Health, economic and social impacts of the Brazilian cash transfer program on the lives of its beneficiaries: a scoping review.

BMC Public Health

Human Developmental Sciences Graduate Program and Mackenzie Center for Research in Childhood and Adolescence, Mackenzie Presbyterian University, São Paulo, SP, Brazil.

Published: October 2024

AI Article Synopsis

  • - The Bolsa Família Program (BFP) aims to alleviate poverty in Brazil by providing cash transfers to low-income families, contingent on their commitment to improving education and health; it serves the largest number of beneficiaries globally.
  • - A comprehensive review identified 94 studies that examined the BFP's effects, which highlighted positive impacts on poverty reduction, employment, child and adult mortality rates, school attendance, and decreased crime-related incidents, although some negative outcomes like increased intimate partner violence and gender stereotypes were noted.
  • - Overall, while the BFP demonstrates many beneficial effects on poverty, health, and education, further research is needed to clarify certain outcomes, particularly regarding violence and societal gender norms.

Article Abstract

Background: The Bolsa Família cash transfer Program (BFP) aims to break the poverty cycle by providing a minimum income to poor families conditioned on their investment in human capital (such as, education and health) and currently is the largest Program in the world in terms of the number of beneficiaries. Because there is a scarcity of reviews grouping studies on the impacts of the BFP, the objective of this scoping review was to identify and describe studies which evaluate the impact of the BFP on poverty, health, education, and other related outcomes.

Methods: We searched for quantitative, qualitative, and mixed-method articles that assessed the impact of the BFP on any aspect of the beneficiaries' lives between 2003 and March 2021. We included quantitative articles that used experimental, quasi-experimental or pre and post comparison designs. We excluded articles that analyzed impacts on political outcomes. There was no age restriction for the participants. The search was done in seven electronic databases.

Results: One thousand five hundred forty-six papers were identified and 94 fulfilled the inclusion criteria. Poverty and health outcomes were the most common outcomes studied. We found consistent evidence of the positive impact of the BFP on poverty reduction, as well as employment outcomes. We also found positive impacts in relation to mortality rates for children and adults, school dropout and school attendance among children and adolescents, and violence related outcomes such as homicide, suicide, crime, and hospitalization. However, we also found some evidence that BFP increased intimate partner violence and gender stereotypes among women and no evidence of impact on teenage pregnancy.

Conclusions: Overall, the studies included found that BFP showed positive impacts on most poverty, health and education outcomes. More studies are needed to confirm some results, especially about violence and stereotype against women as there were few evaluations on these outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11476833PMC
http://dx.doi.org/10.1186/s12889-024-20046-2DOI Listing

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