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1.
Rev. adm. pública (Online) ; 56(1): 80-99, jan.-fev. 2022. graf
Artigo em Português | LILACS | ID: biblio-1365459

RESUMO

Resumo Este artigo apresenta e discute os programas de transferência monetária condicionada implementadas no Chile, o Chile Solidario (2002-2013) e o Ingreso Ético Familiar (2013-presente), procurando identificar continuidades e diferenças entre as duas iniciativas. Tendo por base a literatura sobre mudanças em políticas públicas e, em particular, a tipologia proposta por Howlett e Cashore (2009), que distinguem entre fins e meios, faz-se uma comparação entre os dois programas, de modo a identificar objetivos e mecanismos que se mantêm, quais se alteram, bem como as novidades introduzidas. Argumenta-se que, apesar de ter sido apresentado como um programa inovador em relação ao seu antecessor, o Ingreso Ético Familiar, o Chile Solidario mantém os atributos daquele, aos quais se adicionam alguns novos elementos. O artigo traz contributos em duas áreas: traça a evolução da política de transferência condicionada no Chile nas duas últimas décadas e dialoga com a literatura sobre mudança em política social.


Resumen El artículo presenta y discute los programas de transferencia condicionada chilenas - el Chile Solidario (2002-2013) y el Ingreso Ético Familiar (2013-presente) - y busca identificar continuidades y diferencias entre las dos iniciativas. Teniendo como base la literatura acerca de cambio en políticas públicas y, en particular, la tipología propuesta por Howlett y Cashore (2009) que distingue entre fines y medios, se realizar un análisis comparado entre ambos programas, buscando identificar los objetivos y mecanismos que persisten, los que se modifican y si se introducen innovaciones. Como resultado, pese a que haya sido presentado como un programa innovador en relación al anterior, el Ingreso Ético Familiar mantiene los principales atributos de Chile Solidario, a los cuales son añadidos algunos nuevos elementos. El artículo busca hacer contribuciones en dos áreas: (1) mapear la evolución de los programas de transferencia condicionada en las dos últimas décadas y (2) dialogar con la literatura sobre cambios en política social.


Abstract This article presents and discusses the two conditional cash transfer initiatives implemented in Chile - Chile Solidario (2002-2013) and Ingreso Ético Solidario (2013-present) - and aim at identifying continuities and change between the two. A comparison of the two programmes, based on Howlett and Cashore's (2009) tipology for analysing policy change that distinguished between ends and means, allows the identification of continuities and changes regarding the goals and mechanisms present in the two programmes. The article argues that despite being announced as an innovative measure in regard to the previous programme, Ingreso Etico Familiar maintains the core characteristics of Chile Solidario and includes some additional elements. This article makes two different contributions: (1) it traces the evolution of conditional cash transfers programmes in Chile over the past two decades and (2) it establishes a dialogue with the literatures on changes to social policy.


Assuntos
Política Pública , Apoio Financeiro , Políticas , Programas Sociais , Chile
2.
Glob Public Health ; 17(1): 26-42, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33253042

RESUMO

Conditional cash transfer programs are strategies used by countries over the past two decades, and they play a key role in reducing income inequalities and expanding access to basic services such as health and education. The Brazilian Cash Transfer Program (Bolsa Família), the largest conditional cash transfer program in the world, aims to bring immediate poverty alleviation and eradicate hunger. The objective of this study was to analyse the contributions of the Brazilian Cash Transfer Program for reducing social inequalities and ensuring the right to health, food, education and social assistance in Brazil. A review of the scientific literature published between 2003 and 2020 was conducted, associated with documentary research on government websites. There was a relationship between the Brazilian Cash Transfer Program, reduction of child mortality and increase in access to Primary Health Care services; increased access to food, including in natura; higher school attendance and reduced dropout. However, no improvement in the nutritional status of the families entitled to the program was observed, nor the interruption of the intergenerational cycle of poverty was ensured. The Brazilian Cash Transfer Program continues as a potent intersectoral policy for reducing inequities, which reinforces the need to strengthen and combine complementary policies to expand its effects.


