scholarly journals Effect of a conditional cash transfer programme on leprosy treatment adherence and cure in patients from the nationwide 100 Million Brazilian Cohort: a quasi-experimental study

2020 ◽  
Vol 20 (5) ◽  
pp. 618-627 ◽  
Author(s):  
Julia M Pescarini ◽  
Elizabeth Williamson ◽  
Joilda S Nery ◽  
Anna Ramond ◽  
Maria Yury Ichihara ◽  
...  
Keyword(s):  
Experimental Study ◽  
Treatment Adherence ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Quasi Experimental ◽  
Brazilian Cohort

scholarly journals Alteraciones en la racionalidad económica causadas por el subsidio “familias en acción” en San Juan de Pasto, Colombia

Tendencias ◽  
2015 ◽  
Vol 16 (2) ◽  
pp. 80
Author(s):  
Vanessa Katherine Bolaños Guerrero ◽  
Daisy Viviana Triviño Jaramillo
Keyword(s):  
Extended Period ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
San Juan ◽  
Economic Rationality ◽  
Transfer Program ◽  
Gainful Employment ◽  
Conditional Cash Transfer Program ◽  
Quasi Experimental ◽  
The City

En esta investigación se estudian algunas alteraciones generadas por el Programa “Familias en Acción” en la racionalidad económica de beneficiarios de este subsidio en la ciudad de San Juan de Pasto, Nariño, Colombia. Se parte de los postulados de la Economía del Comportamiento y de la metodología propuesta por la Economía Experimental. Mediante una plataforma de simulación, en el marco de un diseño cuasi-experimental, se analiza el comportamiento de los sujetos frente al consumo de bienes suntuarios, decisiones de ahorro e inversión y la búsqueda de un trabajo remunerado. Los hallazgos señalan que la recepción del subsidio otorgado por el programa no genera alteraciones significativas en las decisiones de ahorro, inversión y búsqueda de un empleo remunerado de los beneficiarios, sin embargo, se presenta un aumento en el consumo de bienes suntuarios, esta variación es mayor en la población que ha recibido el subsidio durante un período prolongado de tiempo, por lo cual podría afirmarse que un programa de transferencias condicionadas que se perpetúa durante mucho tiempo, genera hábitos de comportamiento en los beneficiarios contrarios a los esperados por la política. ABSTRACTThis current research studies some alterations generated by the program “Families in Action” on economic rationality of beneficiaries of this subsidy in the city of San Juan de Pasto, Nariño, Colombia. It starts the candidates’ Behavioral Economics and the methodology proposed by the Experimental Economics. Through a simulation platform, as part of a quasi-experimental design, the behavior of the subjects is analyzed by viewing the consume of sumptuary properties, saving and investment decisions and the search of a well-paid job. The findings indicate that the reception of the subsidy from the program does not generate significant changes in the decisions of beneficiaries about savings, investment and seeking gainful employment, however, an increase in the consumption of luxury goods is presented, this variation is higher in the population that has received the subsidy for an extended period of time, so it could be argued that a conditional cash transfer program that is perpetuated long, generates behavioral habits beneficiaries different from those expected by politics. RESUMOA presente investigação estuda algumas alterações geradas pelo programa “Famílias em Ação” na racionalidade econômica dos beneficiários deste subsídio, na cidade de San Juan de Pasto, Nariño, Colômbia. Começa dos candidatos Economia Comportamental e da metodologia proposta pela Economia Experimental. Através de um delineamento quasi-experimental, em que por meio de uma plataforma de simulação, se analiso o comportamento dos indivíduos frente ao consumo de bens de luxo, decisões de poupança e inversão e de procurar um trabalho remunerado. Os resultados indicam que a recepção do subsídio do programa não gera mudanças significativas nas decisões dos beneficiários sobre poupança, investimento e à procura de emprego remunerado, no entanto, um aumento no consumo de bens de luxo é apresentado, esta variação é maior no população que tem recebido osubsídio por um período prolongado de tempo, então pode-se argumentar que um programa de transferência condicionada de renda que se perpetua por muito tempo, gera hábitos comportamentais beneficiários diferentes dos esperados pela política.

