Condicionalidades de saúde no Programa Bolsa Família e a vigilância alimentar e nutricional: narrativas de profissionais da atenção primária à saúde

Damião, Jorginete de Jesus; Lobato, Evelyne; Silva, Juliana Paulo e; Silva, Claudia Valéria Cardim da; Castro, Luciana Maria Cerqueira; Maldonado, Luciana Azevedo; Ribeiro, Alexandro Alves

doi:10.1590/0102-311x00249120

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Faced with temporal constraints, health workers focus on documenting the required height and weight data, rather than providing full wellness checks. Some lamented the added administrative responsibility of tracking down beneficiaries in danger of non‐compliance (Damião et al, 2021).…”

Section: Why Bolsa Família?mentioning

confidence: 99%

Does conditioning cash transfers on health treatment harm the health of other families on low incomes who depend on public services? Evidence from Brazil

Csapo

2023

Development Policy Review

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Summary Motivation Cash transfers have become popular for relieving poverty in the Global South. Many programmes are conditional on beneficiaries complying with medical check‐ups, nutritional assessments, and vaccinations. Such conditions may improve the health of beneficiaries, above all the health of their young children. But often public health provision is strained. Might the increased attention to those getting the transfers reduce health services to non‐beneficiaries, and especially those on low incomes who cannot afford private medicine? Purpose What are the impacts of the largest and longest‐lived conditional cash transfer programme in the world, Brazil's Bolsa Família (BF), on the health of non‐beneficiaries living in poverty? Does the health of non‐beneficiaries suffer when BF requirements come into place? Do the health requirements of BF lead to increased administrative costs for local health centres? Do they squeeze remaining resources for health care? Methods and approach Surveys from before and after the creation of BF are used to model the probability of death for infants born into poor households, comparing those enrolled in BF to those not included. The impacts of the BF programme on local health budgets are modelled through regression analysis. The analysis takes advantage of the varying degree of coverage of BF at the level of municipalities across Brazil. Findings Implementation of BF led to lower risk of death of infants from beneficiary families than predicted by trends before BF, while infants from impoverished non‐beneficiary families developed a higher‐than‐expected risk of death. The benefits to the former group were larger than the harm to the latter group, which explains why BF appears to reduce infant and child mortality in aggregate. The expansion of BF depressed local spending on primary health care. Above all, more of the health budget and staff time was spent on monitoring compliance with health conditionalities. Policy implications The harmful spillovers from BF to the health of low‐income households who were not included in the programme pose questions about the conditions that often accompany cash transfer programmes. In cases like Brazil, where budgets for public health care are limited, unconditional transfers might be preferable. Or, if health conditions are applied to cash transfer beneficiaries, then extra resources need to be granted to health centres to allow them to deal with the increased demand from beneficiaries for services.

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Section: Why Bolsa Família?mentioning

confidence: 99%

Does conditioning cash transfers on health treatment harm the health of other families on low incomes who depend on public services? Evidence from Brazil

Csapo

2023

Development Policy Review

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Intersectorality in a conditional cash transfer programme: Actors, convergences and conflicts

Neves,

Burlandy,

Medeiros

2024

Global Public Health

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(In)segurança alimentar e nutricional e fatores associados em famílias chefiadas por mulheres beneficiárias do Programa Bolsa Família

Bortolanza¹,

Schmitt

Uchida

et al. 2023

Segur. Aliment. Nutr.

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Introdução: A segurança alimentar e nutricional (SAN) é a garantia do direito ao acesso regular e permanente a alimentos de qualidade, em quantidade suficiente, sem comprometer o acesso a outras necessidades essenciais. Sabe-se que a má alimentação, é mais frequente nas mulheres e crianças em situação de vulnerabilidade social e com insegurança alimentar e nutricional (IAN). Objetivo: compreender o nível de IAN em beneficiárias do Programa Bolsa Família (PBF). Método: estudo transversal realizado com 71 famílias. Utilizou-se a Escala Brasileira de Insegurança Alimentar (EBIA) para avaliar a SAN, além do estado nutricional e a ingestão alimentar. Resultados: 88,73% (n=63) das famílias apresentaram IAN. Foram observados valores significativos entre as comparações de IAN grave e SAN nas famílias que recebem doação de comida, as que têm acesso apenas por doação de terceiros, e aquelas que fazem as compras prioritariamente fora do bairro (p<0,05). Quem está em IAN grave tem 1,4 vezes mais chance de não consumir o café da manhã e 2,2 vezes mais chance de não consumir frutas. Conclusão: Foi identificado um alto nível de IAN, o que sugere que devem ser realizadas ações que melhorem este quadro.

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Condicionalidades de saúde no Programa Bolsa Família e a vigilância alimentar e nutricional: narrativas de profissionais da atenção primária à saúde

Cited by 3 publications

References 14 publications

Does conditioning cash transfers on health treatment harm the health of other families on low incomes who depend on public services? Evidence from Brazil

Does conditioning cash transfers on health treatment harm the health of other families on low incomes who depend on public services? Evidence from Brazil

Intersectorality in a conditional cash transfer programme: Actors, convergences and conflicts

(In)segurança alimentar e nutricional e fatores associados em famílias chefiadas por mulheres beneficiárias do Programa Bolsa Família

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