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The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015

BACKGROUND: 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 i...

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Autores principales: Alves, Layana Costa, Sanchez, Mauro Niskier, Hone, Thomas, Pinto, Luiz Felipe, Nery, Joilda Silva, Tauil, Pedro Luiz, Barreto, Maurício Lima, Penna, Gerson Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243887/
https://www.ncbi.nlm.nih.gov/pubmed/34187454
http://dx.doi.org/10.1186/s12889-021-11255-0
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author Alves, Layana Costa
Sanchez, Mauro Niskier
Hone, Thomas
Pinto, Luiz Felipe
Nery, Joilda Silva
Tauil, Pedro Luiz
Barreto, Maurício Lima
Penna, Gerson Oliveira
author_facet Alves, Layana Costa
Sanchez, Mauro Niskier
Hone, Thomas
Pinto, Luiz Felipe
Nery, Joilda Silva
Tauil, Pedro Luiz
Barreto, Maurício Lima
Penna, Gerson Oliveira
author_sort Alves, Layana Costa
collection PubMed
description BACKGROUND: 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11255-0.
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spelling pubmed-82438872021-06-30 The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015 Alves, Layana Costa Sanchez, Mauro Niskier Hone, Thomas Pinto, Luiz Felipe Nery, Joilda Silva Tauil, Pedro Luiz Barreto, Maurício Lima Penna, Gerson Oliveira BMC Public Health Research Article BACKGROUND: 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11255-0. BioMed Central 2021-06-29 /pmc/articles/PMC8243887/ /pubmed/34187454 http://dx.doi.org/10.1186/s12889-021-11255-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Alves, Layana Costa
Sanchez, Mauro Niskier
Hone, Thomas
Pinto, Luiz Felipe
Nery, Joilda Silva
Tauil, Pedro Luiz
Barreto, Maurício Lima
Penna, Gerson Oliveira
The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title_full The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title_fullStr The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title_full_unstemmed The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title_short The association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the Brazilian Amazon between 2004 and 2015
title_sort association between a conditional cash transfer programme and malaria incidence: a longitudinal ecological study in the brazilian amazon between 2004 and 2015
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243887/
https://www.ncbi.nlm.nih.gov/pubmed/34187454
http://dx.doi.org/10.1186/s12889-021-11255-0
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