Amie Shei|Federico Costa|Mitermayer Galvão dos Reis|Albert Icksang Ko
The impact of Brazil’s Bolsa Família conditional cash transfer program on children’s health care utilization and health outcomes
Analysis Group (United States)|Fundação Oswaldo Cruz|Fundação Oswaldo Cruz|Fundação Oswaldo Cruz
conditional cash transfer cct programs provide poor families cash conditional investments health education brazils bolsa famlia program began 2003 currently largest cct program world communitybased study examines impact bolsa famlia child health slum community large urban centerin 2010 detailed household surveys conducted randomly selected bolsa famlia beneficiaries nonbeneficiaries brazilian slum community approximately 14000 inhabitants large urban center 567 families 1266 children interviewed propensity score methods used control differences beneficiary nonbeneficiary children estimate program impacts health care utilization health outcomesbolsa famlia increased odds childrens visits health post preventive services children age seven bolsa famlia associated increased odds growth monitoring 31 95 ci 1951 vaccinations 28 95 ci 1454 checkups 16 95 ci 09825 number growth monitoring visits 06 p 0049 checkups 02 p 0068 positive spillover effects older siblings ages 717 longer required meet health conditionalities bolsa famlia increased odds growth monitoring 25 95 ci 1349 checkups 17 95 ci 0932 improved psychosocial health 26 p 0007bolsa famlia improved health care utilization especially services related health conditionalites positive spillover effects older siblings findings study promising also suggest improvements health may depend quality health care services provided scope services linked health conditionalities coordination social safety net programs