• Int. J. Tuberc. Lung Dis. · Nov 2018

    Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality.

    • R A de Souza, J S Nery, D Rasella, R A Guimarães Pereira, M L Barreto, L Rodrigues, and S M Pereira.
    • Institute of Collective Health, Federal University of Bahia, Salvador, Bahia.
    • Int. J. Tuberc. Lung Dis. 2018 Nov 1; 22 (11): 1300-1306.

    BackgroundSocial protection can reduce poverty and act on the determinants of tuberculosis (TB).ObjectiveTo evaluate the impact of the Family Health Strategy (FHS) and the Bolsa Família Programme on TB-related mortality in Brazil.MethodsThis was an ecological study in which the units of analysis were Brazilian municipalities between 2001 and 2012. The principal independent variables were the levels of coverage of the primary health care system and the conditional cash transfer programme. The dependent variable was TB mortality rate (obtained from national databases). Descriptive analysis and negative binomial regression based on panel data using fixed-effects models were performed. Crude and adjusted estimates were calculated for continuous and categorical variables.ResultsA high FHS coverage was significantly associated with a reduction in the TB mortality rate (RR 0.80, 95%CI 0.72-0.89). An increase in the coverage of the Brazilian cash transfer programme was significantly associated with a reduction in the TB mortality rate (RR 0.87, 95%CI 0.81-0.96).ConclusionFHS and the Bolsa Família conditional cash transfer programme had a positive impact on the TB mortality rate in Brazil. Public policies should include economic support combined with health promotion.

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