scholarly journals Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort

2020 ◽  
Vol 189 (12) ◽  
pp. 1547-1558 ◽  
Author(s):  
Julia M Pescarini ◽  
Elizabeth Williamson ◽  
Maria Y Ichihara ◽  
Rosemeire L Fiaccone ◽  
Laura Forastiere ◽  
...  
Keyword(s):  
At Risk ◽  
Incidence Rate ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Case Detection ◽  
Transfer Program ◽  
High Burden ◽  
Leprosy Case ◽  
Conditional Cash Transfer Program ◽  
Brazilian Cohort

Abstract Leprosy is a neglected tropical disease predominately affecting poor and marginalized populations. To test the hypothesis that poverty-alleviating policies might be associated with reduced leprosy incidence, we evaluated the association between the Brazilian Bolsa Familia (BFP) conditional cash transfer program and new leprosy case detection using linked records from 12,949,730 families in the 100 Million Brazilian Cohort (2007–2014). After propensity score matching BFP beneficiary to nonbeneficiary families, we used Mantel-Haenszel tests and Poisson regressions to estimate incidence rate ratios for new leprosy case detection and secondary endpoints related to operational classification and leprosy-associated disabilities at diagnosis. Overall, cumulative leprosy incidence was 17.4/100,000 person-years at risk (95% CI: 17.1, 17.7) and markedly higher in “priority” (high-burden) versus “nonpriority” (low-burden) municipalities (22.8/100,000 person-years at risk, 95% confidence interval (CI): 22.2, 23.3, compared with 14.3/100,000 person-years at risk, 95% CI: 14.0, 14.7). After matching, BFP participation was not associated with leprosy incidence overall (incidence rate ratio (IRR)Poisson = 0.97, 95% CI: 0.90, 1.04) but was associated with lower leprosy incidence when restricted to families living in high-burden municipalities (IRRPoisson = 0.86, 95% CI: 0.77, 0.96). In high-burden municipalities, the association was particularly pronounced for paucibacillary cases (IRRPoisson = 0.82, 95% CI: 0.68, 0.98) and cases with leprosy-associated disabilities (IRRPoisson = 0.79, 95% CI: 0.65, 0.97). These findings provide policy-relevant evidence that social policies might contribute to ongoing leprosy control efforts in high-burden communities.

Cash transfers and political support: evidence from Ecuador

2020 ◽  
Vol 19 (2) ◽  
pp. 255-274
Author(s):  
Juan Ponce ◽  
Carolina Curvale
Keyword(s):  
Conditional Cash Transfer ◽  
Political Support ◽  
Cash Transfer ◽  
Transfer Program ◽  
Eligibility Criteria ◽  
Content Type ◽  
Vote Intention ◽  
Conditional Cash Transfer Program ◽  
Quasi Experimental ◽  
The Impact

Purpose This paper evaluates the argument that conditional cash transfer program recipients vote for the incumbent. We also test the hypothesis stating that ceasing to receive the benefit hinders support for the incumbent. Design/methodology/approach Using a regression discontinuity design, we assess the impact of the Bono de Desarrollo Humano cash transfer program on pro-incumbent voting of each of these four groups. Findings We did not find a significant impact of the transfer on pro-incumbent vote intention in any of the pairwise comparisons, which suggests that contextual factors determining retrospective voting may play an important role in shaping the relationship between pro-incumbent voting and social policy transfers. Originality/value Drawing on quasi-experimental evidence from Ecuador, where the eligibility criteria of the program changed exogenously, we evaluate the impacts of several treatments on pro-incumbent voting. We are able to identify four distinct groups: recipients under both eligibility criteria, nonrecipients under both criteria, new recipients and new nonrecipients.

