Evidence map›Paper›PMID 41160621›Full record

ArticlePLOS global public health2025

Implementation and effects of social protection programs for children, older adults, and people with disabilities in Brazil and Ecuador: A scoping review.

Julia M Pescarini, Ana L Moncayo, Joanna M N Guimarães, Francine S Dias, Ronald Ruiz, Samuel A G da Silva, Gustavo Casais, Michal Shimonovich, Valerie Wells, Mhairi Campbell and 5 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Julia M PescariniDepartment of Infectious Disease Epidemiology & International Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID https://orcid.org/0000-0001-8711-9589
Ana L MoncayoCentro de Investigación para la Salud en América Latina (CISeAL), Pontificia Universidad Católica del Ecuador, Quito, Ecuador.
Joanna M N GuimarãesCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.
Francine S DiasCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.ORCID https://orcid.org/0000-0001-5621-1796
Ronald RuizUniversidad Internacional del Ecuador, Quito, Ecuador.
Samuel A G da SilvaCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.ORCID https://orcid.org/0000-0001-6382-2448
Gustavo CasaisCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.ORCID https://orcid.org/0000-0002-8332-5657
Michal ShimonovichMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Valerie WellsMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Mhairi CampbellMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Mauricio L BarretoCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.
S Vittal KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Gustavo MattaCentro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Instituto Gonçalo Moniz, Fundacao Oswaldo Cruz, Salvador, Brazil.
Peter CraigMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID https://orcid.org/0000-0002-7653-5832
Global Health Research Unit on the Social and, Environmental Determinants of Health Inequalities (SEDHI)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a scoping review to investigate planned (intentional) and unplanned (not intentional) effects of social protection on socioeconomic determinants of health (SDH) and health inequalities among children, adolescents, elders and people with disabilities, and their caregivers. We reviewed seven programs in (i) Brazil (Programa Bolsa Familia (BFP) and Beneficio de Prestacao Continuada (BPC)), and (ii) Ecuador (Bono de Desarrolo Humano (BDH), Bono 1000 días, Pensión Mis Mejores Años/Pensión para Adultos Mayores, Pensión Toda una Vida/Pensión para personas con discapacidad and Bono Joaquín Gallegos Lara). We searched PubMed, EMBASE, LILACS, Scopus, Econlit, PsycINFO, Global Health, Global Index Medicus and grey literature for studies evaluating program implementation and effects on health outcomes or SDH from 1990 to 2023. We extracted data from 114 studies (84 on BFP, 17 on BDH and 13 on BPC). No studies were identified for the remaining programs. In Brazil, we found substantial evidence of BFP planned effects on children's health and some SDH but little evidence on its unplanned effects in adults and caregivers. Evidence effects of BPC on health outcomes were scarce, with only one study in elders and none among people with disabilities. In Ecuador, we found evidence only for BDH, with some studies on planned health effects and few on SDH and its unplanned effects. Very few studies used longitudinal data, quasi-experimental designs, or comparison groups of eligible non-recipients. Finally, we found large variations coverage and implementation of programs. In summary, our review highlights the lack of evidence on the overall impacts of social protection in Ecuador, particularly those targeting older adults and people with disabilities. In Brazil, further research is needed on unplanned health effects of the BFP and on the impacts of social protection targeting elders and people with disabilities.

Identifiers

PMID41160621
PMCPMC12571297

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.