Publication: Brazil : Are Health and Nutrition Programs Reaching the Neediest
Loading...
Date
2005-05
ISSN
Published
2005-05
Editor(s)
Abstract
Brazil has one of the greatest income concentrations in the planet. Most adverse health outcomes are more common among the poor. The Family Health Program (PSF) was introduced in the 1990s to provide high quality primary health care especially to the poorest. The program (PSF) seems to have an important role guaranteeing access to the poor. However, the PSF is not well focused, and coverage among the poor is still inadequate. Findings from this study will be fed back to policy makers to help improve the program. This discussion paper was prepared for the Program on Reaching the Poor with Effective Health, Nutrition, and Population Services, organized by the World Bank in cooperation with the William and Melinda Gates Foundation and the Governments of the Netherlands and Sweden.
Link to Data Set
Citation
“Barros, Aluisio J.D.; Victora, Cesar G.; Cesar, Juraci A.; Arns Neumann, Nelson; Bertoldi, Andréa D.. 2005. Brazil : Are Health and Nutrition Programs Reaching the Neediest. HNP Discussion Paper;. © World Bank. http://hdl.handle.net/10986/13652 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Related items
Showing items related by metadata.
Publication Sierra Leone Early Childhood Development : SABER Country Report 2013(Washington, DC, 2013)This report presents an analysis of the Early Childhood Development (ECD) programs and policies which affect young children in Sierra Leone. This report is part of a series of reports prepared by the World Bank using the SABER-ECD framework. The country report includes analysis of early learning, health, nutrition and social and child protection policies and interventions in Sierra Leone, along with regional and international comparisons. The SABER-ECD initiative is designed to enable ECD policy makers and development partners to identify opportunities for further development of effective ECD systems. The SABER-ECD classification system does not rank countries according to any overall scoring; rather, it is intended to share information on how different ECD systems address the same policy challenges. This country report presents a framework to compare Sierra Leone s ECD system with other countries in the region and internationally. Each of the nine policy levers are examined in detail and some policy options are identified to strengthen ECD are offered.Publication Beyond 80 Percent : Are There New Ways of Increasing Vaccination Coverage? Evaluation of CCT Programs in Mexico and Nicaragua(World Bank, Washington, DC, 2007-06)This study evaluates the impact of the Mexican conditional cash transfer (CCT) program, Oportunidades and the Nicaraguan program, Red de Protección Social, on vaccination coverage for Bacille Calmette-Guérin (vaccine against tuberculosis), Diphtheria-Pertussis-Tetanus Vaccine, Oral Polio Vaccine and Measles-Containing Vaccine in children less than three years of age, using a randomized treatment and control design at the community level. The intent-to-treat effect on vaccination coverage is assessed using a double-difference estimator. This study found that in Mexico and Nicaragua, CCTs significantly contribute to increased vaccination coverage among children, particularly among those not reached by traditional program strategies, such as children living further from health facilities and with mothers having less than primary schoolPublication Independent State of Samoa Early Childhood Development : SABER Country Report 2013(Washington, DC, 2013)This report presents an analysis of the Early Childhood Development (ECD) programs and policies which affect young children in the Samoa. This report is part of a series of reports prepared by the World Bank using the SABER-ECD framework. The country report includes analysis of early learning, health, nutrition, social and child protection policies and interventions in Samoa, along with regional and international comparisons. The SABER-ECD initiative is designed to enable ECD policy makers and development partners to identify opportunities for further development of effective ECD systems. The SABER-ECD classification system does not rank countries according to any overall scoring; rather, it is intended to share information on how different ECD systems address the same policy challenges. This country report presents a framework to benchmark the Samoa s ECD system; each of the nine policy levers are examined in detail and some policy options are recommended.Publication Disease and Mortality in Sub-Saharan Africa, Second Edition(Washington, DC: World Bank, 2006)Since the publication of the first edition of "Disease and Mortality in Sub-Saharan Africa" (report no. 9784 (1991)), many new sources of health and demographic information have become available, including data on trends in HIV infection from antenatal clinic surveillance sites, the first set of African life tables from a growing number of demographic surveillance sites, injury statistics from a small number of injury mortality surveillance registers, and cancer data from cancer registers. Improved methods for estimating the incidence of several other diseases, including tuberculosis, maternal mortality, and chronic diseases, have also improved the reliability of health statistics. Verbal autopsy studies have linked with demographic surveillance sites, adding to our knowledge on changes in the cause-of-death composition in several countries. Notwithstanding these advances in health statistics, a theme that emerges from all the chapters in this volume is that too little is known about trends in the diseases and conditions included here in order to monitor and evaluate the effectiveness of programs intended to produce better health outcomes. As we get closer to the 2015 end point of the Millennium Development Goals, reaching the goals will become increasingly challenging. The continued improvement of disease surveillance and other regularly published health information remains as important a priority for African health systems as it was for the first edition.Publication Improving Coverage and Utilization of Maternal and Child Health Services in Lao PDR(Washington, DC: Independent Evaluation Group, 2015)The World Bank supported the community nutrition project (CNP) in the Lao People’s Democratic Republic (PDR) from 2009 to 2013, ostensibly to respond to the global food crisis of 2007-08. The evaluation finds an attributable effect on only one of the six formal project indicators: children in intervention areas were more likely to receive full diphtheria, pertussis, and tetanus (DPT) vaccines. This impact evaluation seeks to address whether the CNP can make causal claims to improving indicators related to its six stated project development objective measurements for mothers and children under two years old: antenatal care visits, institutional delivery, well-child checkups, breastfeeding, immunization, and diarrhea oral rehydration solutions. The results of quasi-experimental impact evaluation methods indicate that although general effects for these outcomes are mixed, the project shows improvements for the poorest 40 percent of the population.
