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A Contribution to the Empirics of Labour and Development Economics / Regional and Individual Unemployment Persistence, Cash Transfer Program and International Poverty LinePasaribu, Syamsul Hidayat 16 December 2014 (has links)
Die vorliegende Dissertation umfasst vier Aufsätze, von denen die ersten beiden die regionale und individuelle Persistenz von Arbeitslosigkeit analysieren. Der dritte Aufsatz erforscht das passende Design für die Höhe von finanziellen Leistungen im Rahmen von Cash-Transfer-Programmen und der vierte Aufsatz präsentiert eine alternative internationale Armutsgrenze verglichen mit der aktuellen offiziellen Armutsgrenze der Weltbank. Während die ersten drei Essays sich auf die Situation Indonesiens beziehen, geht der vierte Aufsatz auf die Situation aller Entwicklungsländer ein. Der erste Essay testet die Hysterese-Hypothese gegen verschiedene Hypothesen zur Persistenz von Arbeitslosigkeitsraten in den Provinzen Indonesiens und verwendet dabei Zeitreihen- und Panel-Unit-Root-Analysen mit Daten aus den Jahren 1990 bis 2012. Die Ergebnisse zeigen einerseits, dass die meisten individuellen Tests auf Provinzebene, die sich auf lineare Trends und CBS-Definitionen stützen, die Hysterese-Hypothese nicht verwerfen können. Andererseits wird die Hysterese-Vermutung vermehrt verworfen, wenn die Tests quadratische Trends und die alte Definition (U1) nutzen. Die wichtigsten Ergebnisse der Tests, die die Hysterese-Hypothese anhand verschiedener Sample-Kategorien, wie beispielsweise Geschlecht, analysieren, legen das Verwerfen der Hypothese ebenfalls nahe. Wenn die Ergebnisse mittels Panel-Daten untersucht werden, verwirft die Mehrheit der Tests Hysterese, ganz gleich ob lineare oder quadratische Trends benutzt werden. Schließlich stellt der Artikel fest, dass lokale Wirtschaftsmaßnahmen zur Investitionsförderung und Politiken, die auf das Wachstum der realen regionalen Mindestlöhne ausgerichtet sind, sich besser als die Erhöhung lokaler staatlicher Ausgaben dazu eignen, die Arbeitslosenquote zu senken und sie an normale Levels auf den lokalen Arbeitsmärkten anzupassen. Der zweite Essay führt eine dynamische Probit-Analyse bezüglich dem Auftreten individueller Arbeitslosigkeit durch und benutzt dabei Paneldaten des National Socio-Economic Surveys (Susenas) von 2008-2010. Der Aufsatz vergleicht mehrere dynamische Random-Effects-Schätzer miteinander, wobei er besonders auf die Ansätze von Heckman (1981) und Wooldridge (2005) eingeht. Die Ergebnisse finden starke Belege für die Persistenz bzw. die zeitliche Abhängigkeit individueller Arbeitslosigkeit in Indonesien. Dieses Resultat fügt sich in die Theorie des "Scar-Unemployment" ein. Der dritte Essay untersucht die derzeitige Empfängergruppe von Cash-Transfer-Programmen (mit Fokus auf BLT und PKH Programmen) in Indonesien. Als Alternative zu bestehenden, fixen, staatlichen Leistungen der indonesischen Regierung im Rahmen der Cash-Transfer-Programme, schlägt der Aufsatz bessere Methoden für das Design und die Berechnung der Höhe der finanziellen Unterstützung vor. Die Ergebnisse zeigen, dass eine signifikante Anzahl von nicht-armen oder nicht-berechtigten Haushalten staatliche Leistungen erhalten. Auf der Grundlage von Simulationen ergeben sich deshalb folgende alternative Optionen für die Höhe der Auszahlungen: (1) die Transferzahlungen so anpassen, dass sie dem Einkommensdefizit des armen Haushalts zzgl. der erwarteten Inflation entsprechen, oder (2) die Leistungen so auszahlen, dass sie dem 75%-Perzentil des Einkommensdefizits der Haushalte zzgl. der erwarteten Inflation in den entsprechenden Provinzen entsprechen. Diese zwei alternativen Optionen reduzieren die regionalen Armutsraten signifikant verglichen mit der derzeitigen fixen und generellen staatlichen Transferleistung. Schließlich zeigen wir mit dem letzten Aufsatz, dass die von Ravallion, Chen, und Sangraula (2009) geschätzte Beziehung zwischen durchschnittlichem Konsum und nationalen Armutsgrenzen für die Herleitung der absoluten internationalen Armutsgrenze in Höhe von $1.25 pro Tag statistisch problematisch ist. Unsere alternative statistische Schätzung erzeugt einen Punktschätzer einer absoluten internationalen Armutsgrenze, der substanziell höher liegt als $1.25 pro Tag; allerdings verfügen die Schätzer über sehr hohe Standardfehler.
