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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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File URL: http://hdl.handle.net/10.1002/hec.1607
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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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References

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  1. Peter Lorentzen & John McMillan & Romain Wacziarg, 2006. "Death and Development," 2006 Meeting Papers 61, Society for Economic Dynamics.
  2. Sebastian Galiani & Paul Gertler & Ernesto Schargrodsky, 2005. "Water for Life: The Impact of the Privatization of Water Services on Child Mortality," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 83-120, February.
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  5. Hoyt Bleakley & Fabian Lange, 2009. "Chronic Disease Burden and the Interaction of Education, Fertility, and Growth," The Review of Economics and Statistics, MIT Press, vol. 91(1), pages 52-65, February.
  6. Rodrigo Reis Soares, 2006. "On the determinants of mortality reductions in the developing world," Textos para discussão 529, Department of Economics PUC-Rio (Brazil).
  7. Ivan Fernandez-Val, 2007. "Fixed Effects Estimation of Structural Parameters and Marginal Effects in Panel Probit Models," Boston University - Department of Economics - Working Papers Series WP2007-009, Boston University - Department of Economics.
  8. 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., vol. 19(S1), pages 126-158, September.
  9. Gustavo J. Bobonis & Edward l Miguel & Charu Puri-Sharma, 2006. "Anaemia and School Participation," Working Papers id:337, eSocialSciences.
  10. Sebnem Kalemli-Ozcan, 2012. "AIDS, “reversal” of the demographic transition and economic development: evidence from Africa," Journal of Population Economics, Springer, vol. 25(3), pages 871-897, July.
  11. Mercedes Fernández & Sebastián Galiani & Ernesto Schargrodsky, 2006. "Targeted interventions in healthcare: the role of facility placement," Fiscal Studies, Institute for Fiscal Studies, vol. 27(3), pages 373-395, August.
  12. Rodrigo R. Soares, 2006. "Health And The Evolution Of Welfare Across Brazilian Municipalities," Anais do XXXIV Encontro Nacional de Economia [Proceedings of the 34th Brazilian Economics Meeting] 105, ANPEC - Associação Nacional dos Centros de Pósgraduação em Economia [Brazilian Association of Graduate Programs in Economics].
  13. Sebnem Kalemli-Ozcan, 2002. "Does the Mortality Decline Promote Economic Growth?," Macroeconomics 0212008, EconWPA.
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Cited by:
  1. 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., vol. 19(S1), pages 126-158, September.
  2. 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.
  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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