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Evaluating the impact of community‐based health interventions: evidence from Brazil's Family Health Program

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  • Romero Rocha
  • Rodrigo R. Soares

Abstract

This paper analyzes the direct and indirect impacts of Brazil's Family Health Program, using municipality level mortality data from the Brazilian Ministry of Health, and individual level data from the Brazilian household survey. We estimate the effects of the program on mortality and on household behavior related to child labor and schooling, employment of adults, and fertility. We find consistent effects of the program on reductions in mortality throughout the age distribution, but mainly at earlier ages. Municipalities in the poorest regions of the country benefit particularly from the program. For these regions, implementation of the program is also robustly associated with increased labor supply of adults, reduced fertility, and increased school enrollment. Evidence suggests that the Family Health Program is a highly cost-effective tool for improving health in poor areas. Copyright (C) 2010 John Wiley & Sons, Ltd.

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 19 (2010)
Issue (Month): S1 (September)
Pages: 126-158

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Handle: RePEc:wly:hlthec:v:19:y:2010:i:s1:p:126-158

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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Keywords: Family Health Program ; mortality ; household behavior ; impact evaluation ; Brazil ;

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  11. Rodrigo R. Soares, 2003. "Mortality Reductions, Educational Attainment, and Fertility Choice," Development and Comp Systems 0312006, EconWPA.
  12. Rocha, Romero & Soares, Rodrigo R., 2009. "Evaluating the Impact of Community-Based Health Interventions: Evidence from Brazil's Family Health Program," IZA Discussion Papers 4119, Institute for the Study of Labor (IZA).
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  17. Mercedes Fernández & Sebastián Galiani & Ernesto Schargrodsky, 2006. "Targeted interventions in healthcare: the role of facility placement," Fiscal Studies, Institute for Fiscal Studies, Institute for Fiscal Studies, vol. 27(3), pages 373-395, August.
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Cited by:
  1. Thomas, Ranjeeta & Jones, Andrew M & Squire, Lyn, 2010. "Methods for Evaluating Innovative Health Programs (EIHP): A Multi-Country Study," MPRA Paper 29402, University Library of Munich, Germany.
  2. Romero Rocha & Rodrigo R. Soares, 2010. "Evaluating the impact of community‐based health interventions: evidence from Brazil's Family Health Program," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 19(S1), pages 126-158, September.
  3. Squire, Lyn & Jones, Andrew M & Thomas, Ranjeeta, 2010. "Evaluating Innovative Health Programs: Lessons for Health Policy," MPRA Paper 29205, University Library of Munich, Germany.

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