Evaluating the effect of Bolsa Familia, Brazil’s conditional cash transfer programme, on maternal and child health: A study protocol

Falcão, I. R. et al. (2022) Evaluating the effect of Bolsa Familia, Brazil’s conditional cash transfer programme, on maternal and child health: A study protocol. PLoS ONE, 17(5), e0268500. (doi: 10.1371/journal.pone.0268500) (PMID:35604890) (PMCID:PMC9126365)

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Abstract

Background: Conditional Cash Transfer Programs have been developed in Latin America in response to poverty and marked social inequalities on the continent. In Brazil, the Bolsa Familia Program (BFP) was implemented to alleviate poverty and improve living conditions, health, and education for socioeconomically vulnerable populations. However, the effect of this intervention on maternal and child health is not well understood. Methods: We will evaluate the effect of BFP on maternal and child outcomes: 1. Birth weight; 2. Preterm birth; 3. Maternal mortality; and 4. Child growth. Dynamic retrospective cohort data from the 100 Million Brazilian Cohort (2001 to 2015) will be linked to three different databases: Live Birth Information System (2004 to 2015); Mortality Information System (2011 to 2015); and Food and Nutritional Surveillance System (2008 to 2017). The definition of exposure to the BFP varies according to the outcome studied. Those who never received the benefit until the outcome or until the end of the follow-up will be defined as not exposed. The effects of BFP on maternal and child outcomes will be estimated by a combination of propensity score-based methods and weighted logistic regressions. The analyses will be further stratified to reflect changes in the benefit entitlement before and after 2012. Discussion: Harnessing a large linked administrative cohort allows us to assess the effect of the BFP on maternal and child health, while considering a wide range of explanatory and confounding variables.

Item Type:Articles
Additional Information:CIDACS received financial support by MCTI / CNPq / MS / SCTIE / Decit / Bill & Melinda Gates Foundation’s Grandes Desafios Brasil – Desenvolvimento Saudável para Todas as Crianças (call number 47/2014) (grant number OPP1142172). CIDACS and the 100 Million cohort received financial support from the Wellcome Trust (grant number 202912/Z/16/Z), the Health Surveillance Secretariat, Ministry of Health, Brazil, Bahia State (Decentralized Execution Term – TED number 159/2019), Research Support Foundation of the State of Bahia (FAPESB) (grant number INT0001/2015), the Research and Project Funding Agency (FINEP) (Notice CT-INFRA - FIOESTAT - Agreement number 04.10.0635.00, reference number 811/10). CIDACS received material support (referring to rooms in Bahia Technology Park in Salvador, state of Bahia) from Secretariat of Science and Technology of the State of Bahia (SECTI) (term of assignment of movable property 048/2018, process number 1430150022698). Individual financial support: IRF received a doctoral scholarship from the Research Support Foundation of the State of Bahia (FAPESB) (grant number BOL2330/2016). ESP is a fellow supported by the Wellcome Trust (grant number 13589/Z/18/Z). SVK acknowledges funding from a NRS Senior Clinical Fellowship (grant number SCAF/15/02). SVK and AHL also receive funding from the Medical Research Council (grant number MC_UU_12017/13) and Scottish Government Chief Scientist Office (grant number SPHSU13).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Katikireddi, Professor Vittal and Leyland, Professor Alastair and Dundas, Professor Ruth
Creator Roles:
Katikireddi, V.Methodology, Writing – review and editing
Dundas, R.Methodology, Writing – review and editing
Leyland, A.Methodology, Writing – review and editing
Authors: Falcão, I. R., Ribeiro-Silva, R. d. C., Alves, F. J. O., Ortelan, N., Silva, N. J., Fiaccone, R. L., de Almeida, M. F., Pescarini, J. M., Lisboa, C. S., Júnior, E. P. P., Paixao, E. S., Ferreira, A. J. F., Teixeira, C. S. S., Rocha, A. d. S., Katikireddi, S. V., Ali, M. S., Dundas, R., Leyland, A., Rodrigues, L. C., Ichihara, M. Y., and Barreto, M. L.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:PLoS ONE
Publisher:Public Library of Science
ISSN:1932-6203
ISSN (Online):1932-6203
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in PLoS ONE 17(5):e0268500
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
172690Understanding the impacts of welfare policy on health: A novel data linkage studySrinivasa KatikireddiOffice of the Chief Scientific Adviser (CSO)SCAF/15/02SHW - Public Health
727651Measuring and Analysing Socioeconomic Inequalities in HealthAlastair LeylandMedical Research Council (MRC)MC_UU_12017/13HW - MRC/CSO Social and Public Health Sciences Unit
727651Measuring and Analysing Socioeconomic Inequalities in HealthAlastair LeylandOffice of the Chief Scientific Adviser (CSO)SPHSU13HW - MRC/CSO Social and Public Health Sciences Unit