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Avaliação dos impactos de políticas públicas de transferência de renda na qualidade de vida no semiárido nordestino face às mudanças climáticas / Impact of cash transfer program in well-being in face of climate change in Northeast, BrazilAna Maria Barbieri Bedran Martins 20 May 2016 (has links)
Introdução: Os impactos das alterações climáticas são e serão sentidos localmente, e irão variar de lugar para lugar. Nas regiões mais sensíveis à variabilidade climática, onde outros fatores e restrições afetam o desenvolvimento, a mudança climática terá um impacto significativamente maior. Uma da preocupações mais recentes da comunidade científica é que esses impactos negativos das alterações climáticas sobre a sociedade, saúde e o meio ambiente possa vir a restringir quaisquer ganhos realizados até o momento na melhora da qualidade de vida das populações, e em especial na região nordeste do Brasil. Neste contexto, as mudanças climáticas, bem como a variabilidade climática natural com seus extremos, podem vir a acentuar uma vulnerabilidade social já existente, fazendo com que a qualidade de vida das populações mais vulneráveis seja especialmente e desproporcionalmente afetada. Objetivo: Analisar como os impactos das políticas públicas de transferência de renda em especial o Programa Bolsa Família e a Aposentadoria Rural influênciam a qualidade de vida frente à variabilidade e mudanças climáticas de famílias pobres no nordeste brasileiro. Métodos: Fez-se uso de métodos qualitativos e quantitativos de coleta e análise de dados sobre as diferentes formas de pobreza e vulnerabilidade e a relação com a capacidade de adaptação à seca, e como isso afeta a percepção de qualidade de vida em famílias pobres rurais e urbanas em dois municípios do estado do Ceará (Parambu e Boa Viagem) sobre o estresse da seca. Realizou-se 221 entrevistas domiciliares (141 na zona rural e 80 na zona urbana). Complementarmente foram coletados dados qualitativos obtidos através de entrevistas semiestruturadas com informantes-chaves (gestores municipais e estaduais, chefes religiosos, presidentes de associações rurais e agentes de saúde). Os dados foram codificados e analisados com o auxílio do N-Vivo e do SPSS. Resultados: Os resultados foram separados e apresentados em formato de três manuscritos. Em geral, os resultados mostram que apesar dos programas de transferência de renda agirem positivamente na 16 melhora da qualidade de vida da famílias beneficiadas, durante o evento de seca as famílias não conseguem superar os fatores que as tornam vulneráveis, o que pode afetar sua percepção de bem-estar subjetivo. Ao mesmo tempo, devido às limitações e deficiências das intervenções políticas de intervenção de seca, as relações de dependência e clientelismo, característica da região, continuam a perpetuar. Conclusão: Os ganhos materiais na qualidade de vida, promovidos pelos programas sociais, como o Bolsa Família e a pensão rural, apesar de serem necessários, não são suficientes para promover uma transformação na vida dessas famílias / Introduction: Most vulnerable areas and population will suffer different impacts from climate change and this impacts will be felt locally, and will vary from place to place One of the most concerns of scholars is that these negative impacts of climate change on society, health and the environment is likely to offset any gains made until now in improving quality of life in vulnerable areas, especially in Northeastern Brazil. In this context, climate change and natural climate variability could accentuate an existing social vulnerability, causing loss in their quality of life. Objective: Analyze how the impact of anti-poverty program (Bolsa Família Program and the Rural pension) has change through time poor households perception of subjective well-being. Methods: Qualitative and quantitative methods of data collection was used to capture and analysis the perception of quality of life in rural and urban poor families in two cities in the state of Ceará (Parambu and Boa Viagem) under a drought stress. Total of 221 household interviews was conducted (141 in rural households and 80 in urban households). In addition key informants interviews - at municipal and state level; religious leaders; rural associations and health workers was conducted through qualitative questionnaire. N-vivo