Effect of the conditional cash transfer program on the incidence of pulmonary tuberculosis in Dominican Republic (2012-2018)
DOI:
https://doi.org/10.15517/psm.v22i1.57324Keywords:
viral incidence, Conditional Monetary Transfer, Pulmonary tuberculosis,Abstract
Introduction: Pulmonary tuberculosis is a public health problem in several countries in Latin America and the world, due to its high incidence and social impact. The objective of this study was to evaluate the impact of the CCT program on the incidence of pulmonary tuberculosis (PTB) in Health Region III of the Dominican Republic during 2012-2018. Method: An observational study with a mixed ecological design was carried out. New cases of TBP and social programs were analyzed. The coverage of social programs was the main variable, and the TBP incidence rate was the dependent variable. Other covariates were considered. Results: The results showed that the TBP incidence rate did not decrease in Health Region III despite an increase in the coverage of CCT social programs and a decrease in the poverty level. The CCT "Eating First" program had a significant impact on reducing poverty and other social determinants in Health Region III. Conclusions: Our findings support previous research suggesting that CCT programs are effective in reducing poverty and addressing some social determinants of health. However, they do not support the use of CCTs as an isolated measure to reduce new cases of TBP, since poverty must be addressed in a comprehensive, holistic and inclusive manner to achieve a more significant impact on diseases with high prevalence and endemicity.
Downloads
References
Aguirre, M. (2021). El derecho condicionado a la asistencia: consideraciones sobre la Ley Provincial 9185/04. Conciencia social, 5(9). https://revistas.unc.edu.ar/index.php/ConCienciaSocial/article/view/35348
Aguirre, M. (2023). Salud Pública y cuestión social: un abordaje comparado desde los programas familias en acción (COL) y asignación Universal por hijo para la protección social (ARG) [Tesis de maestría, Universidad Nacional de Colombia]. Repositorio Universidad Nacional de Colombia.
Aguirre, M. (2024). Trabajo precario, trabajo de cuidados y sus expresiones en salud pública: ¿cuánto y cómo protege la asistencia social latinoamericana?. Itinerarios de Trabajo Social, (4), 61-71. https://doi.org/10.1344/its.i4.43748
Alves, J. D., Arroyo, L. H., Arcoverde, M. A. M., Cartagena-Ramos, D., Berra, T. Z., Alves, L. S., Ramos, A. C. V., Fuentealba-Torres, M., Assis, I. S., Fiorati, R. C., Nuñez, C., & Arcencio, R. A. (2020). Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. Gaceta Sanitaria, 34(2), 171-178. https://dx.doi.org/10.1016/j.gaceta.2019.01.004
Ayiraveetil, R., Sarkar, S., Chinnakali, P., Jeyashree, K., Vijayageetha, M., Thekkur, P., Lakshminarayanan, S., Knidsen, S., Hochberg, N. S., Horsburgh, C. R., Ellner, J., & Roy, G. (2020). Household food insecurity among patients with pulmonary tuberculosis and its associated factors in South India: a cross-sectional analysis. BMJ Open, 10(2), e033798. https://doi.org/10.1136/bmjopen-2019-033798
Banco Interamericano de Desarrollo. (2016). Síntesis del programa Bolsa Familia en Brasil. https://publications.iadb.org/es/publicacion/15580/sintesis-del-programa-bolsa-familia-en-brasil
Barrientos, A., & Villa, J. M. (2013). Antipoverty Transfers and Labour Force Participation Effects. Brooks World Poverty Institute Working Paper No. 185. http://dx.doi.org/10.2139/ssrn.2275291
Bastagli, F., Hagen-Zanker, J., Harman, L., Barca, V., Sturge, G., Schmidt, T. & Pellerano, L. (2016). Cash transfers: what does the evidence say? A rigorous review of programme impact and of the role of design and implementation features. Odi.org. https://odi.org/en/publications/cash-transfers-what-does-the-evidence-say-a-rigorous-review-of-impacts-and-the-role-of-design-and-implementation-features/
Cena, R., & Dettano, A. (2020). Emociones en torno a los cuidados sociales mediados por las políticas sociales. Entre el deber moral y la postergación. Investigación y Desarrollo, 28(1), 68-103. https://rcientificas.uninorte.edu.co/index.php/investigacion/article/view/12494/214421445234
Comisión Económica para América Latina y el Caribe. (1997). Panorama social de América Latina 1997. https://repositorio.cepal.org/server/api/core/bitstreams/7eca2ffb-1e85-407f-8af9-cee506498c89/content
Cutuli, J. J., Wiik, K. L., Herbers, J. E., Gunnar, M. R., & Masten, A. S. (2010). Cortisol function among early school-aged homeless children. Psychoneuroendocrinology, 35(6) 833-845. https://doi.org/10.1016/j.psyneuen.2009.11.008
Ferguson J., & Gibson, T. (2015). Front Matter. En Give a Man a Fish: Reflections on the New Politics of Distribution (pp. i–iv). Duke University Press. https://doi.org/10.2307/j.ctv1198xwr.1
Fuady, A., Houweling, T. A. J., Mansyur, M., Burhan, E., & Richardus, J. H. (2019). Effect of financial support on reducing the incidence of catastrophic costs among tuberculosis-affected households in Indonesia: eight simulated scenarios. Infectious Diseases of Poverty, 8(1), 10. https://doi.org/10.1186/s40249-019-0519-7
Gertler, P. (2004). Do Conditional Cash Transfers Improve Child Health? Evidence from PROGRESA's Control Randomized Experiment. American Economic Association, 94(2), 336–34. https://doi.org/10.1257/0002828041302109
Gough, I., Wood, G., Barrientos, A., Bevan, P., Davis, P., & Room, G. (2004). Latin America: towards a liberal-informal welfare regime. En Insegurity and Welfare Regimes in Asia, Africa and Latin America: Social Policy in Development contexts (pp. 121-168). Cambridge University Press.
