Health services, intersectoriality and social control: a comparative study on a conditional income transfer program

2021 ◽  
pp. 175797592199615
Author(s):  
José Anael Neves ◽  
Lia Thieme Oikawa Zangirolani ◽  
Maria Angélica Tavares de Medeiros
Keyword(s):  
Health Services ◽  
Social Control ◽  
Multiple Correspondence Analysis ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Southeastern Brazil ◽  
P Value ◽  
Transfer Program ◽  
Access To Health Services ◽  
Access To Health

The Bolsa Família Program (BFP) is one of the largest conditional cash transfer programs in the world, providing cash transfers and intersectoral actions. The aim of this study was to compare whether there is a difference in access to health services, intersectoral actions and social control, between families entitled or not, to the BFP. A cross-sectional study was carried out. A representative sample of a peripheral, socioeconomically vulnerable population from a large urban center in southeastern Brazil was calculated, totaling 380 families. Chi-square or Fisher’s exact tests and multiple correspondence analysis were used to compare groups. Families entitled to the BFP had worse living conditions in general and greater access to health services, such as: medical care ( p-value 0.009), community healthcare agent ( p-value 0.001) and home visits ( p-value 0.041). Being entitled or not affected the variability in the pattern of access to services by 31%; low access to intersectoral actions was identified in both groups; social control was incipient. There was an adequate focus on the program; greater access to health services was related to compliance with conditionalities; low access to intersectoral actions can restrict the interruption of the cycle of intergenerational transmission of poverty.

scholarly journals Movement Disability: Situations and Factors Influencing Access to Health Services in the Northeast of Thailand

2015 ◽  
Vol 12 (3) ◽  
pp. 168-174 ◽  
Author(s):  
A Wongkongdech ◽  
W Laohasiriwong
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
P Value ◽  
Residential Areas ◽  
Access To Health Services ◽  
Persons With Disabilities ◽  
Care Givers ◽  
Factors Influencing ◽  
Access To Health ◽  
Movement Disability

Background Persons with movement disability (PWMDs) are the biggest group of persons with disabilities (PWDs) with needs helps especially on health. There has been no evident to show health services accessibility situation of PWMDs in the Northeast of Thailand, the biggest region.Objective This study aimed to explore the current situation of accessibility to health services among PWMDs, and factors influencing such access.Method This cross-sectional study used a multistage stratified random sampling to select 462 subjects from the national registered PWMDs poll to response to a structured questionnaire. This study complies with the principles of the Declaration of Helsinki and was approved by the Khon Kaen University Ethics Committee for Human Research prior to the data collection.Result We found that most of PWMDs (66%) had overall health service accessibility at medium level. Factors influencing the access to health services were living in rural area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income (adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044; and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs who lived in rural areas had better access to health services especially to the sub-district health promoting hospital than those in the urban area.Conclusion Accessibly to health services of PWMDs still limited. Income, care givers and residential areas had influences on their access.Kathmandu University Medical Journal Vol.12(3) 2014; 168-174

scholarly journals Database on the coverage of the “Bolsa-Família” conditioning cash-transfer program: Brazil, 2005 to 2021

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Lais Baroni ◽  
Ronaldo Fernandes Santos Alves ◽  
Cristiano Siqueira Boccolini ◽  
Rebecca Salles ◽  
Raquel Gritz ◽  
...  
Keyword(s):  
Health Services ◽  
Low Income ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Transfer Program ◽  
Nutrition And Health ◽  
Data Description ◽  
Bolsa Familia ◽  
Conditional Cash Transfer Program

Abstract Objectives The “Bolsa-Família” Program (PBF) is a Brazilian conditional cash-transfer program in which families should comply with health, education, and social assistance conditionalities. The program aims to fight poverty and hunger, promoting nutrition and health services for low-income populations. This paper presents a database on the coverage of monitoring and compliance with the PBF health conditionalities in Brazil from January 2005 to July 2021. Data description Database on the PBF conditioning cash-transfer program coverage in Brazil from 2005 to 2021. It comprises information on the number of families benefited, health conditionalities, and the follow-up on vaccination and nutrition of children under seven years old. The cities and semesters are the minimal aggregation units.

scholarly journals An Empirical Analysis of the Socioeconomic and Demographic characteristics influencing Birth Certification in Nigeria

2020 ◽  
Author(s):  
Uchechi Shirley Anaduaka
Keyword(s):  
Health Services ◽  
Parental Education ◽  
Household Wealth ◽  
Ordinary Least Squares ◽  
Conditional Cash Transfer ◽  
Access To Health Services ◽  
Children Under Five ◽  
Under Five ◽  
Access To Health ◽  
Socioeconomic And Demographic Factors

Abstract Background: Promoting birth certification is instrumental to achieving target 16.9 of the Sustainable Development Goals: legal identity for all by 2030. Currently, the birth certification rates are very low: on average, only 16.6% of children under-five years have their births certified. Methods: Using the nationally representative Nigerian Demographic and Health Survey, this paper analyzes the socioeconomic and demographic factors associated with the birth certification of children under-five years. The relationship with these factors and birth certification were analyzed using robust econometric techniques – ordinary least squares and multilevel regression approaches.Results: The study finds that access to health services, parental education and household ‌‌wealth strongly influence birth certification. Conversely, distance to registration center, higher birth orders, longer birth intervals and father’s working status are significant obstacles to birth certification. Finally, child age, maternal age at birth and father age have non-linear effects on birth certification among children under-five years in Nigeria. I find no significant effects of gender on birth certification. Conclusions: Improving access to health services and anchoring birth certification on child-targeted conditional cash transfer programs could be significant policy instruments for increasing birth certification in Nigeria.