and IBM SPSS 22 was used to organize and analyze the data. Results: Results was separated and presented in three different manuscript. Overall founding was despite the income transfer programs act positively improving overall quality of life during a drought event households are not being able to overcome from what make them vulnerable, and may affect their subjective well-being. At the same time, due to the limitations and shortcomings of drought policy intervention, the relationship of dependency and clientelism continues to perpetuate. Conclusion: All the material gains in quality of life promoted by social programs such as Bolsa Família and rural pension despite being necessary, are not sufficient to promote a positive transformation in the lives of these families.
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Avaliação dos impactos de políticas públicas de transferência de renda na qualidade de vida no semiárido nordestino face às mudanças climáticas / Impact of cash transfer program in well-being in face of climate change in Northeast, BrazilMartins, Ana Maria Barbieri Bedran 20 May 2016 (has links)
Introdução: Os impactos das alterações climáticas são e serão sentidos localmente, e irão variar de lugar para lugar. Nas regiões mais sensíveis à variabilidade climática, onde outros fatores e restrições afetam o desenvolvimento, a mudança climática terá um impacto significativamente maior. Uma da preocupações mais recentes da comunidade científica é que esses impactos negativos das alterações climáticas sobre a sociedade, saúde e o meio ambiente possa vir a restringir quaisquer ganhos realizados até o momento na melhora da qualidade de vida das populações, e em especial na região nordeste do Brasil. Neste contexto, as mudanças climáticas, bem como a variabilidade climática natural com seus extremos, podem vir a acentuar uma vulnerabilidade social já existente, fazendo com que a qualidade de vida das populações mais vulneráveis seja especialmente e desproporcionalmente afetada. Objetivo: Analisar como os impactos das políticas públicas de transferência de renda em especial o Programa Bolsa Família e a Aposentadoria Rural influênciam a qualidade de vida frente à variabilidade e mudanças climáticas de famílias pobres no nordeste brasileiro. Métodos: Fez-se uso de métodos qualitativos e quantitativos de coleta e análise de dados sobre as diferentes formas de pobreza e vulnerabilidade e a relação com a capacidade de adaptação à seca, e como isso afeta a percepção de qualidade de vida em famílias pobres rurais e urbanas em dois municípios do estado do Ceará (Parambu e Boa Viagem) sobre o estresse da seca. Realizou-se 221 entrevistas domiciliares (141 na zona rural e 80 na zona urbana). Complementarmente foram coletados dados qualitativos obtidos através de entrevistas semiestruturadas com informantes-chaves (gestores municipais e estaduais, chefes religiosos, presidentes de associações rurais e agentes de saúde). Os dados foram codificados e analisados com o auxílio do N-Vivo e do SPSS. Resultados: Os resultados foram separados e apresentados em formato de três manuscritos. Em geral, os resultados mostram que apesar dos programas de transferência de renda agirem positivamente na 16 melhora da qualidade de vida da famílias beneficiadas, durante o evento de seca as famílias não conseguem superar os fatores que as tornam vulneráveis, o que pode afetar sua percepção de bem-estar subjetivo. Ao mesmo tempo, devido às limitações e deficiências das intervenções políticas de intervenção de seca, as relações de dependência e clientelismo, característica da região, continuam a perpetuar. Conclusão: Os ganhos materiais na qualidade de vida, promovidos pelos programas sociais, como o Bolsa Família e a pensão rural, apesar de serem necessários, não são suficientes para promover uma transformação na vida dessas famílias / Introduction: Most vulnerable areas and population will suffer different impacts from climate change and this impacts will be felt locally, and will vary from place to place One of the most concerns of scholars is that these negative impacts of climate change on society, health and the environment is likely to offset any gains made until now in improving quality of life in vulnerable areas, especially in Northeastern Brazil. In this context, climate change and natural climate variability could accentuate