The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia

OBJECTIVE: Conditional cash transfer (CCT) programmes provide income to low-income families in return for fulfilling specific behavioural conditions. CCT have been shown to improve child health, but there are few systematic studies of their impact on multiple determinants of child health. We examine...

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Autor Principal: López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J.
Formato: Artículo (Article)
Lenguaje:Desconocido (Unknown)
Publicado: Public Health Nutrition; Vol. 19, No. 14 2016
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Acceso en línea:http://babel.banrepcultural.org/cdm/ref/collection/p17054coll23/id/477
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spelling ir-p17054coll23-4772020-09-29 The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J. OBJECTIVE: Conditional cash transfer (CCT) programmes provide income to low-income families in return for fulfilling specific behavioural conditions. CCT have been shown to improve child health, but there are few systematic studies of their impact on multiple determinants of child health. We examined the impact of a CCT programme in Colombia on: (i) use of preventive health services; (ii) food consumption and dietary diversity; (iii) mother's knowledge, attitudes and practices about caregiving practices; (iv) maternal employment; and (v) women's empowerment. DESIGN: Secondary analysis of the quasi-experimental evaluation of the Familias en Accion programme. Children and families were assessed in 2002, 2003 and 2005-06. We applied a difference-in-differences approach using logistic or linear regression, separately examining effects for urban and rural areas. SETTING: Colombia. SUBJECTS: Children (n 1450) and their families in thirty-one treatment municipalities were compared with children (n 1851) from sixty-five matched control municipalities. RESULTS: Familias en Accion was associated with a significant increase in the probability of using preventive care services (OR=1·85, 95 % CI 1·03, 3·30) and growth and development check-ups (?=1·36, 95 % CI 0·76, 1·95). It had also a positive impact on dietary diversity and food consumption. No effect was observed on maternal employment, women's empowerment, and knowledge, attitudes and practices about caregiving practices. Overall, Familias en Accion's impact was more marked in rural areas. CONCLUSION: CCT in Colombia increase contact with preventive care services and improve dietary diversity, but they are less effective in influencing mother's employment decisions, empowerment and knowledge of caregiving practices. Conditional cash transfer programmes; Health; Income; Intervention; Nutrition; Poverty Tecnología; Tecnología / Ciencias médicas Medicina 2016 Public Health Nutrition; Vol. 19, No. 14 PDF Artículo ENG - Inglés Colombia Colfuturo © Derechos reservados del autor http://babel.banrepcultural.org/cdm/ref/collection/p17054coll23/id/477
institution Biblioteca Virtual Banco de la República - Colecciones digitales
collection Custom
language Desconocido (Unknown)
topic Conditional cash transfer programmes; Health; Income; Intervention; Nutrition; Poverty
Tecnología; Tecnología / Ciencias médicas Medicina
spellingShingle Conditional cash transfer programmes; Health; Income; Intervention; Nutrition; Poverty
Tecnología; Tecnología / Ciencias médicas Medicina
López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J.
The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
description OBJECTIVE: Conditional cash transfer (CCT) programmes provide income to low-income families in return for fulfilling specific behavioural conditions. CCT have been shown to improve child health, but there are few systematic studies of their impact on multiple determinants of child health. We examined the impact of a CCT programme in Colombia on: (i) use of preventive health services; (ii) food consumption and dietary diversity; (iii) mother's knowledge, attitudes and practices about caregiving practices; (iv) maternal employment; and (v) women's empowerment. DESIGN: Secondary analysis of the quasi-experimental evaluation of the Familias en Accion programme. Children and families were assessed in 2002, 2003 and 2005-06. We applied a difference-in-differences approach using logistic or linear regression, separately examining effects for urban and rural areas. SETTING: Colombia. SUBJECTS: Children (n 1450) and their families in thirty-one treatment municipalities were compared with children (n 1851) from sixty-five matched control municipalities. RESULTS: Familias en Accion was associated with a significant increase in the probability of using preventive care services (OR=1·85, 95 % CI 1·03, 3·30) and growth and development check-ups (?=1·36, 95 % CI 0·76, 1·95). It had also a positive impact on dietary diversity and food consumption. No effect was observed on maternal employment, women's empowerment, and knowledge, attitudes and practices about caregiving practices. Overall, Familias en Accion's impact was more marked in rural areas. CONCLUSION: CCT in Colombia increase contact with preventive care services and improve dietary diversity, but they are less effective in influencing mother's employment decisions, empowerment and knowledge of caregiving practices.
format Artículo (Article)
author López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J.
author_facet López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J.
author_sort López Arana, Sandra Liliana; Avendaño, Mauricio; Burdorf, Alex; Van Lenthe, Frank J.
title The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
title_short The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
title_full The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
title_fullStr The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
title_full_unstemmed The impact of a conditional cash transfer programme on determinants of child health: evidence from Colombia
title_sort impact of a conditional cash transfer programme on determinants of child health: evidence from colombia
publisher Public Health Nutrition; Vol. 19, No. 14
publishDate 2016
url http://babel.banrepcultural.org/cdm/ref/collection/p17054coll23/id/477
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score 11,489418