Effects of government programs and fertility on child mortality in the brazilian Semiarid region

Silva, Everlane Suane de Araújo da; Paes, Neir Antunes; Silva, Cesar Cavalcanti da

doi:10.1590/0103-1104201811611

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ORIGINAL ARTICLE • Saúde debate 42 (116) • Jan-Mar 2018 • https://doi.org/10.1590/0103-1104201811611 copy

Effects of government programs and fertility on child mortality in the brazilian Semiarid region

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

It was aimed to evaluate the impact of the social programs: Bolsa Família Program and Family Health Strategy and fertility on child mortality in the brazilian Semiarid, during the period 2005-2010. The multivariate linear regression model of panel data with fixed effects was applied, using the Infant Mortality Rate as the dependent variable; and, as independents, the coverage of Bolsa Família and its conditionalities, coverage of the Family Health Strategy and the Fertility Rate. The public actions of the Programs, as well as the reduction of fertility levels, have greatly contributed to the decrease in infant mortality rates in the Semiarid.

KEYWORDS
Infant mortality; Government programs; Family Health Strategy; Fertility; Brazil

Indicators	Minimum		Maximum		Average		Median		Standard deviation
Indicators	2005	2010	2005	2010	2005	2010	2005	2010	2005	2010
Child mortality rate	18,0	13,4	68,8	45,4	37,4	26,3	36,7	25,2	7,2	5,6
Coverage of the PBF^a a Coverage of the Bolsa Família Program; (%)	7,9	24,3	86,4	84,6	45,7	54,3	46,4	54,1	10,6	8,8
Coverage_Health_PBF^b b Coverage of beneficiary families of the PBF accompanied by health conditionalities; (%)	0,0	0,2	100,0	100,0	48,1	82,9	47,2	84,4	39,6	13,6
Coverage of the FHS^c c Coverage of the Family Health Strategy. (%)	0,0	0,0	100,0	100,0	80,8	91,3	100,0	100,0	28,5	17,1
Total Fertility Rate	1,8	1,4	4,7	3,7	2,7	2,2	2,7	2,2	0,4	0,3

Variables	Model
Variables	β	95%	P-value
Coverage of the PBF (%)	-0,04	-0,05 - -0,03	< 0,001
Coverage_Health_PBF (%)	-0,02	-0,02 - -0,01	< 0,001
Coverage of the FHS (%)	-0,01	-0,02 - -0,01	< 0,001
Total Fertility Rate	17,23	16,84 - 17,62	< 0,001
R² (within)			0,692

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[1] Collaborators

Everlane Suane de Araújo da Silva and Neir Antunes Paes participated in the design, analysis of data, writing of the manuscript and discussion of the results. Cesar Cavalcanti da Silva performed the critical review of the manuscript. All authors participated in the approval of the final version of the text.