Assuntos
Renda , Pobreza , Brasil , Criança , Humanos , Estado Nutricional , Fatores Socioeconômicos
3.
J Prev Interv Community ; 49(1): 60-80, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-31282309

RESUMO

Prospera, a Conditional Cash Transfer (CCTs) program in Mexico, provides recipients with cash contingent on three nodes of civic engagement: health, nutrition and education. This article examines the educational component of Prospera in La Gloria, in the state of Chiapas, Mexico. I utilize gender and culture of migration theories to explore the role gender plays in the educational, employment and migration outcomes of 31 high school students, and a smaller sample that pursued post-secondary education, six years after participating in the Prospera program. My findings raise questions about the ability of Prospera to ameliorate social inequalities, foster gender equity, and economic mobility among indigenous recipient households.


Assuntos
Estudantes , Escolaridade , Humanos , México , Fatores Socioeconômicos
4.
J Interpers Violence ; 36(19-20): NP10594-NP10618, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-31535920

RESUMO

Female labor force participation is important for women, children, and societies, but also may have unintended impacts including an increased risk of intimate partner violence (IPV). IPV is a global health, human rights, and development problem with far-reaching economic and societal consequences. Mexico has a very high prevalence of IPV: 43.9% of Mexican women have reported experiencing IPV at the hands of their current partner. The literature on women's economic participation reveals mixed evidence on whether women's employment is associated with higher levels of IPV or whether it is protective against IPV. As the effect of women's work operates differently across contexts, we aim to estimate the effect of women's employment on their risk of experiencing IPV in rural and urban Mexico. Utilizing the nationally representative 2016 Mexican National Survey on the Dynamics of Household Relationships (ENDIREH), we employ propensity score matching (PSM) to address the potential selection bias between women who are employed and/or receiving a cash transfer with women who are not. We additionally implement inverse probability weighted regression adjustment (IPWRA) to explore this relationship and compare the results with the PSM findings. Three different measures of women's economic participation are analyzed: whether they had engaged in any productive work outside of the home in the past year, whether they received conditional cash transfers through Mexico's Prospera program, and whether they received Prospera and worked. Given the high levels of IPV in Mexico and the greater levels of economic participation borne of an increased number of women in the workforce, our results have important potential implications for targeting support to survivors of violence who receive cash transfers and undertake employment in both urban and rural areas.


Assuntos
Violência por Parceiro Íntimo , Criança , Estudos Transversais , Emprego , Feminino , Humanos , México/epidemiologia , Prevalência , Fatores de Risco
5.
Data Brief ; 32: 106290, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32995391

RESUMO

This study provides detailed information on socially disadvantaged women and their households in Buenaventura, Colombia. A representative sample for 400 women aged between 18 and 70 was prepared and their living conditions were accessed based on the sociodemographic data and economic and social dynamics of their households. It gives special attention to access to poverty alleviation programs - conditional cash transfers - and forms of agency propelling women towards social change. The data were collected in July 2019 through in-person interviews. The database can greatly contribute toward further comparative research, informing public policy, and more broadly, widening the universe of statistical data on Colombia and other Latin American countries by providing quantitative data on welfare dependence, intragenerational pathways of social mobility, and changes in reproductive strategies and the political culture of women with respect to urban precarity. Fundación WWB Colombia and Universidad Icesi sponsored data collection as part of the project entitled "Analysis of the relationships between gender constructions and welfare programs in southwest Colombia".

6.
Health Econ ; 29(6): 700-715, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32124543

RESUMO

There is growing evidence on positive human capital impacts of large, poverty-focused cash transfer programs. However, evidence is inconclusive on whether cash transfer programs affect maternal health outcomes, and if so, through which pathways. We use a regression discontinuity design with an implicit threshold to evaluate the impact of Comunidades Solidarias Rurales in El Salvador on four maternal health service utilization outcomes: (a) prenatal care; (b) skilled attendance at birth; (c) birth in health facilities; and (d) postnatal care. We find robust impacts on outcomes at the time of birth but not on prenatal and postnatal care. In addition to income effects, supply-side health service improvements and gains in women's agency may have played a role in realizing these gains. With growing inequalities in maternal health outcomes globally, results contribute to an understanding of how financial incentives can address health systems and financial barriers that prevent poor women from seeking and receiving care at critical periods for both maternal and infant health.