an existing social vulnerability, causing loss in their quality of life. Objective: Analyze how the impact of anti-poverty program (Bolsa Família Program and the Rural pension) has change through time poor households perception of subjective well-being. Methods: Qualitative and quantitative methods of data collection was used to capture and analysis the perception of quality of life in rural and urban poor families in two cities in the state of Ceará (Parambu and Boa Viagem) under a drought stress. Total of 221 household interviews was conducted (141 in rural households and 80 in urban households). In addition key informants interviews - at municipal and state level; religious leaders; rural associations and health workers was conducted through qualitative questionnaire. N-vivo and IBM SPSS 22 was used to organize and analyze the data. Results: Results was separated and presented in three different manuscript. Overall founding was despite the income transfer programs act positively improving overall quality of life during a drought event households are not being able to overcome from what make them vulnerable, and may affect their subjective well-being. At the same time, due to the limitations and shortcomings of drought policy intervention, the relationship of dependency and clientelism continues to perpetuate. Conclusion: All the material gains in quality of life promoted by social programs such as Bolsa Família and rural pension despite being necessary, are not sufficient to promote a positive transformation in the lives of these families.
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O PROGRAMA BOLSA FAMÍLIA: impactos econômicos, socioculturais e políticos em pequenos e médios municípios do Rio Grande do Norte/Brasil / The Bolsa Família Program: economic, sociocultural and political in small and medium-sized municipalities of Rio Grande do Norte / BrazilJesus, Andréa Cristina Santos de 11 April 2011 (has links)
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Previous issue date: 2011-04-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This thesis contains results of studies on the Bolsa Família. The main objective was to understand the impacts of this program in the economic, social and political scenario in the medium and small municipalities, taking as empirical space Cerro Cora and Caicó, local entities in the Northeast region, state of Rio Grande do Norte, located in the Seridó Potiguar Region. To capture the object of study and achieve the established goals we resorted, methodologically, to the concepts of relational thinking, together with the notions of field, habitus and representation present in Bourdieu (2003, 2004, 2007, 2007a, 2007b). The choice of empirical supports was based on population size and level of human development. In the methodological development we favored a qualitative approach, illustrated by the quantitative aspects. The selection of subjects in the research resulted, in each municipality, in a set of people from different groups, associations, public and private entities, both beneficiaries and non-beneficiaries of the program and professionals involved with its implementation. In the development of the research, we used semi-structured interviews as well as the focus group technique and a field diary to record the observations in both municipalities. The results allowed us the inference that the Bolsa Família, while provoking impacts on the listed aspects of these territorial bases, is also influenced by them, shaping itself in accordance with the format of its implementation. There was also the confirmation of the impacts of the program on all dimensions studied, and it was found that these impacts are not restricted to the population receiving the program; they encompass the population of these municipalities as a whole. / A presente tese contém resultados de estudos sobre o Bolsa Família. O objetivo principal foi apreender os impactos desse Programa nas dimensões econômica, social e política no cenário de pequenos e médios municípios brasileiros, tomando por espaço empírico Cerro Corá e Caicó, entes municipais localizados na Região Nordeste, estado do Rio Grande do Norte, situados na Região do Seridó Potiguar. Para captar o objeto de estudo e alcançar os objetivos fixados, recorreu-se, metodologicamente, às concepções do pensar relacional, conjuntamente