Impact of ESF coverage on general health at the individual level - Metropolitan areas

Natalia Nunes Ferreira-Batista () and Maria Dolores Diaz

No 2019_43, Working Papers, Department of Economics from University of São Paulo (FEA-USP)

Abstract: The main purpose this paper is evaluate the impact of Family Health Strategy (ESF) on specific health indicators. We use of two levels of treatment (municipality assignment/ implementation of ESF as well the individual registration in the program) to evaluate its possible pass-through and externalities among population in nine Brazilian Metropolitan Regions. The empirical strategy employed estimation of fixed-effects instrumental variables. We adopted the ration number of teams by population in each Metropolitan regions as the coverage variable. The individual data is pooled from two surveys: PNADs Health Supplement (1998, 2003 and 2008) and PNS-2013. The most consistent results were for the perception of limitation to perform usual activities for health reasons. The lack of significant results for a sub-sample with individual registration data prevented us from analyzing potential program externalities. We believe that great heterogeneities in these urban areas may be one of the difficulties in expanding program coverage.

Keywords: Family Health Strategy (ESF); Self-assessment health; PNAD(IBGE) health supplement; PNS 2013; Impact Evaluation; Fixed Effects Instrumental Variables (search for similar items in EconPapers)
JEL-codes: C23 C26 I18 (search for similar items in EconPapers)
Date: 2019-11-01
New Economics Papers: this item is included in nep-ure
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