scholarly journals Accessibility to health services among migrant workers in the Northeast of Thailand

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 972 ◽  
Author(s):  
Suprawee Khongthanachayopit ◽  
Wongsa Laohasiriwong
Keyword(s):  
Health Services ◽  
Migrant Workers ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
P Value ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health ◽  
One Year ◽  
Structured Questionnaire

Background. There is an increasing trend of trans-border migration from neighboring countries to Thailand. According to human rights laws, everyone must have access to health services, even if they are from other nationalities.  However, a small minority of health personnel in Thailand discriminate against immigrant workers, as they are from a lower financial bracket. Methods. This cross-sectional study aims to determine the prevalence of accessibility to health services and factors associated with access to health services among migrant workers who work along the Northeast border of Thailand. A total of 621 legal migrant workers were randomly selected to respond to a structured questionnaire about the satisfaction of health services, using the 5As of health services: availability; accessibility; accommodation; affordability; acceptability.  Associations between independent variables and access to health services were analysed   using multiple logistic regression analysis. Results. The results indicated that the majority of these registered migrant workers were female (63.9%) with an average age of 29± 8.61 years old, and were married (54.3%). Most of the workers worked at restaurants (80%), whereas only 20% were in agricultural sectors. Only 14% (95% CI: 11-17%) of migrant workers had access to health services. The factors that were significantly associated with accessibility to health service experienced ill health during the past one year (OR = 2.48; 95%CI; 1.54–3.97; p-value<0.001); have been married (OR = 2.32; 95% CI: 1.40 – 3.90; p-value <0.001). Conclusions. Most of the migrant workers could not access health services. The ones who did access health services were married or ill.

scholarly journals Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anelise Andrade de Souza ◽  
Sueli Aparecida Mingoti ◽  
Rômulo Paes-Sousa ◽  
Leo Heller
Keyword(s):  
Environmental Health ◽  
Solid Waste ◽  
Total Population ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Transfer Program ◽  
Waste Collection ◽  
High Coverage ◽  
Solid Waste Collection ◽  
Access To Water

Abstract Background This study aims to assess the interactive effects of Brazilian public interventions, environmental health programs (access to water, sanitation and solid waste collection) and a Conditional Cash Transfer Program (PBF), on the mortality reduction due to diarrhea and malnutrition among children under 5 years old. Methods The study design is ecological, with longitudinal analysis in a balanced panel. The period covered is 2006 to 2016, including 3467 municipalities from all regions of the country, which resulted in 38,137 observations. The generalized linear models were adjusted considering the Negative Binomial (NB) distribution for the number of deaths due to malnutrition and diarrhea, with fixed effects. NB models with and without zero-inflation were assessed. Subsequent interaction models were applied to assess the combined effects of the two public policies. Results In relation to the decline of mortality rates due to diarrhea in the municipalities, positive effect modification were observed in the presence of: high coverage of the target population by the PBF and access to water, 0.54 (0.28–1.04) / 0.55 (0.29–1.04); high coverage by the total population by the PBF and access to water, 0.97 (0.95–1.00) and high coverage by the total population by the PBF and access to sanitation, 0.98 (0.97–1.00). Decline on diarrhea mortality was also observed in the joint presence of high coverage of solid waste collection and access to water, categories 1 (> 60% ≤85%): 0.98 (0.96–1.00), 0.98 (0.97–1, 00) and 2 (> 85% ≤ 100%): 0.97 (0.95–0.98), 0.97 (0.95–0.99). Negative effect modification were observed for mortality due to malnutrition in the presence of simultaneous high coverage of the total population by the PBF and access to sanitation categories 1 (≥ 20 < 50%): 1.0061 (0.9991–1.0132) and 2 (≥ 50 < 100%): 1.0073 (1.0002–1.0145) and high coverage of the total population by the PBF and solid waste collection, 1.0004 (1.0002–1.0005), resulting in malnutrition mortality rates increase. Conclusion Implementation of environmental health services and the coverage expansion by the PBF may enhance the prevention of early deaths in children under 5 years old due to diarrhea, a poverty related disease.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

Interactions between Conditional Cash Transfers and Preferred Secondary Schools in Jamaica

2021 ◽  
Author(s):  
Diether Beuermann ◽  
Andrea Ramos Bonilla ◽  
Marco Stampini
Keyword(s):  
Secondary School ◽  
Secondary Schools ◽  
Conditional Cash Transfer ◽  
School Enrollment ◽  
Cash Transfer ◽  
Transfer Program ◽  
High Stakes ◽  
Dynamic Interactions ◽  
Post Secondary ◽  
Selective School

We explore whether the academic benefit from attending a preferred secondary school differs between beneficiaries and non-beneficiaries of the Jamaican Conditional Cash Transfer Program, Programme of Advancement through Health and Education (PATH). The academic outcomes assessed include end of secondary and post-secondary high-stakes examinations independently administered by the Caribbean Examinations Council. Among girls, receiving PATH benefits before secondary school enrollment does not influence the academic gains from attending a more selective school. However, boys who received PATH benefits prior to secondary school enrollment benefit significantly less from subsequently attending a more selective school with respect to comparable peers who did not receive PATH benefits. These results suggest negative dynamic interactions between PATH and selective secondary schools among boys.

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