com as noções de campo, representação e habitus presentes em Bourdieu (2003, 2004, 2007, 2007a, 2007b). A escolha das bases empíricas pautou-se no porte populacional e no nível de desenvolvimento humano. No percurso metodológico, privilegiou-se uma abordagem qualitativa, ilustrada por aspectos quantitativos. A seleção dos sujeitos participantes da pesquisa resultou, em cada município, em um conjunto de pessoas pertencentes a grupos, associações, entidades públicas e privadas, incluindo beneficiários e não beneficiários do Programa e profissionais envolvidos com a sua implementação. Foram utilizadas no desenvolvimento da pesquisa entrevistas semiestruturadas, bem como a técnica de grupo focal e um diário de campo para registro de observações realizadas nos dois municípios. Os resultados apresentados permitiram inferir que o Bolsa Família, ao impactar nas dimensões elencadas dessas bases territoriais, é também por elas influenciado, moldando-se em conformidade com o formato de sua implementação. Foram ainda confirmados os impactos do Programa em todas as dimensões estudadas, bem como foi constatado que esses impactos não ficam restritos à população beneficiária do Programa, eles abrangem a população desses municípios como um todo.
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Basinkomst – en modell för Sverige? : En litteraturstudie om vilka resultat som hittills framkommit i de experiment med basinkomst som gjorts runtom i världen, och om ett sådant transfereringssystem skulle kunna passa ”den svenska modellen”Westberg, Henrik January 2016 (has links)
The purpose of this review is to summarize the experiments that have been presented regarding guaranteed Basic Income, performed around the world; to see if a BI might fit into ”the Swedish model”; and what further research would be needed to understand the mechanics of BI. A theory has been used, designed to compare the effects of cash transfer programs irrespective of economic level of the countries. The experiments show many similarities, such as improved school attendance and achievements, improved health, enhanced economic equality, a sense of inclusion and security, and also, where this has been studied, less crime. Where BI has been beneath the level of economic sustenance a growth of working hours including self employment has been noted, whereas in countries with an income high enough to sustain oneself a slight diminished work supply has been reported. The effects shown in the review seem to be well aligned with the visions of the Swedish welfare state, although might not be in alignment with the growing use of “work fare” in Sweden. Further research should focus on more long-lasting experiments and also to find a common ground, on which to perform them to be able to compare results.
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Health capabilities, public policies and the determinants of infant mortality in BrazilBugelli, Alexandre 12 1900 (has links)
Résumé
Le taux de mortalité infantile est un indicateur de santé des populations et de l'efficacité des systèmes de santé. Il est également capable d'estimer l'ampleur des inégalités sociales et en matière de santé entre populations. Au cours des 30 dernières années, le Brésil a enregistré des réductions significatives des taux de mortalité infantile. Entre 1990 et 2017, le taux de mortalité des moins de cinq ans est passé de 53,7 décès pour mille naissances vivantes à 15,6. Une réduction de 71% sur la période. La moyenne nationale de réduction était de 6% par an dans les années 90, passant à 4,8% dans les années 2000 et à 3,2% par an entre 2011 et 2015. De nombreux facteurs ont été signalés comme la cause de ces améliorations.
Malgré la mise en œuvre de politiques sociales et de santé qui ont eu un impact positif sur la santé des populations brésiliennes au cours des dernières décennies, depuis 2009 le pays a connu une lente diminution de la baisse de la mortalité infantile qui est restée à des niveaux élevés, enregistrant de grandes disparités régionales. Après une crise économique qui a évolué vers une période troublée de crise politique, le pays a enregistré en 2016 une augmentation de la mortalité infantile chez les moins d'un an et de cinq ans, qui est passé de 12,43 à 12,72 décès pour mille naissances vivantes et de 14,28 décès à 14,89 décès pour mille naissances vivantes, respectivement.
