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Bolsa Familia Program and Perinatal Outcomes: NISAMI Cohort

Cinthia Soares Lisboa1, Jerusa da Mota Santana2, Rita de Cássia Ribeiro-Silva3

  • 1Programa de Pós-Graduação em Saúde Coletiva, Feira de Santana State University, Av. Transnordestina, s/n, Feira de Santana, Novo Horizonte 44036-900, BA, Brazil.

International Journal of Environmental Research and Public Health
|May 14, 2022
PubMed

This study aimed to assess the impact of the Bolsa Familia Program on perinatal outcomes of pregnant women. A cohort study was conducted with pregnant women supported by prenatal services at 17 Family Health Units in Bahia, Brazil. A previously tested structured questionnaire, which has sociodemographic, economic, prenatal care, lifestyle, and nutritional variables, has been used to collect data. The outcomes included premature birth and low birth weight. A hierarchical conceptual model was constructed, and logistic regression analysis was performed. From a total of 1173 pregnant women, the identified average age was 25.44 years and 34.10% had pre-gestational overweight. The non-beneficiary pregnant women presented a 1.54 (95% CI = 0.46-5.09) times higher chance of giving birth to children with low weight and a 1.03 (95% CI = 95% CI = 0.53-2.00) times chance of premature birth when compared to the beneficiary group. In the multilevel model, some variables were statistically significant, such as age between 18 and 24 years (p = 0.003), age greater than or equal to 35 years (p = 0.025), family income (p = 0.008), employment status (p = 0.010), and maternal height (p = 0.009). The Bolsa Familia Program, as an integrated strategy of social inclusion and economic development, is suggested to exert a protective effect on the health of mother-concept binomial.

Keywords:
birth weightchild healthnutrition programs and policiespregnancypremature birthsocial programs

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