Assuntos
Serviços de Saúde Materna , El Salvador , Feminino , Humanos , Lactente , Recém-Nascido , Saúde Materna , Motivação , Gravidez , Cuidado Pré-Natal
7.
Demography ; 56(5): 1573-1605, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31482530

RESUMO

Past research on the influence of conditional cash transfers-widespread antipoverty programs-on migration has tended to focus on beneficiaries as a homogenous unit. Drawing on feminist critiques of the contemporary international antipoverty agenda, this article views both conditional cash transfer programs and migration patterns from a gender-sensitive lens. Conditional cash transfers rely on a gendered division of labor in which the informal work of women is particularly called upon in order to fulfill program requirements. This work contends that conditional cash transfers emphasize gender responsibilities for women as mothers and caretakers, which mark their belonging in the domestic sphere and limit the likelihood of their migration while making no such demands on beneficiary men or nonbeneficiaries. Using logistic and multinomial logistic regression models and data from the Mexican Family Life Survey, the analysis finds evidence supporting the hypothesis that conditional cash transfer participation disproportionately limits migration for beneficiary women. This study broadly argues that the impact of such antipoverty programs is more gendered than previously thought and emphasizes the importance of examining previously studied outcomes in ways that consider the specific subject locations of recipients in order to better understand both the logics underlying development policy and the process of migration itself.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Identidade de Gênero , Pobreza/estatística & dados numéricos , Assistência Pública/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , México , Modelos Teóricos , Fatores Socioeconômicos
8.
Health Econ ; 28(9): 1099-1113, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31394023

RESUMO

We use a difference-in-differences strategy to estimate the effects of JUNTOS, a conditional cash transfer program targeted to poor rural households in Peru, on use of prenatal care. Using data from the Peruvian Demographic and Health Surveys over the period 2000-2011, we find that JUNTOS increased prenatal care utilization among program-eligible women. Even more, we find positive effects of JUNTOS on the probability of receiving prenatal care delivered by a skilled professional, including specific medical checkups during the prenatal visits, and a negative effect on the probability of experiencing obstetric emergencies during labor and childbirth.


Assuntos
Financiamento Pessoal , Cuidado Pré-Natal/economia , Adolescente , Adulto , Feminino , Inquéritos Epidemiológicos , Humanos , Pessoa de Meia-Idade , Peru , Gravidez
9.
AIDS Behav ; 21(12): 3440-3456, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29110216

RESUMO

Randomized controlled pilot evaluated effect of conditional economic incentives (CEIs) on number of sex partners, condom use, and incident sexually transmitted infections (STIs) among male sex workers in Mexico City. Incentives were contingent on testing free of new curable STIs and/or clinic attendance. We assessed outcomes for n = 227 participants at 6 and 12 months (during active phase with incentives), and then at 18 months (with incentives removed). We used intention-to-treat and inverse probability weighting for the analysis. During active phase, CEIs increased clinic visits (10-13 percentage points) and increased condom use (10-15 percentage points) for CEI groups relative to controls. The effect on condom use was not sustained once CEIs were removed. CEIs did not have an effect on number of partners or incident STIs. Conditional incentives for male sex workers can increase linkage to care and retention and reduce some HIV/STI risks such as condomless sex, while incentives are in place.