scholarly journals Evaluating the impact of the Bolsa Familia conditional cash transfer program on premature cardiovascular and all-cause mortality using the 100 million Brazilian cohort: a natural experiment study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039658
Author(s):  
Julia M Pescarini ◽  
Peter Craig ◽  
Mirjam Allik ◽  
Leila Amorim ◽  
Sanni Ali ◽  
...  
Keyword(s):  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Survival Models ◽  
Transfer Program ◽  
Transfer Scheme ◽  
All Cause Mortality ◽  
Bolsa Familia ◽  
Race Ethnicity ◽  
The Impact ◽  
Brazilian Cohort

IntroductionBrazil’s Bolsa Familia Program (BFP) is the world’s largest conditional cash transfer scheme. We shall use a large cohort of applicants for different social programmes to evaluate the effect of BFP receipt on premature all-cause and cardiovascular mortality.Methods and analysisWe will identify BFP recipients and non-recipients among new applicants from 2004 to 2015 in the 100 Million Brazilian Cohort, a database of 114 million individuals containing sociodemographic and mortality information of applicants to any Brazilian social programme. For individuals applying from 2011, when we have better recorded income data, we shall compare premature (age 30–69) cardiovascular and all-cause mortality among BFP recipients and non-recipients using regression discontinuity design (RDD) with household monthly per capita income as the forcing variable. Effects will be estimated using survival models accounting for individuals follow-up. To test the sensitivity of our findings, we will estimate models with different bandwidths, include potential confounders as covariates in the survival models, and restrict our data to locations with the most reliable data. In addition, we will estimate the effect of BFP on studied outcomes using propensity score risk-set matching, separately for individuals that applied ≤2010 and >2011, allowing comparability with RDD. Analyses will be stratified by geographical region, gender, race/ethnicity and socioeconomic position. We will investigate differential impacts of BFP and the presence of effect modification for a combination of characteristics, including gender and race/ethnicity.Ethics and disseminationThe study was approved by the ethics committees of Oswaldo Cruz Foundation and the University of Glasgow College of Medicine and Veterinary Life Sciences. The deidentified dataset will be provided to researchers, and data analysis will be performed in a safe computational environment without internet access. Study findings will be published in high quality peer-reviewed research articles. The published results will be disseminated in the social media and to policy-makers.

scholarly journals Conditional cash transfers and the double burden of malnutrition among children in Colombia: a quasi-experimental study

2016 ◽  
Vol 115 (10) ◽  
pp. 1780-1789 ◽  
Author(s):  
Sandra Lopez-Arana ◽  
Mauricio Avendano ◽  
Ian Forde ◽  
Frank J. van Lenthe ◽  
Alex Burdorf
Keyword(s):  
Clinical Significance ◽  
Conditional Cash Transfer ◽  
Overweight And Obesity ◽  
Cash Transfer ◽  
Double Burden ◽  
School Aged Children ◽  
Quasi Experimental ◽  
Double Burden Of Malnutrition ◽  
The Impact ◽  
Overweight Or Obesity

AbstractConditional cash-transfer (CCT) programmes have been shown to improve the nutritional and health status of children from poor families. However, CCT programmes may have unintended and not fully known consequences by increasing the risk of overweight and obesity. We examined the impact of Familias en Acción (FA), a large CCT programme in Colombia, on the double burden of malnutrition among pre-school and school-aged children. Height and weight were measured before programme enrolment and during follow-ups in 1290 children from thirty-one treatment municipalities, being compared with 1584 children from sixty-two matched control municipalities. We used a difference-in-differences approach to evaluate the effect of FA on children’s stunting, BMI z-scores, thinness, overweight and obesity, controlling for individual and municipality-level confounders. At baseline, the prevalences of stunting and overweight were 30·3 and 15·4 %, respectively, in treatment municipalities and 27·9 and 17·4 % in control municipalities. FA was associated with reduced odds of thinness (OR 0·26; 95 % CI 0·09, 0·75) and higher BMI-for-age z-scores (BMI z-scores) (β 0·14; 95 % CI 0·00, 0·27; P<0·05), although the latter was of small clinical significance. The prevalence of stunting, overweight and obesity decreased over time, but the effect of FA on these outcomes was not significant. The CCT programme in Colombia reduced the odds of thinness, but had no effect on stunting, a more prevalent outcome. The FA programme had no effect on overweight or obesity, although BMI z-scores were higher for children under treatment, raising the possibility of an increase of small clinical significance on BMI among pre-school and school-aged children.

