政府主导的现金转移计划对死亡行为和健康决定因素的影响:差异研究
Aaron Richterman1, Tra-My Ngoc Bùi2, Elizabeth F Bair2
1Division of Infectious Diseases, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA; Penn Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
政府现金转移计划显著改善了低收入和中等收入国家 (LMICs) 的人口健康状况. 这些举措提高了母亲和儿童的健康成果,包括增加了分娩设施和疫苗接种率,有助于减少贫困.
科学领域:
- 公共卫生
- 健康经济学
- 发展研究
背景情况:
- 贫困与健康状况不佳有关,因此政府现金转移计划对于减少LMIC贫困至关重要.
- 虽然研究了个别计划的影响,但这些转移对整个人口的健康影响仍未得到充分研究.
- 之前的研究表明,女性和儿童的死亡率因现金转移而降低.
研究的目的:
- 调查政府主导的LMIC现金转移计划对全人口健康机制的影响.
- 为考虑扩大或修改现金转移计划的政策制定者提供证据.
主要方法:
- 采用了两阶段的差异研究设计.
- 在37个LMIC (2000-2019) 的人口和健康调查中的个人数据与现金转移计划数据相结合.
- 通过比较现金转移计划和没有现金转移计划的国家来评估对17个母亲和儿童健康结果的影响.
主要成果:
- 现金转移计划与早期产前护理,设施分娩和熟练分娩人员使用的显著改善有关.
- 对期望怀孕,母乳养率,麻疹疫苗接种和腹疾病的减少有积极影响.
- 在儿童中,未得到满足的避孕需求和营养状况的显著减少.
结论:
- 政府现金转移计划对LMIC人口健康产生了广泛的积极影响.
- 这些发现支持现金转移计划的持续实施和潜在扩展,包括探索基本收入或保障收入模式.
- 这些结果为完善社会保护策略提供了关键证据,以改善健康结果.
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