Bolsa Família Programme and the reduction of child mortality in the municipalities of the Brazilian semiarid region
Bolsa Família Programme and the reduction of child mortality in the municipalities of the Brazilian semiarid region
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DOI：
10.1590/1413-81232018242.04782017
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发表时间：
2019-02-01
期刊：
影响因子：
--
通讯作者：
Paes, Neir Antunes
中科院分区：
文献类型：
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作者：
Silva, Everlane Suane de Araújo da;Paes, Neir Antunes
2003年，巴西联邦政府启动了家庭补助计划（Programa Bolsa Familia - PBF），这是一项向符合健康和教育相关条件的贫困家庭提供的广泛有条件现金转移。使用来自巴西半干旱地区 1,133 个城市的面板数据进行了纵向生态研究。主要目标是评估 2004 年至 2010 年期间 PBF 对巴西半干旱地区儿童死亡率 (CM) 的影响。使用具有固定效应的面板数据的多元线性回归来估计关联性。儿童死亡率（CMR）被认为是因变量，根据相关的社会和人口协变量以及通过家庭健康战略（FHS）全国最大的初级医疗保健计划的影响进行了调整。 PBF 和 FHS 在减少 CM、增加产前咨询、降低文盲率、降低生育水平以及减少生活在供水和卫生设施不足的家庭中的人数方面发挥了重要作用。总之，PBF 对降低 CM 水平具有积极影响；其他社会和人口因素的干预增强了其影响。
In 2003, the Brazilian federal government launched the Bolsa Familia Programme (Programa Bolsa Familia - 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.