scholarly journals The impact of a governmental cash transfer programme on tuberculosis cure rate in Brazil: A quasi-experimental approach

2018 ◽  
Author(s):  
Daniel J. Carter ◽  
Rhian Daniel ◽  
Ana W. Torrens ◽  
Mauro N. Sanchez ◽  
Ethel L. N. Maciel ◽  
...  
Keyword(s):  
Social Protection ◽  
Experimental Approach ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Sensitivity Analyses ◽  
Future Research ◽  
Cure Rate ◽  
Quasi Experimental ◽  
The Impact ◽  
Positive Effect

AbstractBackgroundSocial vulnerability is strongly associated with tuberculosis (TB) indicators like cure rate. By addressing key social determinants, social protection policies such as Brazil’s Bolsa Família Programme (BFP), a governmental conditional cash transfer, may play a role in TB control. Evidence is consolidating around a positive effect of social protection on TB outcomes, however methodological limitations prevent strong conclusions. This paper uses a quasi-experimental approach to more rigorously evaluate the effect of BFP on TB cure rate.Methods & FindingsThe data source was Brazil’s TB notification system (SINAN), linked to the national registry of those in poverty (CadUnico) and the BFP payroll. Propensity scores (PSs) were estimated from a complete-case logistic regression using covariates from this linked dataset, informed by a directed acyclic graph. Control patients were matched to exposed patients on the PS and the average effect of treatment on the treated (ATT) was estimated as the difference in TB cure rate between matched groups (n = 2167). The ATT was estimated as 10·58 (95% CIs: 4·39, 16·77). This suggests that 10·58% of the TB patients receiving BFP who were cured would not have been cured had they not received BFP. The direction of this effect was robust to sensitivity analyses performed and the PS matching broadly improved balance, although missing data limited the sample size.ConclusionsThis work is the first quasi-experimental evaluation of social protection in wide-scale practice on TB outcomes. It demonstrates a positive effect of conditional cash transfers on TB cure rate consistent with existing work, suggesting changes to policy and future research on increasing access to social protection for TB patients who remain uncovered by the programme.

Anti-poverty transfers and school attendance: Panama's Red de Oportunidades

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Helena Corrales-Herrero ◽  
Martina Him Camaño ◽  
Belén Miranda-Escolar ◽  
Olga Ogando Canabal
Keyword(s):  
School Attendance ◽  
Geographical Area ◽  
Conditional Cash Transfer ◽  
Cash Transfers ◽  
Cash Transfer ◽  
Control Group ◽  
Geographical Differences ◽  
Content Type ◽  
Quasi Experimental ◽  
The Impact

PurposeThe purpose of this paper seeks to gauge the impact of the Red de Oportunidades programme on the school attendance of children from households that participate in the programme.Design/methodology/approachIn order to measure the impact of the programme, the authors apply propensity score matching, a quasi-experimental technique that allows us to find an appropriate control group to compare with the treatment group.FindingsResults show that the programme does not always manage to bring into line school attendance of children from families involved in the programme with that of children from families who are not. Nevertheless, differences are still evident in terms of age, gender and geographical area.Practical implicationsConditional cash transfer programmes should be designed carefully, taking into account a great variety of factors such as geographical characteristics, educational resources and infrastructure, not only to replicate programmes that have proved to be effective in other countries. In this sense, it seems that the impact of cash transfers on primary school attendance can be wholly attributed to the programme, implying that it is better to allocate more resources to groups in terms of age and gender where education is still not universal.Originality/valueTo the best of the authors' knowledge, this is the first time the impact of conditional cash transfers on school attendance has been examined in a country that still displays major geographical differences in terms of poverty, namely, Panama. The Red de Oportunidades programme has barely been studied.

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