Tag Archives: Brazil

Celebrating 10 Years of Bolsa Família, the Widely Successful Brazilian Poverty Alleviation Plan

 

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Brazil’s Bolsa Familia program contributed to a dramatic drop in poverty and inequality within the country, said Tereza Campello, Minister of Social Development and Fight Against Hunger at a January 29th event at the Woodrow Wilson Center.

The event, titled “A Conversation with Tereza Campello, Brazil’s Minister of Social Development and Fight Against Hunger,” was co-sponsored by the Woodrow Wilson Center’s Brazil Institute and the World Bank’s Latin America and the Caribbean Region and shed light on some of the progress made in poverty alleviation in the first 10 years of the Bolsa Família program.

Minister Campello began her discussion by saying that poverty and inequality in Brazil has dropped dramatically thanks to three main public policies: a raise in the minimum wage, the expansion of the formal job sector, and the Bolsa Família program. The program was launched in 2003 during former President Luiz Inácio Lula da Silva’s term. It is the largest conditional cash transfer program in the world, and is responsible for lifting 22 million people out of poverty. The three main goals of the program are to alleviate poverty and hunger; increase education attendance and reduce school drop-out rates; and improve access to health services for children, pregnant women, and women who are breastfeeding.

Since the beginning of the program, Bolsa Família has assisted over 50 million people — over a quarter of Brazil’s population. In return for direct cash transfers, beneficiaries must ensure their children attend school and receive their vaccinations, and pregnant women must receive prenatal and postpartum care.

Minister Campello highlighted the following achievements from the Bolsa Família program in the focus area of health:

  • 19.4% reduction in infant mortality rate,
  • 52% decrease of chronic infant malnutrition in children up to 6 years of age,
  • 58% reduction in death due to malnutrition,
  • Drop from 16.8% to 14.5% in the rate of stunting in children up to 5 years of age,
  • 50% increase in prenatal care,
  • 46% reduction in deaths from diarrhea, and
  • 99.1% vaccination rate in children.

Its impact has been greatest in the northeast and Amazon regions of the country, where poverty is more prevalent. Additionally, out of the total current beneficiaries of the program, 73% of them are afro-Brazilian women.

The success of Bolsa Família is inspiring many countries around the world. The Ministry of Social Development and Fight Against Hunger has received delegations from 63 countries interested in learning more about how the program works. Deborah Wetzel, Country Director for Brazil for the World Bank, said the World Bank is working with the Brazilian government on ways to share the lessons learned with other countries.

Although Bolsa Família has been widely successful, challenges do remain. Brazil is the fifth largest country in the world with a population of more than 200 million people living in more than 5 thousand municipalities. To address this issue, the Brasil Sem Miséria plan (Brazil Without Poverty plan) was launched during President Dilma Rousseff’s term in 2011 in order to expand the reach of the Bolsa Família program. Through this complementary plan, the Ministry of Social Development and Fight Against Hunger is currently reaching out to an additional 9 million people who are not part of the Bolsa Família program but are in dire need of support.

Minister Campello closed the conversation by saying that the “end of poverty” is only the beginning. We join the Brazilian government in celebrating the first 10 years of Bolsa Família and we look forward to sharing many more success stories!

Successful NTD Project in Recife, Brazil Gains Recognition for Preventing and Controlling NTDs in Children

 

By Dr. Mirta Roses Periago, NTD Special Envoy 

As NTD Special Envoy to the Global Network, I am delighted to share with you a great story: the neglected tropical disease (NTD) project in Recife, Brazil won the award for best work experience in surveillance, prevention and integrated control of NTDs, including leprosy, leishmaniasis and other communicable diseases related to poverty, during the 13th EXPOEPI held in October 2013 in Brasília. The NTD project in Recife is a joint effort between the local governments and the Inter-American Development Bank (IDB), the Pan American Health Organization (PAHO) and the Global Network for Neglected Tropical Diseases of the Sabin Vaccine Institute.

