Rivera Castiñeira Berta, Currais Nunes Luis, Rungo Paolo
Escola Galega de Administración Sanitaria (FEGAS), San Lázaro, 15707 Santiago de Compostela.
Rev Esp Salud Publica. 2009 Jan-Feb;83(1):85-97. doi: 10.1590/s1135-57272009000100007.
Conditional cash transfers are becoming the standard approach to reducing poverty levels; the Brazilian Bolsa Familia Program, in particular, is the largest program of this kind, and the evaluation of its impact allows for drawing some interesting conclusions, which may apply to other countries. In this paper, the lack of positive results in terms of both health status and modification of unhealthy habits is underlined. Among different causes, which are discussed here, the existence of barriers on the supply side appears as the most important limitation for obtaining better results. The positive impact of this program on both education and poverty reduction however, allows for predicting improvements in health status in the long run.
有条件现金转移支付正成为降低贫困水平的标准方法;特别是巴西的家庭补助金计划,是此类规模最大的计划,对其影响的评估能得出一些有趣的结论,这些结论可能适用于其他国家。本文强调了在健康状况和改变不健康习惯方面缺乏积极成果。在本文讨论的不同原因中,供应方存在的障碍似乎是取得更好成果的最重要限制因素。然而,该计划对教育和减贫的积极影响使得可以预测从长远来看健康状况会得到改善。