Users also downloaded
Showing related downloaded files
Publication Impact Evaluation in Practice, Second Edition(Washington, DC: Inter-American Development Bank and World Bank, 2016-09-13)The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. Readers will gain an understanding of impact evaluations and the best ways to use them to design evidence-based policies and programs. The updated version covers the newest techniques for evaluating programs and includes state-of-the-art implementation advice, as well as an expanded set of examples and case studies that draw on recent development challenges. It also includes new material on research ethics and partnerships to conduct impact evaluation. The handbook is divided into four sections: Part One discusses what to evaluate and why; Part Two presents the main impact evaluation methods; Part Three addresses how to manage impact evaluations; Part Four reviews impact evaluation sampling and data collection. Case studies illustrate different applications of impact evaluations. The book links to complementary instructional material available online, including an applied case as well as questions and answers. The updated second edition will be a valuable resource for the international development community, universities, and policy makers looking to build better evidence around what works in development.Publication Empowerment in Practice : From Analysis to Implementation(Washington, DC: World Bank, 2006)This book represents an effort to present an easily accessible framework to readers, especially those for whom empowerment remains a puzzling development concern, conceptually and in application. The book is divided into two parts. Part 1 explains how the empowerment framework can be used for understanding, measuring, monitoring, and operationalizing empowerment policy and practice. Part 2 presents summaries of each of the five country studies, using them to discuss how the empowerment framework can be applied in very different country and sector contexts and what lessons can be learned from these test cases. While this book can offer only a limited empirical basis for the positive association between empowerment and development outcomes, it does add to the body of work supporting the existence of such a relationship. Perhaps more importantly, it also provides a framework for future research to test the association and to prioritize practical interventions seeking to empower individuals and groups.Publication Corporate Governance of State-Owned Enterprises : A Toolkit(Washington, DC, 2014-10-04)This Toolkit provides an overall framework with practical tools and information to help policymakers design and implement corporate governance reforms for state-owned enterprises. It covers the key elements of corporate governance, including legal and regulatory framework, state ownership arrangements, performance management systems, financial and fiscal discipline, boards of directors, transparency and disclosure, and protection of shareholders in mixed ownership companies. Experience shows that no one approach is universally applicable and the choice of measures depends on country and enterprise circumstances. The Toolkit thus provides a range of frameworks, concepts, case examples, checklists, and model documents that together aim to help government officials make the appropriate choices for their circumstances. The Toolkit concludes with guidance on managing the reform process, in particular how to prioritize and sequence reforms, build capacity, and engage with stakeholders.Publication Digital Progress and Trends Report 2023(Washington, DC: World Bank, 2024-03-05)Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.Publication World Development Report 2004(World Bank, 2003)Too often, services fail poor people in access, in quality, and in affordability. But the fact that there are striking examples where basic services such as water, sanitation, health, education, and electricity do work for poor people means that governments and citizens can do a better job of providing them. Learning from success and understanding the sources of failure, this year’s World Development Report, argues that services can be improved by putting poor people at the center of service provision. How? By enabling the poor to monitor and discipline service providers, by amplifying their voice in policymaking, and by strengthening the incentives for providers to serve the poor. Freedom from illness and freedom from illiteracy are two of the most important ways poor people can escape from poverty. To achieve these goals, economic growth and financial resources are of course necessary, but they are not enough. The World Development Report provides a practical framework for making the services that contribute to human development work for poor people. With this framework, citizens, governments, and donors can take action and accelerate progress toward the common objective of poverty reduction, as specified in the Millennium Development Goals.