Organized by the Secretariat of Health Surveillance of the Brazilian Ministry of Health, the National Exhibition of Successful Experiences in Epidemiology, Prevention and Diseases Control (EXPOEPI) brings together managers and technicians in public health from all the federative units to discuss relevant matters in their field and share experiences with one another.  Around 3,000 people participated at this year’s event. Dr. Jarbas Barbosa, Secretary of Health Surveillance of Brazil, said that the importance of this event comes from the motivation and belief that planned actions that are properly implemented, monitored and evaluated can make a very positive difference in  the health of the Brazilian population.

The award specifically recognized the success of the NTD project in the Recife metropolitan area  in preventing  and controlling  communicable diseases through  building integrated teaching tools to motivate the teaching-learning processes of students. Because of this project, 16 thousand students are learning about NTDs and, most importantly, about how to treat and prevent infection. The program is being implemented in three cities in the Pernambuco state (Recife, Olinda, and Jaboatão dos Guararapes) by the local health departments and the Institute of Integral Medicine Professor Fernando Figueria (IMIP). It addresses four NTDs present in the metropolitan area (leprosy, lymphatic filariasis, soil-transmitted helminths, and schistosomiasis) through education, diagnosis, treatment, and prevention activities.

Forty-two public schools in the Recife metropolitan area are implementing the program, indirectly benefiting an additional 70 thousand family members because of the health education and prevention activities, as well as the medical assistance, diagnosis and treatment of the diseases. Additionally, encouraged in large part by the positive results of the project, the Ministry of Health of Brazil conducted a nation-wide campaign to address leprosy and intestinal parasites in March 2013.

We invite you to watch the video “A Small Revolution: A Comprehensive Approach for Neglected Tropical Diseases” to learn more about how the education components were integrated into the school system, to improve the health of the communities of the Recife metropolitan area. You can also view photos of the community social mobilization here.

You can also watch the video “” to see some of the educational videos that were produced for the NTD project in Recife, in collaboration with the Mediateam Company.

I encourage you to share your stories with us, as well as to feel inspired by our experiences and take action, sponsor or initiate similar activities so that we can together celebrate the end of NTDs in this generation.

River Blindness Transmission Cycle Broken in Ecuador

Just this week the Ministry of Health and several other partners in the Onchocerciasis Elimination Program for the Americas (OEPA) have declared onchocerciasis transmission has been halted in Ecuador. As per World Health Organization policy, Ecuador must now monitor and verify elimination for the next three years. In 2008, the Pan American Health Organization restated its dedication to eliminating river blindness in the Americas by 2012 and this announcement is an important step towards achieving that goal.

Onchocerciasis is transmitted by the bite of the black fly and a small, bite-transmitted worm parasite. This parasite, Onchocerca volvulus, causes skin irritation and can cause loss of sight. The illness is known as river blindness because the black flies breed in fast-moving bodies of water near affected communities. In order to break the disease transmission cycle, implementing organizations utilize the common practice of mass drug administration (MDA). In MDA programs, safe and affordable (often donated) drugs are distributed to entire communities several times a year. For onchocerciasis treatments, the Merck produced drug Mecitzan (ivermectan) is used at no cost. In the last twenty years over eight million doses have been distributed across the region in endemic communities.

OEPA is a regional collaboration that was started in 1993 by The Carter Center to treat the more than 500,000 people at risk for this disease across Latin America. The partnership includes the Pan American Health Organization (World Health Organization), the pharmaceutical company Merck, the Pan American Health and Education Foundation (PAHEF), Lions Clubs International Foundation, and the Bill and Melinda Gates Foundation. The OEPA program targets the six Latin American countries (Brazil, Ecuador, Guatemala, Mexico and Venezuela) where onchocerciasis is still a public health threat. Originally there were seven countries on this list, but Colombia achieved transmission interruption in 2008. In light of this week’s announcement, this list will be shortened to only five countries.

With a growing interest in the potential for elimination of onchocerciasis from Africa, the success of the programs in the Americas provides an experience base that can guide the next phase of the onchocerciasis program in Africa.

See Also: 

http://www.pahef.org/press/2010_river_blindness.html

http://www.aolnews.com/health/article/ecuador-halts-spread-of-river-blindness/19378514

http://www.cartercenter.org/news/pr/ecuador-030110.html