Programa Bolsa Família e a redução da mortalidade infantil nos municípios do Semiárido brasileiro

Everlane Suane de Araújo da Silva · Neir Antunes Paes

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Poverty, Education, and Child Welfare Child Nutrition and Water Access Global Maternal and Child Health

Abstract

In 2003, the Brazilian federal government launched the Bolsa Família Programme (Programa Bolsa Família - PBF), a widespread conditional cash transfer to poor households when they comply with conditions related to health and education. A longitudinal ecological study using panel data from 1,133 municipalities of the Brazilian semiarid region was performed. The main goal was to assess the effect of the PBF on child mortality (CM) in the semiarid region of Brazil during the period of 2004-2010. Associations were estimated using a multivariate linear regression for the panel data with fixed effects. The child mortality rate (CMR) was considered the dependent variable, adjusted for relevant social and demographic covariates, and for the effect of the largest primary healthcare scheme in the country through the Family Health Strategy (FHS). The PBF and the FHS played significant roles in reducing CM, increasing prenatal consultations, reducing illiteracy rates, lowering fertility levels, and decreasing the number of individuals living in households with inadequate access to water supplies and sanitation. In conclusion, the PBF had a positive impact on reducing CM levels; its impact was boosted by the intervention of other social and demographic factors.

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References

2005Social determinants of health inequalities 2005Social determinants of health inequalities 2007A saúde e seus determinantes sociais 2013Effect of a conditional cash transfer programme on childhood mortality: a nationwide analysis of Brazilian municipalities 2002A Summary Measure of Health Disparity 2003Research on Health Inequalities in Latin America and the Caribbean: Bibliometric Analysis (1971–2000) and Descriptive Content Analysis (1971–1995)2011Effects of a conditional cash transfer programme on child nutrition in Brazil 2013Brazil’s Conditional Cash Transfer Program Associated With Declines In Infant Mortality Rates

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