Mexico's conditional cash transfer programme increases cesarean section rates among the rural poor.

European Journal of Public Health
Sarah L Barber

Abstract

Caesarean section rates are increasing in Mexico and Latin America. This study evaluates the impact of a large-scale, conditional cash transfer programme in Mexico on caesarean section rates. The programme provides cash transfers to participating low income, rural households in Mexico conditional on accepting health care and nutrition supplements. The primary analyses uses retrospective reports from 979 women in poor rural communities participating in an effectiveness study and randomly assigned to incorporation into the programme in 1998 or 1999 across seven Mexican states. Using multivariate and instrumental variable analyses, we estimate the impact of the programme on caesarean sections and predict the adjusted mean rates by clinical setting. Programme participation is measured by beneficiary status, programme months and cash transfers. More than two-thirds of poor rural women delivered in a health facility. Beneficiary status is associated with a 5.1 percentage point increase in caesarean rates; this impact increases to 7.5 percentage points for beneficiaries enrolled in the programme for >or=6 months before delivery. Beneficiaries had significantly higher caesarean delivery rates in social security facilities (24.0 compare...Continue Reading

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Citations

Dec 4, 2014·American Journal of Infection Control·Christie Y JeonElaine L Larson
Jun 29, 2016·Anthropology & Medicine·Sarah A Williams
Apr 4, 2017·Journal of Clinical Epidemiology·Julio Frenk, Octavio Gómez-Dantés
May 27, 2017·International Journal for Equity in Health·María Graciela FreyermuthMaría Del Pilar Ochoa
Nov 13, 2014·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Amanda Veile, Karen Kramer
Dec 17, 2015·The Cochrane Database of Systematic Reviews·Sara R TillDavid M Haas
Dec 2, 2015·The Cochrane Database of Systematic Reviews·Lawrence MbuagbawPierre Ongolo-Zogo
Sep 29, 2018·The Cochrane Database of Systematic Reviews·Innie ChenAna Pilar Betran
Feb 1, 2019·American Journal of Human Biology : the Official Journal of the Human Biology Council·Amanda VeileKaren L Kramer
Oct 4, 2017·Health Policy and Planning·Sophie WitterRobert Yates
Dec 20, 2018·American Journal of Human Biology : the Official Journal of the Human Biology Council·Melanie A MartinClaudia R Valeggia

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