Income transfer policies and the impacts on the immunization of children: the Bolsa Família Program

Andrade, Mônica Viégas; Chein, Flávia; Souza, Laetícia Rodrigues de; Puig‐Junoy, Jaume

doi:10.1590/s0102-311x2012000700013

Cited by 22 publications

(34 citation statements)

References 13 publications

(12 reference statements)

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“…BF had no association with vaccination coverage in our study, even though vaccination coverage is a condition for receiving the benefit. This corroborates previous research on a national scale describing no differences in vaccination coverage between BFP and NP 27 . A potential explanation for the low but similar vaccination rates of BFP and NP could be an insufficiency of primary care services.…”

Section: Discussionsupporting

confidence: 92%

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

et al. 2020

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OBJECTIVE: One of the primary objectives of Brazil’s conditional cash transfer program, Bolsa Família, is to break the intergenerational transmission of poverty by improving human capital via conditionalities. In this study, we hypothesized that health indicators of Bolsa Família participants would be comparable to those of other local children who were nonparticipants after two years of follow-up in the city of Acrelândia, Acre state, Western Brazilian Amazon. METHODS: Data from a population-based longitudinal study were analyzed to examine school enrollment, vaccination coverage, height and body mass index for age z-scores, and biomarkers of micronutrient deficiencies (iron and vitamin A) between Bolsa Família participants (n = 325) and nonparticipants (n = 738). RESULTS: Out of 1063 children 10 years and younger included in the 2007 baseline survey, 805 had anthropometric measurements and 402 had biochemical indicators in the 2009 follow-up survey. Prevalence rate ratio (PRR) for non-enrollment in school at 4 years of age was 0.58 (95%CI: 0.34–1.02) when comparing Bolsa Família participants with nonparticipants. No difference was found for vaccination coverage, which was insufficient for most vaccine-preventable diseases. Bolsa Família participants were less likely to show a positive change in body mass index for age z-scores compared with nonparticipants (PRR = 0.81, 95%CI: 0.70–0.95), while a positive change in height for age z-scores was similar in the groups. No differences in micronutrient deficiencies were found between groups after 2 years. CONCLUSIONS: Early school enrollment and consistent nutritional indicators between Bolsa Família participants and nonparticipants suggest Bolsa Família was facilitating similarities between groups over time.

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Section: Discussionsupporting

confidence: 92%

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

et al. 2020

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“…The health care conditions depend on access to health care services, as the recipients need to regularly visit their reference unit so that the growth and development of children under seven is monitored. 2 Even after adjusting for risk factors for dental caries, such as maternal schooling and presence of visible plaque, pupils receiving the BFP have a higher prevalence and severity of dental caries, even when compared to students in public schools who do not receive the benefit. Studies have shown a strong association between socioeconomic factors and general and oral health conditions (including dental caries) in populations of similar age groups.…”

Section: Discussionmentioning

confidence: 99%

Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

Oliveira¹,

Corrêa²,

Nascimento³

et al. 2013

Rev. Saude Publica

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METHODS:A cross-sectional study was conducted with 1,107 schoolchildren aged between eight and 12 years from 20 public and private schools in Pelotas, RS, Southern Brazil. A list of all children receiving the Bolsa Família program was provided by the participant schools. Demographic, socioeconomic and oral hygiene information were assessed using a questionnaire completed by the schoolchildren and their parents. Dental exams were performed to assess the presence of dental plaque and prevalence of dental caries. Data were analyzed by Chi-square test, Chi-square test for linear trend and multivariate Poisson Regression (prevalence ratio; 95% confidence interval). RESULTS:Schoolchildren from non-nuclear families, with a DMFT ≥ 1 and who had never visited a dentist were associated with receiving the Bolsa Família. Final model showed that caries prevalence was twice as high (PR 2.00; 95%CI 1.47;2.69) in schoolchildren benefiting from the Bolsa Família. It was also showed that schoolchildren benefiting from the program presented greater severity of dental caries compared to school children from private schools (RR 1.53; 95%CI 1.18;2.00). After final adjustments, the prevalence of schoolchildren who have never visited a dentist was six times higher in children who received the government benefit (PR 6.18; 95%CI 3.07;12.45) compared to those from private schools. CONCLUSIONS:Schoolchildren benefiting from the Bolsa Família program experienced more caries lesions and have less frequently accessed dental care services, which suggest the need to include oral health in the program.

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“…Table 2 presents the descriptive statistics for the variables that may influence the probability of program participation and the outcome variables. These variables correspond with those commonly used by impact assessments of child health and nutrition interventions 16 . Significant differences can be observed between the PCDCN participants and nonparticipants.…”

Section: Local Linear Regression Pairingmentioning

confidence: 92%

An impact assessment of the Child Growth, Development and Care Program in the Caribbean Region of Colombia

Padilla

Trujillo

2015

Cad. Saúde Pública

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This article aims to assess the impact of the Child Growth, Development and Care Program in the Caribbean region of Colombia by analyzing variables such as maternal childcare practices and indicators of the nutritional status and health of children under the age of five. To this end, the authors used the quasi-experimental technique Propensity Score Matching. Positive impacts included a decrease in acute diarrheal disease, and an increase in immunization and seeking treatment for acute respiratory infection or fever symptoms. However, the program had little influence on chronic and acute malnutrition in the region.

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Income transfer policies and the impacts on the immunization of children: the Bolsa Família Program

Abstract: This paper investigates the impact of the Bolsa

Cited by 22 publications

References 13 publications

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

Iniquidades em saude bucal: escolares beneficiarios do Bolsa Familia sao mais vulneraveis?

An impact assessment of the Child Growth, Development and Care Program in the Caribbean Region of Colombia

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