Assuntos
Preservativos/estatística & dados numéricos , Infecções por HIV/epidemiologia , Motivação , Risco , Sexo Seguro/psicologia , Profissionais do Sexo/psicologia , Parceiros Sexuais , Infecções Sexualmente Transmissíveis/epidemiologia , Adulto , Feminino , Humanos , Intenção , Masculino , México , Sexo Seguro/estatística & dados numéricos , Adulto Jovem
10.
Rev. adm. pública (Online) ; 51(2): 168-181, Mar.-Apr. 2017. graf
Artigo em Inglês | LILACS | ID: biblio-897206

RESUMO

Abstract This article evaluates the role of the Brazilian federal Conditional Cash Transfer programs (CCTs) such as Bolsa Família and Bolsa Escola during the past recent years and discusses their future. Based on previous empirical evidence based on my own work, I propose an integrated framework with two complementary perspectives. The first perspective is a goal approach based on the short term aggregated influences exerted by these programs, organized under four headings, namely: equality, prosperity, stability and sensibility. The emphasis here is to compare the results of Bolsa Família with other official programs such as BPC and Social Security benefits. The second perspective follows a means approach inspecting the microeconomic mechanisms through which CCTs operate, comparing the impacts on CCTs beneficiaries versus non-beneficiaries. Such perspective helps in dialoguing about the relevance of different CCTs attributes, and to discuss possible desirable upgrades.


Resumen Este artículo examina el papel de las políticas de transferencias condicionadas de ingreso (CCT's en Inglés) como Bolsa Familia y Bolsa Escuela, su reciente expansión y su futuro. Organizamos la evidencia empírica de nuestros trabajos, propongo un marco integrado desde dos perspectivas complementarias. La primera utiliza un enfoque-final desde una gama de influencias macroeconómicas a corto plazo ejercidas por esos programas a través de cuatro componentes: equidad, prosperidad, estabilidad y sensibilidad. El énfasis es en la comparación de los resultados del Bolsa Familia con otros programas, como las prestaciones de la Seguridad Social y BPC. La segunda utiliza un enfoque-medio a través de la inspección de los mecanismos por los que las CCT's operan mediante la comparación de los impactos sobre los beneficiarios vis-à-vis aquellos que no son. Esto ayuda en el diálogo sobre la relevancia de los diferentes atributos de las CCT's y posibles mejoras.


Resumo Este artigo avalia o papel de programas de transferência de renda condicionada (sigla CCTs em inglês) como o Bolsa Família e o Bolsa Escola federais, sua expansão recente e discute o seu futuro. Organizamos evidências empíricas de trabalhos anteriores, propondo um arcabouço integrado a partir de duas perspectivas complementares. A primeira utiliza abordagem-fim via influências agregadas de curto prazo exercidas por esses programas por meio de quatro componentes: equidade, prosperidade, estabilidade e sensibilidade. A ênfase é sobre a comparação dos resultados do Bolsa Família com outros programas, como o Benefício de Prestação Continuada (BPC) e a Previdência Social. A segunda perspectiva segue abordagem-meio inspecionando os mecanismos microeconômicos pelos quais os CCTs operam, comparando os impactos sobre os indivíduos beneficiários desses programas vis-à-vis aqueles que não o são. Essa segunda perspectiva ajuda no diálogo sobre a relevância dos diferentes atributos dos CCTs e a discutir possíveis melhorias.


Assuntos
Humanos , Masculino , Feminino , Pobreza , Política Pública , Fatores Socioeconômicos
11.
Br J Nutr ; 115(10): 1780-9, 2016 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-26988836