Ces éléments attirent l'attention sur l'impact possible des déterminants sociaux de la santé sur les taux de mortalité infantile au Brésil après la mise en œuvre de ces politiques sociales et de santé. Cette anomalie observée dans la tendance de la mortalité infantile, combinée aux disparités régionales et à une lente diminution de la baisse des taux de mortalité infantile est préoccupante. Elle soulève des questions sur l'impact de ces politiques sociales et de santé, sur la capacité du pays à maintenir une réduction du taux de mortalité infantile à long terme, et sa capacité à rejoindre les taux des pays développés, ainsi quels sont les déterminants de la mortalité infantile au Brésil après la mise en œuvre de ces politiques publiques?
L'objectif premier de cette thèse était d'identifier les déterminants de la mortalité infantile au Brésil après la mise en œuvre du programme Stratégie Santé Famille et du Programme Bolsa Família afin de formuler des hypothèses plausibles, relatives au ralentissement du taux de mortalité chez les moins d’un an et de cinq ans, aux disparités régionales et à l’anomalie observée dans la tendance à la baisse du taux de mortalité infantile au Brésil. Pour atteindre cet objectif, nous avons effectué trois études: 1) un examen de la portée qui visait à identifier et à résumer les déterminants de la mortalité infantile au Brésil sous l'influence de ces programmes, en vue de formuler des hypothèses relativement à l’évolution récente des taux de mortalité infantile au Brésil et d’identifier les lacunes, en termes de recherche, concernant les déterminants de la mortalité infantile dans le pays; 2) une analyse descriptive rétrospective, dans une optique de santé publique et des inégalités en matière de santé, en adoptant le cadre analytique proposé par la Commission de l'OMS sur les déterminants sociaux de la santé, en utilisant les données du taux de mortalité chez les enfants de moins d'un an et des possibles déterminants de la mortalité infantile au Brésil selon les conclusions de notre examen de la portée (article 1); 3) une proposition de méthodologie pour faire face aux défis liés au développement d'un modèle de données de panel en utilisant des données agrégées des 26 états brésiliens et des différentes sous-régions, selon le « Conceptual Model of Health Capability » , afin d'inférer des associations possibles entre nos variables indépendantes et les taux de mortalité infantile au Brésil et pour vérifier l'hypothèse soulevée dans l'examen de cadrage sur les récents changements des indicateurs de mortalité infantile du pays.
Les résultats globaux de ces études ont démontré qu'à la lumière du « Conceptual Model of Health Capability » et des déterminants sociaux de la santé, les disparités régionales liées aux inégalités, notamment aux niveaux du revenu, de l'éducation, de l'emploi, du taux de fécondité, de l'accès et de la qualité des services de santé, expliquent les inégalités en termes de taux de mortalité infantile, en particulier dans les macro-régions du nord et du nord-est du pays, ce qui freine probablement la baisse du taux de mortalité infantile. Ces inégalités expliqueraient à la fois la lenteur de la réduction du taux de mortalité infantile et sa tendance à demeurer à des niveaux relativement élevés. Les résultats ont également montré que les variations de ces facteurs, pour des raisons liées à la crise économique et politique, ont probablement perturbé la tendance à la baisse des taux de mortalité infantile. À cet égard, les résultats suggèrent qu'une forte réduction du taux d'emploi, observée entre 2014 et 2015 entre autres facteurs, pourrait avoir eu un impact différé sur le TMI en 2016. Les résultats ont également permis d’établir une association entre l'emploi et différents indicateurs de mortalité infantile, le taux d'emploi pouvant avoir un impact sur la mortalité infantile jusqu'à trois ans. Enfin, les études ont démontré qu'il existe un seuil de revenu des ménages, qui agit comme facteur de protection contre la mortalité infantile, en dessous duquel plus la proportion de ménages est élevée, plus le risque d'augmentation de la mortalité infantile est élevé. / Abstract
The infant mortality rate is an indicator of population health and the effectiveness of health systems that is also capable of estimating the extent of social and health inequalities between populations. Over the last 30 years, Brazil has recorded significant reductions in child mortality rates. Between 1990 and 2017, the under-five mortality rate dropped from 53.7 to 15.6 deaths per thousand live births, a 71% reduction over the period. The national reduction average was 6% per year in the 1990s, decreasing to 4.8% in the 2000s and to 3.2% per year between 2011 and 2015, and many factors have been reported as the cause of these improvements.
