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1.
Health Econ ; 29(12): 1786-1794, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32876988

RESUMO

We study the health consequences of one of the largest environmental disasters of the world mining industry, which largely stemmed from regulatory failure. Exploiting the timing and location of the Mariana mine tailings dam collapse in Brazil, we show that in utero exposure to the tragedy significantly reduced birth weight and increased infant mortality. The adverse effects were stronger for infants born to less educated and nonmarried mothers. These findings indicate that poorly enforced environmental regulation may have long-term welfare impacts on local communities.


Assuntos
Desastres , Colapso Estrutural , Brasil , Monitoramento Ambiental , Humanos , Saúde do Lactente
2.
J Health Econ ; 79: 102490, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34247127

RESUMO

We present evidence on the impacts of a large-scale iodine supplementation program in Tanzania on individuals' long-term economic outcomes. Exploiting the timing and location of the intervention, we document that in utero exposure to the program increased completed years of education and income scores in adulthood. We find no increase in total employment, but a significant change in the occupational structure. Cohorts exposed to the program are less likely to work in agricultural self-employment and more likely to hold skilled jobs that typically demand higher levels of education. Together, these results demonstrate that iodine deficiency can have long-run implications for occupational choices and labor market incomes in low-income regions.


Assuntos
Iodo , Adulto , Demografia , Suplementos Nutricionais , Mão de Obra em Saúde , Humanos , Fatores Socioeconômicos
3.
Health Policy Plan ; 30(7): 906-16, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25237133

RESUMO

The Growth and Development Monitoring Programme is a longstanding early childhood social intervention in Colombia. The programme's goal is the prevention and early identification of problems affecting children's health and nutrition. To achieve this aim, the programme's basic strategy is to educate parents about the overall health care of infants. The objective of this study is to measure the impact of this programme on children's nutrition and health status and maternal child-care practices. To address potential selection bias, we employ quasi-experimental techniques. This article uses data from the Demographic Health Survey of 2010. The evidence suggests that the programme improved immunization status and the likelihood of health care for acute respiratory infection or fever. As expected, the programme has a greater impact on children from among the poorest people in the country. In the most advanced regions and for the beneficiaries of private health care, the effects of the programme have tended to be negligible. In this sense, our central policy recommendation is to optimize the programme for the poorest households in the country.


Assuntos
Serviços de Saúde da Criança , Saúde da Criança , Diagnóstico Precoce , Política de Saúde , Transtornos da Nutrição Infantil/prevenção & controle , Pré-Escolar , Colômbia , Humanos , Lactente
4.
Health Policy Plan ; 29(4): 443-9, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23735737

RESUMO

The determinants of maternal and child health have been the recurrent topics of study in developing countries. Using the Demographic and Health Survey (2010) of Colombia, this study aimed to identify the determinants for professional antenatal care and institutional delivery, taking into account the interdependence of these two decisions, which we consider using a bivariate probit model. This study found that when certain factors affecting both the decision to seek prenatal care and giving birth in a hospital are neglected, the results of the estimates are inefficient. Estimates show that the effects of education, parity, regional location and economic status on institutional delivery tend to be underestimated in a univariate probit model. The results indicate that economic status, level of education, parity and medical-insurance affiliation influenced the joint likelihood of accessing professional antenatal care and delivering in a health facility. An important finding is that mothers with a higher level of education are 9 percentage points more likely to access these two health services compared with mothers who are illiterate. Another observed finding is the regional disparities. The evidence indicates that mothers in the Pacific Region, the poorest region of Colombia, are 6 percentage points less likely to access such services. Thus, the results indicate that the Colombian health policy should emphasize increasing the level of schooling of mothers and establish health facilities in the poorest regions of the country to ensure that women in need are provided with social health insurance.


Assuntos
Parto Obstétrico/métodos , Instalações de Saúde/provisão & distribuição , Aceitação pelo Paciente de Cuidados de Saúde , Cuidado Pré-Natal/métodos , Adulto , Colômbia , Países em Desenvolvimento , Feminino , Humanos , Serviços de Saúde Materna , Paridade , Pobreza , Gravidez , População Rural , Fatores Socioeconômicos , Adulto Jovem
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