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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

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Evaluating the relationship between conditional cash transfer programme on preterm births: a retrospective

Naiá Ortelan1,2, Márcia Furquim de Almeida3, Elzo Pereira Pinto Júnior4

  • 1Center for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute (IGM), Oswaldo Cruz Foundation (FIOCRUZ-BA), Salvador, Bahia, Brazil. naia.ortelan@fiocruz.br.

BMC Public Health
|March 5, 2024
PubMed

Insights

The Bolsa Familia Programme reduced extreme preterm births in Brazil. This effect was stronger with adequate prenatal care and good program management, highlighting its public health impact.

Area of Science:

  • Public Health
  • Socioeconomic Determinants of Health
  • Maternal and Child Health

Background:

  • Preterm birth is a significant contributor to infant and child mortality and morbidity.
  • Poverty and inadequate prenatal care are closely linked to increased rates of preterm birth.
  • Conditional cash transfer programs, like Bolsa Familia, aim to alleviate poverty and improve health outcomes.

Purpose of the Study:

  • To assess the impact of Brazil's Bolsa Familia Programme on reducing preterm births.
  • To investigate if the program's effect varies by the severity of preterm birth.
  • To explore the influence of prenatal care quality and program management on this association.

Main Methods:

  • Retrospective cohort study of over 1 million singleton births in Brazil (2004-2015).
  • Linked birth records with Bolsa Familia beneficiary data and prenatal care information.
  • Used propensity score methods and weighted logistic regression to analyze the association between Bolsa Familia and preterm birth.

Main Results:

  • Bolsa Familia was not significantly associated with overall, moderate-to-late, or severe preterm births.
  • A significant reduction in extreme preterm births (<28 weeks) was observed among beneficiaries (OR: 0.69).
  • This reduction was more pronounced for mothers with adequate prenatal care and in municipalities with better program management.

Conclusions:

  • Conditional cash transfer programs like Bolsa Familia can effectively reduce extremely preterm births.
  • The program's impact is enhanced by adequate prenatal care and efficient management.
  • These findings support the role of income transfer programs in achieving global health and development goals.
Abstract

Keywords:
100 million Brazilian cohortBolsa Familia ProgrammeConditional cash transferIncome redistributionPrenatal carePreterm birthPropensity score

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