RESUMO

Conditional cash-transfer (CCT) programmes have been shown to improve the nutritional and health status of children from poor families. However, CCT programmes may have unintended and not fully known consequences by increasing the risk of overweight and obesity. We examined the impact of Familias en Acción (FA), a large CCT programme in Colombia, on the double burden of malnutrition among pre-school and school-aged children. Height and weight were measured before programme enrolment and during follow-ups in 1290 children from thirty-one treatment municipalities, being compared with 1584 children from sixty-two matched control municipalities. We used a difference-in-differences approach to evaluate the effect of FA on children's stunting, BMI z-scores, thinness, overweight and obesity, controlling for individual and municipality-level confounders. At baseline, the prevalences of stunting and overweight were 30·3 and 15·4 %, respectively, in treatment municipalities and 27·9 and 17·4 % in control municipalities. FA was associated with reduced odds of thinness (OR 0·26; 95 % CI 0·09, 0·75) and higher BMI-for-age z-scores (BMI z-scores) (ß 0·14; 95 % CI 0·00, 0·27; P<0·05), although the latter was of small clinical significance. The prevalence of stunting, overweight and obesity decreased over time, but the effect of FA on these outcomes was not significant. The CCT programme in Colombia reduced the odds of thinness, but had no effect on stunting, a more prevalent outcome. The FA programme had no effect on overweight or obesity, although BMI z-scores were higher for children under treatment, raising the possibility of an increase of small clinical significance on BMI among pre-school and school-aged children.


Assuntos
Transtornos do Crescimento/epidemiologia , Desnutrição/epidemiologia , Sobrepeso/epidemiologia , Obesidade Infantil/epidemiologia , Assistência Pública , Magreza/epidemiologia , Estatura , Índice de Massa Corporal , Peso Corporal , Estudos de Casos e Controles , Criança , Pré-Escolar , Colômbia/epidemiologia , Feminino , Seguimentos , Humanos , Masculino , Estado Nutricional , Prevalência , Fatores Socioeconômicos , Resultado do Tratamento
12.
J Health Econ ; 46: 70-89, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26874596

RESUMO

A critique of cash assistance programs is that beneficiaries may spend the money on "temptation goods" such as alcohol and tobacco. We exploit a change in the payment schedule of Peru's conditional cash transfer program to identify the impact of benefit receipt frequency on the purchase of temptation goods. We use annual household data among cross-sectional and panel samples to analyze the effect of the policy change on the share of the household budget devoted to four categories of temptation goods. Using a difference-in-differences estimation approach, we find that larger, less frequent payments increased the expenditure share of alcohol by 55-80% and sweets by 10-40%, although the absolute magnitudes of these effects are small. Our study suggests that less frequent benefits scheduling may lead cash recipients to make certain types of temptation purchases.


Assuntos
Comércio , Comportamento Impulsivo , Assistência Médica/economia , Bebidas Alcoólicas , Bebidas Gaseificadas , Estudos Transversais , Características da Família , Feminino , Humanos , Masculino , Peru , Produtos do Tabaco
13.
Health Policy Plan ; 30(6): 742-6, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24972827

RESUMO

The world's economy is in a fragile state. Although cautiously recovering from a global recession, unemployment rates and poverty levels remain high. At the same time, food and fuel crises have resulted in skyrocketing commodity costs, straining household budgets even further than before. In the wake of these financial pressure points, there has been increased focus on social safety net programmes. More recently, Brazil's 'Bolsa Familia' conditional cash transfer (CCT) programme has celebrated its tenth-year anniversary, renewing focus on this particular aspect of social transfer programmes. This essay examines one particular aspect of these social safety net programmes: CCTs. CCT programmes are useful social programmes that have had demonstrable effects on many different populations. However, they are not a 'magic bullet' against poverty, and their image has suffered from unreasonable expectations of their impacts. This 10 best list is an ideal starting point from which a potential user can begin to understand CCTs. There remain significant gaps in the literature behind CCTs, with a particular need for much more research on emerging areas such as impacts on gender, long-term school and health outcomes, methods for increasing efficiency and adapting conditionalities within cultural contexts, among others. However, this list can function as a starting point from which the reader can gain an understanding and appreciation for what we believe to be one of the most innovative social programmes for addressing poverty worldwide.


Assuntos
Financiamento Governamental/organização & administração , Pobreza , Comportamento de Redução do Risco , Brasil , Humanos , Desenvolvimento de Programas
15.
Serv. soc. soc ; (117): 94-121, jan.-mar. 2014.
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-705878

RESUMO

El neoliberalismo continúa demostrando su manifiesta incompetencia a la hora de plantear una pauta razonable de integración social. Los Programas de Transferencia de Renta Condicionada implementados en Uruguay, a partir de la creación del Ministerio de Desarrollo Social (Mides) en el año 2005 se diseñaron con el explicito objetivo de combatir la pobreza extrema, consecuencia directa de la aplicación de las políticas neoliberales desarrolladas en el Uruguay. El artículo busca demostrar que la paradoja contenida en el propio dispositivo, es que esta búsqueda se realiza rindiendo culto a los límites impuestos por la retórica neoliberal.


