santos, Carlos Antonio de Souza Teles | - |
dc.creator | Paes-Sousa, Rômulo | - |
dc.creator | Barreto, Mauricio Lima | - |
dc.date.accessioned | 2014-01-15T13:12:42Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1474-547X | - |
dc.identifier.uri | http://repositorio.ufba.br/ri/handle/ri/14361 | - |
dc.description.abstract | 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. | pt_BR |
dc.language.iso | en | pt_BR |
dc.publisher | LANCET | pt_BR |
dc.rights | Acesso Aberto | pt_BR |
dc.subject | Bolsa Familia Programme | pt_BR |
dc.subject | Public Health | pt_BR |
dc.subject | Reduction in Child Mortality | pt_BR |
dc.subject | Programa Bolsa Família | pt_BR |
dc.subject | Saúde Pública | pt_BR |
dc.subject | Redução Mortalidade Infantil | pt_BR |
dc.title | Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities | pt_BR |
dc.title.alternative | Lancet | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.description.localpub | London | pt_BR |
dc.identifier.number | v.382, n.9886, p.57 - 64. | pt_BR |
dc.embargo.liftdate | 10000-01-01 | - |
Aparece nas coleções: | Artigo Publicado em Periódico Estrangeiro (ISC)
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