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Public engagement for public health: participatory budgeting, targeted social programmes, and infant mortality in Brazil

Michael Touchton and Brian Wampler

Development in Practice, 2020, vol. 30, issue 5, 681-686

Abstract: Brazil has made striking gains in public health since its democratisation in the mid-1980s. Previous research credits widespread economic growth and the creation of widespread social programmes for these improvements. We take a novel approach by also examining local participatory institutions. Participatory budgeting is a democratic innovation that allows residents to allocate a portion of the local budget directly to local needs, including healthcare. We evaluate whether participatory budgeting also influences infant mortality, a serious health problem facing Brazilian communities. We find that using participatory budgeting substantially reduces infant mortality, even more so when the programme is institutionalised.

Date: 2020
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DOI: 10.1080/09614524.2020.1742662

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