Gwynne, R. N., & Cristobal, K. (2004). Latin America transformed: globalization and modernity. Routledge. https://doi.org/10.4324/9780203763704
Harvey, D. (2007). Breve historia del neoliberalismo [Archivo de PDF]. https://www.perio.unlp.edu.ar/catedras/wp-content/uploads/sites/49/2020/03/T08-HARVEY-Breve-historia-del-neoliberalismo-pp-11-16-45-49-183-189-1.pdf
Honorati, M., Gentilini, U., & Yemtsov, R. G. (2015). The state of social safety nets 2015 [Archivo de PDF]. https://documents1.worldbank.org/curated/en/415491467994645020/pdf/97882-PUB-REVISED-Box393232B-PUBLIC-DOCDATE-6-29-2015-DOI-10-1596978-1-4648-0543-1-EPI-1464805431.pdf
Klein, K., Bernachea, M. P., Iribarren, S., Gibbons, L., Chirico, C., & Rubinstein, F. (2019). Correction: Evaluation of a social protection policy on tuberculosis treatment outcomes: A prospective cohort study. PLOS Medicine, 16(5), e1002826. https://doi.org/10.1371/journal.pmed.1002826
Lavinas, L. (2014). La asistencia social en el siglo XXI [Archivo de PDF]. New Left Review. https://newleftreview.es/issues/84/articles/lena-lavinas-la-asistencia-social-en-el-siglo-xxi.pdf
León, P., Pria, M., Perdomo, I., García, A., & Valdez, D. (2018). Desigualdades sociales y acceso a los servicios de salud en la tuberculosis pulmonar y su contextualización en La Habana. Información Científica para la Dirección en Salud, 0(26), 16-27. https://revinfodir.sld.cu/index.php/infodir/article/view/443
Mauch, V., Melgen, R., Marcelino, B., Acosta, I., Klinkenberg, E., & Suarez, P. (2013). Tuberculosis patients in the Dominican Republic face severe direct and indirect costs and need social protection. Revista Panamericana de Salud Pública, 33(5), 332-339. https://iris.paho.org/bitstream/handle/10665.2/9179/a04v33n5.pdf?sequence=1&isAllowed=y
Ministerio de Salud de la República Dominicana (2020). Informe de Gestión del Programa de Tuberculosis en República Dominicana 2020. https://actbistas.org/informe-de-gestion-del-programa-de-tuberculosis-republica-dominicana-2020/
Nery, J. S., Rodrigues, L. C., Rosella, D., Aquino, R., Barreira, D., Torrens, A. W., Boccia, D., Penna, G. O., Penna, M. L. F., Barreto, M. L., & Pereira, S. M. (2017). Effect of Brazil's conditional cash transfer program on the incidence of tuberculosis. International Journal of Tuberculosis and Lung Disease, 21(7), 790-796. https://doi.org/10.5588/ijtld.16.0599
Nidoi, J., Muttamba, W., Walusimbi, S., Imoko, J. F., Lochoro, P., Ictho, J., Mugenyi, L., Sekibira, R., Turyahabwe, S., Byaruhanga, R., Putoto, G., Villa, S., Raviglione, M. C., & Kirenga, B. (2021). Impact of socio-economic factors on Tuberculosis treatment outcomes in north-eastern Uganda: a mixed methods study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-12056-1
Organización de las Naciones Unidas para la Alimentación y la Agricultura. (2019). Protección social. https://www.fao.org/social-protection/es
Organización Mundial de la Salud. (2022). Informe mundial sobre tuberculosis, (2022). https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022
Owusu-Addo, E., Renzaho, A. M. N., & Smith, B. J. (2018). The impact of cash transfers on social determinants of health and health inequalities in sub-Saharan Africa: a systematic review. Health Policy and Planning, 33(5), 675-696. https://doi.org/10.1093/heapol/czy020
Palmer, N., Mueller, D. H., Gilson, L., Mills, A., & Haines, A. (2004) Health financing to promote access in low-income settings-how much do we know?. The Lancet, 364(9442), 1365-70. https://doi.org/10.1016/S0140-6736(04)17195-X