Neoliberalism continues to demonstrate its incompetence when considering a reasonable standard of social integration. The Programs of Conditional Cash Transfer implemented in Uruguay from the creation of the Ministry of Social Development (Mides) in 2005 were designed with the explicit objective of combating extreme poverty, a direct result of the application of neoliberal policies developed in Uruguay. The article shows that the paradox in the device itself is that it attempts to perform within the limits imposed by the neoliberal rhetoric.

16.
Health Aff (Millwood) ; 32(7): 1274-81, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23836744

RESUMO

Conditional cash transfer programs are innovative social safety-net programs that aim to relieve poverty. They provide a regular source of income to poor families and are "conditional" in that they require poor families to invest in the health and education of their children through greater use of educational and preventive health services. Brazil's Bolsa Família conditional cash transfer program, created in 2003, is the world's largest program of its kind. During the first five years of the program, it was associated with a significant 9.3 percent reduction in overall infant mortality rates, with greater declines in postneonatal mortality rates than in mortality rates at an earlier age and in municipalities with many users of Brazil's Family Health Program than in those with lower use rates. There were also larger effects in municipalities with higher infant mortality rates at baseline. Programs like Bolsa Família can improve child health and reduce long-standing health inequalities. Policy makers should review the adequacy of basic health services to ensure that the services can respond to the increased demand created by such programs. Programs should also target vulnerable groups at greatest risk and include careful monitoring and evaluation.


Assuntos
Países em Desenvolvimento/economia , Mortalidade Infantil/tendências , Centros de Saúde Materno-Infantil/economia , Centros de Saúde Materno-Infantil/organização & administração , Previdência Social/economia , Previdência Social/organização & administração , Brasil , Países em Desenvolvimento/estatística & dados numéricos , Saúde da Família/economia , Feminino , Educação em Saúde/economia , Educação em Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/economia , Acessibilidade aos Serviços de Saúde/organização & administração , Disparidades em Assistência à Saúde/economia , Disparidades em Assistência à Saúde/organização & administração , Humanos , Lactente , Recém-Nascido , Pobreza , Serviços Preventivos de Saúde/economia , Serviços Preventivos de Saúde/organização & administração
17.
Textos contextos (Porto Alegre) ; 12(1): 33-46, jan.-jun. 2013.
Artigo em Espanhol | LILACS | ID: lil-742325

RESUMO

El documento que se presenta busca tematizar el surgimiento y características que adquieren los Programas de Transferencia de Renta Condicionada. Se busca describir las condiciones societarias que los generan, tratando, asimismo, de partiendo de la reflexión lukacsiana sobre la crisis de la filosofía burguesa y su expresión apologética, iluminar en este complejo proceso de conflicto distributivo. Su objetivo es demostrar que la incorporación de tecnología en los programas sociales puede ser analizada con los mismos énfasis que en la reestructuración productiva. En este sentido, se puede considerar como un complemento a la ofensiva de la economía política burguesa sobre la economía política de los trabajadores...


The document that presented, attempts to give the discussion with regard to the emergence and characteristics that acquire the conditional income transfer program. It seeks to describe the corporate conditions that generate them, trying to find at lukacsianas reflections on the crisis of philosophy bourgeoisie and its apologetic expression, cast light on this complex process of distributive conflict. Its aim is to demonstrate that the incorporation of technology in social programs can be analyzed with the same emphasis on productive restructuring. In this sense, can be considered as a complement to the offensive of bourgeois political economy on the political economy of workers...


Assuntos
Humanos , Masculino , Feminino , Economia , Política Pública , Renda
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