The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010.

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  • Source:
    American Journal of Public Health. 2015Supplement, Vol. 105, pS585-S599. 15p.
  • Document Type:
    Article
  • Additional Information
    • Alternate Title:
      Efectos combinados de la ampliación de la atención primaria de salud y de las transferencias condicionadas de dinero en efectivo sobre la mortalidad infantil en Brasil, 1998-2010.
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objectives. I examined the combined effects of access to primary care through the Family Health Program (FHP) and conditional cash transfers from the Bolsa Familia Program (BFP) on postneonatal infant mortality (PNIM) in Brazil. Methods. I employed longitudinal ecological analysis using panel data from 4583 Brazilian municipalities from 1998 to 2010, totaling 54 253 observations. I estimated fixed-effects ordinary least squares regressions models with PNIM rate as the dependent variable and FHP, BFP, and their interactions as the main independent variables of interest. Results. The association of higher FHP coverage with lower PNIM became stronger as BFP coverage increased. At the means of all other variables, when BFP coverage was 25%, predicted PNIM was 5.24 (95% confidence interval [CI] = 4.95, 5.53) for FHP coverage = 0% and 3.54 (95% CI = 2.77, 4.31) for FHP coverage = 100%. When BFP coverage was 60%, predicted PNIM was 4.65 (95% CI = 4.36,4.94) when FHP coverage = 0% and 1.38 (95% CI = 0.88,1.89) when FHP coverage = 100%. Conclusions. The effect of the FHP depends on the expansion of the BFP. For impoverished, underserved populations, combining supply- and demand-side interventions may be necessary to improve health outcomes. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Objetivos. Examiné los efectos combinados del acceso a la atención primaria mediante el Programa de Salud Familiar (PSF) y las transferencias condicionadas de dinero en efectivo del Programa Bolsa Familia (PBF) sobre la mortalidad infantil posneonatal (MIPN) en Brasil. Métodos. Empleé un análisis ecológico longitudinal usando datos en panel de 4583 municipios brasileños de 1998 al 2010, con 54 253 observaciones en total. Estimé modelos de regresión de efectos fijos por mínimos cuadrados ordinarios, con la tasa de MIPN como la variable dependiente y el PSF, el PBF y sus interacciones como las principales variables independientes de interés. Resultados. La asociación de una mayor cobertura del PSFcon una menortasa de MIPN se volvió más fuerte conforme aumentaba la cobertura del PBF. En los promedios de todas las demás variables, cuando la cobertura de PBF era 25%, la MIPN predicha fue 5,24 (intervalo de confianza [IC] de 95% = 4,95, 5,53) para una cobertura del PSF de 0%, y de 3,54 (IC de 95% = 2,77, 4,31) para una cobertura del PSF de 100%. Cuando la cobertura del PBF era de 60%, la MIPN predicha fue 4,65 (IC de 95% = 4,36, 4,94) para una cobertura del PSF de 0%, y de 1,38 (IC de 95% = 0,88, 1,89) para una cobertura del PSF de 100%. Conclusiones. El efecto del PSF depende de la ampliación del PBF. Para las poblaciones empobrecidas y subatendidas, la combinación de intervenciones tanto del lado de la oferta como del lado de la demanda podría ser necesaria para mejorar los resultados en salud. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      0090-0036
    • Accession Number:
      10.2105/AJPH.2013.301452
    • Accession Number:
      109143186
  • Citations
    • ABNT:
      The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010. American Journal of Public Health, [s. l.], v. 105, p. S585–S599, 2015. DOI 10.2105/AJPH.2013.301452. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=heh&AN=109143186&authtype=sso&custid=s5834912. Acesso em: 8 ago. 2020.
    • AMA:
      The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010. American Journal of Public Health. 2015;105:S585-S599. doi:10.2105/AJPH.2013.301452
    • APA:
      The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010. (2015). American Journal of Public Health, 105, S585–S599. https://doi.org/10.2105/AJPH.2013.301452
    • Chicago/Turabian: Author-Date:
      “The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010.” 2015. American Journal of Public Health 105 (September): S585–99. doi:10.2105/AJPH.2013.301452.
    • Harvard:
      ‘The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010’ (2015) American Journal of Public Health, 105, pp. S585–S599. doi: 10.2105/AJPH.2013.301452.
    • Harvard: Australian:
      ‘The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010’ 2015, American Journal of Public Health, vol. 105, pp. S585–S599, viewed 8 August 2020, .
    • MLA:
      “The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010.” American Journal of Public Health, vol. 105, Sept. 2015, pp. S585–S599. EBSCOhost, doi:10.2105/AJPH.2013.301452.
    • Chicago/Turabian: Humanities:
      “The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010.” American Journal of Public Health 105 (September 2, 2015): S585–99. doi:10.2105/AJPH.2013.301452.
    • Vancouver/ICMJE:
      The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998-2010. American Journal of Public Health [Internet]. 2015 Sep 2 [cited 2020 Aug 8];105:S585–99. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=heh&AN=109143186&authtype=sso&custid=s5834912