Parthasarathy, R., & Malhotra, S. (2019). Cash transfer interventions in tuberculosis treatment outcomes. National Medical Journal of India, 32(5), 294-295). https://doi.org/10.4103/0970-258X.295960
Patel, B. H., Jeyashree, K., Chinnakali, P., Vijayageetha, M., Mehta, K. G., Modi, B., Chavda, P. D., Dave, P. V., Zala, C. C., Shewade, H. D., Solanki, D. M., & Kumar, A. M. V. (2019). Cash transfer scheme for people with tuberculosis treated by the National TB Programme in Western India: a mixed methods study. BMJ Open, 9(12), e033158. https://doi.org/10.1136/bmjopen-2019-033158
Petras, J., & Veitmeyer, H. (2010). Neoliberalism and the Dynamics of Capitalist Development in Latin America. En Berberoglu, B. (Ed.), Globalization in the 21st Century (pp. 57-85). Palgrave Macmillan.
Presidencia de la República Dominicana. (2020). Memorias institucionales: Informe de seguimiento noviembre 2020. Programa Progresando con Solidaridad. https://transparencia.superate.gob.do/plan-estrategico-institucional/memorias-institucionales
Presidencia de la República Dominicana. Sistema Único de Beneficiario. (2022). Análisis descriptivo de la tuberculosis en población vulnerable de la República Dominicana [Archivo de PDF]. https://siuben.gob.do/wp-content/uploads/2023/03/nota-tecnica-de-tuberculosis-avance-preliminar-de-estructura-version-4.pdf
Programa de las Naciones Unidas para el Desarrollo. (2019). En RD persisten las desigualdades, según Informe de Desarrollo Humano 2019. https://www.undp.org/es/dominican-republic/news/en-rd-persisten-las-desigualdades-seg%C3%BAn-informe-de-desarrollo-humano-2019
Ravallion, M. (2009). How relevant is targeting to the success of an antipoverty program? [Archivo de PDF]. https://documents1.worldbank.org/curated/en/368761468339647732/pdf/629860PUB0Worl00Box0361496B0PUBLIC0.pdf
Reeves, A., Basu, S., McKee, M., Stuckler, D., Sanddgren, A., & Semenza, J. (2014). Social protection and tuberculosis control in 21 European countries, 1995-2012: a cross-national statistical modelling analysis. The Lancet Infectious Diseases, 14(11), 1105-1112. https://doi.org/10.1016/s1473-3099(14)70927-2
Reis-Santos, B., Shete, P., Bertolde, A., Sales, C.M., Sanchez, M. N., Arakaki-Sanchez, D., Andrade, K. B., Gomes, M.G.M., Boccia, D., Lienhardt, C., & Maciel, E. L. (2019). Tuberculosis in Brazil and cash transfer programs: A longitudinal database study of the effect of cash transfer on cure rates. PLoS One, 14(2), e0212617. https://doi.org/10.1371/journal.pone.0212617
Richterman, A., Steer-Massaro, J., Jarolimova, J., Luong Nguye, L. B., Winderberg, J., & Ivers, L. C. (2018). Cash interventions to improve clinical outcomes for pulmonary tuberculosis: systematic review and meta-analysis. Bulletin of the World Health Organization, 96(7), 471-483. https://doi.org/10.2471/BLT.18.208959
Schober, G. S. (2019). Conditional Cash Transfers, Resources, and Political Participation in Latin America. Latin American Research Review, 54 (3). https://doi.org/10.25222/larr.143
Snilsveit, B., Stevenson, J., Langer, L., Tannous, N., Ravat, Z., Nduku, P., Polanin, J., Shemilt, I., Eyers, J., & Ferraro, P. J. (2019). Incentives for climate mitigation in the land use sector-the effects of payment for environmental services on environmental and socioeconomic outcomes in low- and middle-income countries: A mixed-methods systematic review. Campbell, 15(3). https://doi.org/10.1002/cl2.1045
Steger, M. B. & Roy, R. K. (2017). Globalization: a very short introduction (4.a ed.). Oxford University Press.
