Published in The Lancet Global Health, one of the highest-impact scientific journals in the field of public health, this international study, with the participation of Dr. Ana Lucia Moncayo, principal investigator at CISeAL, analyzes the effects of the Bolsa Família Program (BFP) in Brazil on mortality and hospitalization over two decades, with projections up to 2030. The BFP, one of the largest and longest-running conditional cash transfer (CCT) programs in the world, has benefited more than 50 million people through monthly transfers subject to the fulfillment of key health and education indicators.
Using multivariate Poisson models with fixed effects, applied to data from 3,671 Brazilian municipalities between 2000 and 2019, the study identified that high program coverage was associated with a significant reduction in the age-standardized mortality rate (RR 0.824), while high benefit adequacy also contributed to a relevant decrease (RR 0.849). It is estimated that the BFP prevented more than 8.2 million hospitalizations and over 713,000 deaths during that period, with particularly marked effects on the reduction of infant mortality and hospitalizations of people over 70 years of age.
Projections to 2030 suggest that an expansion of the program could prevent more than 8 million hospitalizations and about 684,000 additional deaths, compared to reduced coverage scenarios. These results reaffirm the positive impact of CCT programs on population health and their potential as a key tool to advance towards the fulfillment of the UN Sustainable Development Goal 3.
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👉 https://www.sciencedirect.com/science/article/pii/S246826672500091X