Avaliação do Programa Criança Feliz: um estudo randomizado em 30 municípios brasileiros

Santos, Iná da Silva dos; Munhoz, Tiago N.; Barcelos, Raquel Siqueira; Blumenberg, Cauane; Bortolotto, Caroline Cardozo; Matijasevich, Alícia; Salum, Cristiane; Júnior, Hernane Guimarães dos Santos; Santos, Leticia Marques dos; Correia, Luciano Lima; Souza, Marta Rovery de; Lira, Pedro Israel Cabral de; Pereira, Vitor; Victora, Cesar G

doi:10.1590/1413-812320222712.13472022

Cited by 7 publications

(1 citation statement)

References 35 publications

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“…Further details on the assessment methodology are available elsewhere (Santos et al, 2020). The first follow-up (T1) survey was carried out from September 2019 to January 2020, when the same children were visited at 12 to 23 months of age.…”

Section: Baseline and First Follow-up Of The Impact Assessment Of The...mentioning

confidence: 99%

Course of depression during the first 2 years postpartum among Brazilian women enrolled in a conditional cash transfer program

Santos

Blumenberg

Munhoz

et al. 2023

Int J Soc Psychiatry

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Background: Women living in low- and middle-income countries are more exposed to known risk factors for depression occurrence and persistency over time. Aim: Our aim was to investigate the course of depression in the first 2 years postpartum among Brazilian women enrolled in a cash transfer program. Method: Longitudinal analysis of baseline (T0; mean 3.7 months postpartum) and first follow-up data (T1; mean 18.6 months postpartum) from a trial to assess the impact of a child development promotion program in 30 municipalities from six Brazilian states. The program does not include any interventions against maternal depression. The Edinburgh Postnatal Depression Scale (EPDS) at cutoff ⩾10 was applied. Women were categorized into four groups based on EPDS at T0 and T1: absence of depression, persistence, discontinuity, or emergence pattern. Adjusted Poisson regressions were run using a multilevel hierarchical model. Results: Two thousand eight hundred sixty-three women were assessed. Prevalence of depression was 26.4% [24.8, 28.1] at T0 and 24.4% [22.8, 26.0] at T1. Persistence, discontinuation, and emergence were found in 14.1% [11.3, 17.6%], 12.8% [11.4, 14.3%], and 10.2% [8.0, 13.0], respectively. In adjusted analyses, the persistence pattern was directly associated with parity and inversely associated with schooling of the woman and of the child’s father. Living with husband/partner and support from the child’s father and family members during pregnancy were protective against persistence. The discontinuity and the emergence patterns were not associated with any of the exposure variables. Conclusions: Depressive symptoms were highly prevalent during the first 2 years postpartum. About half of the women with depression at T1 were persistent cases that could have been detected earlier. Screening for maternal depression should be an essential component in every encounter of women with health professionals in primary health care settings.

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Section: Baseline and First Follow-up Of The Impact Assessment Of The...mentioning

confidence: 99%

Course of depression during the first 2 years postpartum among Brazilian women enrolled in a conditional cash transfer program

Santos

Blumenberg

Munhoz

et al. 2023

Int J Soc Psychiatry

Self Cite

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A qualitative analysis of the nurturing care environment of families participating in Brazil’s Criança Feliz early childhood program

dos Santos,

Godoi,

de Andrade e Guimarães

et al. 2023

PLoS ONE

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Investing in early childhood programs such as Brazil’s Criança Feliz Program (PCF) to support low-income families in providing a nurturing care environment is critical to ensure that children reach their full developmental potential. We aimed to analyze the influence of the PCF on the nurturing care environment provided by families enrolled in the program in the Federal District, Brazil. A qualitative case study was conducted based on in-depth interviews with a purposive sampling of 22 caregivers enrolled in the PCF for at least six months. Eighteen subthemes emerged from the thematic analysis following the five components of the Nurturing Care Framework (i.e., good health, adequate nutrition, responsive care, early learning, and security and safety). Caregivers recognized the benefits of the PCF on children’s mental health (good health) and reported challenges in providing adequate nutrition due to food insecurity (adequate nutrition). A bond between the home visitor and families was identified as critical to promote responsive parenting practices (responsive care). Caregivers appreciated the early stimulation activities provided during PCF home visits (opportunities for early learning). Access to social welfare programs, such as conditional cash transfer and food assistance, were facilitated through PCF multisectoral actions (safety and security). On the other hand, families reported not receiving support from PCF for issues such as breastfeeding, maternal mental health, and disciplinary practices. In summary, PCF enhanced the components of the nurturing care environment provided by families. However, their vulnerabilities and contextual implementation barriers may prevent families from fully benefiting from PCF activities.

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As vozes do Programa Criança Feliz: desafios e potencialidades

Soares,

Mishima,

Ferriani

2023

Serv. Soc. Soc.

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Resumo: Realizou-se pesquisa em três municípios com participantes do Programa Criança Feliz (PCF), que visa promover o desenvolvimento integral infantil. Familiares e equipes foram entrevistados, com posterior análise qualitativa, fundamentada pela teoria de Winnicott. Os resultados mostram que burocracia, insegurança jurídica e financeira fragilizam o PCF, enquanto visita domiciliar e fortalecimento de vínculos auxiliaram as famílias a estarem atentas às necessidades infantis.

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Avaliação do Programa Criança Feliz: um estudo randomizado em 30 municípios brasileiros

Cited by 7 publications

References 35 publications

Course of depression during the first 2 years postpartum among Brazilian women enrolled in a conditional cash transfer program

Course of depression during the first 2 years postpartum among Brazilian women enrolled in a conditional cash transfer program

A qualitative analysis of the nurturing care environment of families participating in Brazil’s Criança Feliz early childhood program

As vozes do Programa Criança Feliz: desafios e potencialidades

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