Stiglitz, J. (2002) Globalization and its Discontents [Archivo de PDF]. http://digamo.free.fr/stig2002.pdf
The World Bank. (2009). Conditional Cash Transfers: Paying People to Invest in Children. https://www.worldbank.org/en/news/feature/2009/02/12/conditional-cash-transfers-paying-people-to-invest-in-children
Timire, C., Sandy, C., Ferrand, R. A., Mubau, R., Shiri, P., Mbiriyawanda, O., Mbida, F., Houben, R. M. G. J., Pedrazzoli, D., Bond, V., Foster, N., & Kranzer, K. (2022). Coverage and effectiveness of conditional cash transfer for people with drug-resistant tuberculosis in Zimbabwe: A mixed methods study. PLOS Global Public Health, 2(12). https://doi.org/10.1371/journal.pgph.0001027
Todd, H., Hudson, M., Grolmusova, N., Kazibwe, J., Pearman, J., Skender, K., Tran, P. B., Boccia, D., Shete, P. B., & Wingfield, T. (2023). Social Protection Interventions for TB-Affected Households: A Scoping Review. American Journal of Tropical Medicine and Hygiene, 108(4), 650-659. https://doi.org/10.4269/ajtmh.22-0470
Ukwaja, K., Alobu, I., Gidado, M., Oriazi, O., & Oshi, D. (2017). Economic support intervention improves tuberculosis treatment outcomes in rural Nigeria. International Journal of Tuberculosis and Lung Disease, 21(5), 564-570. https://doi.org/10.5588/ijtld.16.0741
Yazbek, M. C., (2010). Servicio social y pobreza. Katalysis, 13(2), 153-154. https://www.redalyc.org/articulo.oa?id=179616095001
Yoshino, C. A., Sidney-Annerstedt, K., Wingfield, T., Kirubi, B., Viney, K., Boccia, D., & Atkins, S. (2023). Experiences of conditional and unconditional cash transfers intended for improving health outcomes and health service use: a qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 3(3), CD013635. https://doi.org/10.1002/14651858.CD013635.pub2
Zille, A. I., Werneck, G. L., Luiz, R. R., & Conde, M. B. (2019). Social determinants of pulmonary tuberculosis in Brazil: an ecological study. BMC Pulmonary Medicine, 19(1), 87. https://doi.org/10.1186/s12890-019-0855-1
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Francisco Martín Duarte Duarte
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Population and Health in Mesoamerica informs its authors and readers that all publications must be submitted with the Letter of Acceptance of Copyright Conditions where the authors are asked for authorization to submit the article to the Journal for consideration so that it may carry out any of the following activities:
- The graphic and style editing of the work or part of it.
The publication and reproduction of the work or part of it, both in print and electronic media, including the Internet and any other known or unknown technology.
The translation of the work or part of it into any language or dialect.
The adaptation of the work to reading, sound, voice and any other available technical representation or mechanism, which makes possible its access for partially or totally blind people, or with any other form of special abilities that prevent their access to the conventional reading of the article.
The distribution and availability of the work to the public, in such a way that the public may have access to them from the time and place that each person chooses, through the physical or electronic mechanisms available to them.
Any other form of use, process or system known or to be known that is related to the activities and editorial purposes to which the Journal is linked.
You can access the Letter by clicking HERE. If you have a question, please write to revista.ccp@ucr.ac.cr
In addition, the content of this site is protected under the Attribution - Noncommercial - Share Alike (by-nc-sa) license which permits commercial use of the original work or derivative works and distribution of which must be made under the same license that governs the original work. The graphic design, images and texts generated by the e-Information Science magazine are property of the Universidad de Costa Rica and are licensed under Creative Commons Attribution - NonCommercial - Attribution-ShareAlike 4.0 International.
Authors who publish in this journal accept the following conditions:
-The authors retain their moral rights over the publication and assign the patrimonial rights mentioned in the Letter of Assignment of Rights with the Creative Commons Attribution - NonCommercial - Compatitr Equal 4.0 International license, which allows third parties to use what is published as long as they mention the authorship of the work and to the first publication in this journal.
-Authors may make other independent and additional contractual arrangements for non-exclusive distribution of the version of the article published in this journal (e.g., inclusion in an institutional repository or publication in a book) as long as they clearly indicate that the work was first published in this journal.
This policy is established in accordance with Law 6638 on Copyright and Related Rights of the Republic of Costa Rica.
