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Título:
The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
Fecha de publicación:
2016
Forma de obra:
Libros de texto
Producción:
Public Health Nutrition; Vol. 19, No. 14, 2016
Idioma:
inglés
Nota de edición:
Digitalización realizada por la Biblioteca Virtual del Banco de la República (Colombia)
Autor:
López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J
Materia:
Tecnología; Tecnología / Ciencias médicas Medicina
Nota general:
Colombia
Nota general:
© Derechos reservados del autor
Nota general:
Colfuturo
Nota general:
Conditional cash transfer programmes; Health; Income; Intervention; Nutrition; Poverty
Nota general:
OBJECTIVE: Conditional cash transfer (CCT) programmes provide income to low-income families in return for fulfilling specific behavioural conditions. CCT have been shown to improve child health, but there are few systematic studies of their impact on multiple determinants of child health. We examined the impact of a CCT programme in Colombia on: (i) use of preventive health services; (ii) food consumption and dietary diversity; (iii) mother's knowledge, attitudes and practices about caregiving practices; (iv) maternal employment; and (v) women's empowerment.
DESIGN: Secondary analysis of the quasi-experimental evaluation of the Familias en Accion programme. Children and families were assessed in 2002, 2003 and 2005-06. We applied a difference-in-differences approach using logistic or linear regression, separately examining effects for urban and rural areas.
SETTING: Colombia.
SUBJECTS: Children (n 1450) and their families in thirty-one treatment municipalities were compared with children (n 1851) from sixty-five matched control municipalities.
RESULTS: Familias en Accion was associated with a significant increase in the probability of using preventive care services (OR=1·85, 95 % CI 1·03, 3·30) and growth and development check-ups (?=1·36, 95 % CI 0·76, 1·95). It had also a positive impact on dietary diversity and food consumption. No effect was observed on maternal employment, women's empowerment, and knowledge, attitudes and practices about caregiving practices. Overall, Familias en Accion's impact was more marked in rural areas.
CONCLUSION: CCT in Colombia increase contact with preventive care services and improve dietary diversity, but they are less effective in influencing mother's employment decisions, empowerment and knowledge of caregiving practices.
Enlace permanente:
http://www.cervantesvirtual.com/obra/the-impact-of-a-conditional-cash-transfer-programme-on-determinants-of-child-health-evidence-from-colombia-860291

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