Even after the implementation of health and social policies that positively affected the health of the populations in Brazil in the last decades, since 2009 the country has experienced a slow decrease in the decline in infant mortality that remained at high levels, registering great regional disparities. After an economic crisis that evolved into a troubled period of political crisis, in 2016 the country recorded increases in under-one-year infant mortality and under-five-year infant mortality rates, that raised from 12.43 deaths to 12.72 deaths per thousand live births and from 14.28 deaths to 14.89 deaths per thousand live births, respectively.
These facts call attention to the possible impact of social determinants of health on infant mortality rates in Brazil after the implementation of these health and social policies.
This anomaly in the trend of child mortality, particularly when combined with regional disparities and a slow decrease in the decline in infant mortality rates is of great concern and raise questions about what is the extent of these health and social policies on the country’s ability to maintain a longer-term decline in the infant mortality rate, is it capable of placing this rate at the level of developed countries and what are the determinants of infant mortality in Brazil after the implementation of these public policies.
The overarching goal of this thesis was to identify the determinants of infant mortality in Brazil after the implementation of the Family Health Strategy and the Bolsa Família programs in order to raise plausible hypotheses for the slowdown, the regional disparities, and the anomaly observed in the trend of declines in the infant mortality rate in Brazil. To attain this objective, we conducted three research papers: 1. a scoping review that aimed at identifying and summarizing the determinants of infant mortality in Brazil under the influence of Family Health Strategy and Bolsa Família programs, with a view of raising hypothesis for the recent changes in the infant mortality rates in Brazil and identifying gaps in terms of research concerning the determinants of infant mortality in the country, 2. a descriptive retrospective analysis according to the perspective of Public Health and health inequalities by adopting the analytical framework proposed by the World Health Organization’s Commission on Social Determinants of Health, using data from under-one-year old infant mortality rate and from possible determinants of infant mortality in Brazil according to the findings of our scoping review (article 1), and 3. a methodological proposal in order to overcome the challenges to developing a panel data model using aggregated data from the 26 Brazilian states and different subregions according to the Conceptual Model of Health Capability, with a view of inferring possible associations between our independent variables and infant mortality rates in Brazil, aiming at reviewing the hypothesis raised in the scoping review about the recent changes in the country's infant mortality indicators.
The global results of these studies demonstrated that in the light of the Conceptual Model of Health Capability and the social determinants of health, regional disparities related to inequalities in factors such as income, education, employment, fertility rate, access, and quality of health services, account for inequalities in infant mortality rates, especially in the north and Northeast macro-regions of the country, which likely hamper further reductions of infant mortality. Those inequalities would explain both the slowdown in the reduction and the tendency of the infant mortality rate to remain at relatively high levels. Results also demonstrated that variations in those factors for reasons relating to the economic and political crisis, likely have interrupted the secular trend of declining infant mortality rates. In this regard, results suggest that a sharp reduction in employment rate observed between 2014 and 2015, among other factors, may have had a delayed impact on infant mortality rates in 2016. The results also identified an association between employment and different infant mortality indicators, with employment rate possibly impacting child mortality up to three years. Finally, the studies have shown that a household income threshold acts as a protective factor against child mortality, the bigger the proportion of households below this income bracket, the greater the risk of an increase in child mortality.
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