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The association between a conditional cash transfer programme and malaria incidence:

dc.contributor.authorAlves, Layana Costa
dc.contributor.authorSanchez, Mauro Niskier
dc.contributor.authorHone, Thomas
dc.contributor.authorPinto, Luiz Felipe
dc.contributor.authorNery, Joilda Silva
dc.contributor.authorTauil, Pedro Luiz
dc.contributor.authorBarreto, Maurício Lima
dc.contributor.authorPenna, Gerson Oliveira
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2025-03-18T21:12:25Z
dc.date.available2025-03-18T21:12:25Z
dc.date.issued2021-06-29
dc.description.abstractBACKGROUND: Malaria causes 400 thousand deaths worldwide annually. In 2018, 25% (187,693) of the total malaria cases in the Americas were in Brazil, with nearly all (99%) Brazilian cases in the Amazon region. The Bolsa Família Programme (BFP) is a conditional cash transfer (CCT) programme launched in 2003 to reduce poverty and has led to improvements in health outcomes. CCT programmes may reduce the burden of malaria by alleviating poverty and by promoting access to healthcare, however this relationship is underexplored. This study investigated the association between BFP coverage and malaria incidence in Brazil. METHODS: A longitudinal panel study was conducted of 807 municipalities in the Brazilian Amazon between 2004 and 2015. Negative binomial regression models adjusted for demographic and socioeconomic covariates and time trends were employed with fixed effects specifications. RESULTS: A one percentage point increase in municipal BFP coverage was associated with a 0.3% decrease in the incidence of malaria (RR = 0.997; 95% CI = 0.994-0.998). The average municipal BFP coverage increased 24 percentage points over the period 2004-2015 corresponding to be a reduction of 7.2% in the malaria incidence. CONCLUSIONS: Higher coverage of the BFP was associated with a reduction in the incidence of malaria. CCT programmes should be encouraged in endemic regions for malaria in order to mitigate the impact of disease and poverty itself in these settings.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent9
dc.format.extent759429
dc.identifier.doi10.1186/s12889-021-11255-0
dc.identifier.otherPURE: 33837502
dc.identifier.otherPURE UUID: afdba55d-1082-4134-9c5d-3af640a9653a
dc.identifier.otherScopus: 85109872176
dc.identifier.otherWOS: 000670769400015
dc.identifier.otherPubMed: 34187454
dc.identifier.otherPubMedCentral: PMC8243887
dc.identifier.urihttp://hdl.handle.net/10362/180862
dc.identifier.urlhttps://www.scopus.com/pages/publications/85109872176
dc.language.isoeng
dc.peerreviewedyes
dc.subjectConditional cash transfer
dc.subjectEpidemiology
dc.subjectMalaria
dc.subjectPrevention & control
dc.subjectSocial determinants of health
dc.subjectVector borne disease
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectEconomics, Econometrics and Finance (miscellaneous)
dc.subjectImmunology and Microbiology (miscellaneous)
dc.subjectParasitology
dc.subjectFamily Practice
dc.subjectEpidemiology
dc.subjectDevelopment
dc.subjectHealth(social science)
dc.subjectSociology and Political Science
dc.subjectCommunity and Home Care
dc.subjectSDG 1 - No Poverty
dc.subjectSDG 2 - Zero Hunger
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.subjectSDG 16 - Peace, Justice and Strong Institutions
dc.titleThe association between a conditional cash transfer programme and malaria incidence:en
dc.title.subtitlea longitudinal ecological study in the Brazilian Amazon between 2004 and 2015en
dc.typejournal article
degois.publication.firstPage1
degois.publication.issue1
degois.publication.lastPage9
degois.publication.titleBMC Public Health
degois.publication.volume21
dspace.entity.typePublication
rcaap.rightsopenAccess

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