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 ◽  
...  

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.

Author(s):  
Armando Barrientos

This chapter examines the role that public policy initiatives—specifically anti-poverty transfers—have played in the reduction of poverty and inequality in Brazil. A number of anti-poverty initiatives are considered in turn, and not just the widely known Bolsa Familia conditional cash transfer program. The analysis establishes that such transfers—including conditional cash transfers—have proved surprisingly effective, even helping to tackle long-standing income inequality. It is recognized that explicit anti-poverty initiatives were not the only drivers of the reduced incidence of poverty and inequality: factors such as growth and improved access to labor markets also played a role. However, progress is now threatened by the recent economic and political crisis.


Author(s):  
Titus Priyo Harjatmo ◽  
Maria Poppy Herlianty ◽  
Antonius Sri Hartono

Background: The nutritional status of infants and toddlers is one indicator of public nutrition, and even has developed into one of the indicators of health and welfare. Basic Health Research (Riskesdas) in 2013 showed that 37,2% children under five suffering from nutritional status is stunting. One of the efforts that have been made by the Indonesian government to reduce malnutrition in infants and toddlers is through a program that is integrated with the health sector namely Conditional Cash Transfer Program (Program Keluarga Harapan). The specific objectives were to identify the characteristics of families recieve Conditional Cash Transfer Program and analysis stunting children under five years in families receiving Conditional Cash Transfer Program in Baturetno subdistric, Wonogiri district.Methods: The study was conducted in the subdistrict of Baturetno, Wonogiri district and has collected a total of 112 infants of families Conditional Cash Transfer Program participants. Sampling of children under five years was done purposively. This study was conducted from July to August 2017.Results: The proportion of children who stunting quite high at 33.0% higher than the results of the Nutritional Status Monitoring in 2016 amounted to 27.5%. If stunting is associated with the age group of stunting problems occur in all age groups in the amount of 31.3% in under 23 months and 34.3% at 23 months upwards of 31.3% children under five short, as much as 25.0% children under five are overweight according to height (weight for height) is normal and thus potentially becoming obese.Conclusions: The implementation of weight monitoring should be monitored the height of children under five in the hope family program.


Tendencias ◽  
2015 ◽  
Vol 16 (2) ◽  
pp. 80
Author(s):  
Vanessa Katherine Bolaños Guerrero ◽  
Daisy Viviana Triviño Jaramillo

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.


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