Evaluating the impact of community-based health interventions: evidence from Brazil's Family Health Program

This paper analyzes the direct and indirect impacts of Brazil's Family Health Program, using municipality level mortality data from the Brazilian Ministry of Health, and individual level data from the Brazilian household survey. We estimate the effects of the program on mortality and on househo...

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Bibliographic Details
Published in:Health economics 2010-09, Vol.19 (S1), p.126-158
Main Authors: Rocha, Romero, Soares, Rodrigo R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Birth Rate - trends
Brazil
Brazil - epidemiology
Cause of Death
Child
Community health care
Community Health Services - organization & administration
Domestic Abuse J120
Economic Development: Human Resources
Economic Development: Regional, Urban, and Rural Analyses
Education
Employment
Enrollments
Families & family life
Family Health Program
Family Planning Services - organization & administration
Family Structure
Female
Fertility
Health
Health economics
Health education
Health Production I120
Health: Government Policy
household behavior
Households
Human Development
Humans
Impact analysis
impact evaluation
Income Distribution
Male
Marital Dissolution
Marriage
Middle Aged
Migration O150
Mortality
Mortality - trends
Neighborhood Characteristics R230
Population
Primary Health Care - organization & administration
Program Development
Public Health I180
Regional Labor Markets
Regulation
Socioeconomic Factors
Studies
Transportation O180
Urban, Rural, and Regional Economics: Regional Migration
Young Adult
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Summary:This paper analyzes the direct and indirect impacts of Brazil's Family Health Program, using municipality level mortality data from the Brazilian Ministry of Health, and individual level data from the Brazilian household survey. We estimate the effects of the program on mortality and on household behavior related to child labor and schooling, employment of adults, and fertility. We find consistent effects of the program on reductions in mortality throughout the age distribution, but mainly at earlier ages. Municipalities in the poorest regions of the country benefit particularly from the program. For these regions, implementation of the program is also robustly associated with increased labor supply of adults, reduced fertility, and increased school enrollment. Evidence suggests that the Family Health Program is a highly cost‐effective tool for improving health in poor areas. Copyright © 2010 John Wiley & Sons, Ltd.
ISSN:1057-9230
1099-1050
DOI:10.1002/hec.1607