Las transferencias monetarias condicionadas reducen significativamente la incidencia y mortalidad por sida entre las mujeres más vulnerables de Brasil

The largest conditioned monetary transfers program in the world, the Bolsa Familia (PBF) program, is associated with a Substantial reduction of cases and deaths due to AIDS, special among black women or brown skin with low income and little education. This was the main conclusion of a study coordinated by the Institute of Global Health of Barcelona (ISGlobal), center imponated by the «La Caixa» Foundation, in collaboration with the National Institute of Allergies and Infectious (Naids/NiH). The results were published in Nature Human behavior.

Conditional monetary transfers programsthat grant financial aid to low -income households in exchange for meeting certain requirements in health and education, son key tools to address the Social determinants of health. These programs have been implemented in almost all low and medium income countries with the aim of improving life conditions of vulnerable families.

Education amplifies the impact of conditioned monetary transfers

«We analyze data from 2007 to 2015, focusing on Mothers and daughters of beneficiary households of the family bagThrough a causal inference focus and a solid quasixperimental design, ”he explains Andréa F. SilvaDoctor of the Collective Health Institute of the Federal University of Bahia (UFBA, Salvador, Brazil) and author of the study. The analysis covered 12.3 million women with low revenues, exploring how interslective vulnerabilities – such as poverty, race and education – affected the effectiveness of the program.

Among the daughtersThe program was associated with a 47% reduction in the incidence of 55% AIDS in related mortality. In the MothersThe reductions were from 42% and 43%respective.

The impact of the program was notable special between women with multiple intersectional vulnerabilities. In particular, Black or brown skin in extreme poverty and with mayor educational level They experienced the greatest improvements: A 56% reduction in the incidence of AIDS. Eros findings suggest that education enhances the protective effects of monetary transfers on health.

How Brazil is reducing AIDS cases

Brazil has already reported a national decrease in AIDS cases, with a Relative reduction of almost 30% between 2007 and 2021And more than 40% among women. The study suggests that the PBF could be one of the reasons for this success, highlighting the import of Integrated Social and Health Policy Approaches.

Beyond financial aid, PBF includes health -related conditions and educationSuch as compulsory school attendance, periodic medical reviews and participant in health activities, including sexual and reproductive health, which could contribute additional to the prevention and treatment of HIV. By improving nutrition, reducing food insecurity and promoting early contact, health services, these recreational conditions a multifaceted approach for the prevention of cooling.

This is The first large -scale study that evaluates the intersectional effectiveness of monetary transfers on the results with HIV/AIDS. When linking massive socioeconomic and health databases, the Pupider researchers of the could the effects of the Family Bag Program in various subpopulations, many of them of them surrendered in epidemiological studies merchants clinical Oryos. This is specially reverting to evaluate public policies, and intentions can have very different impacts according to the characteristics and conditions of their benefit.

“In the real context of unequal global growing and poverty rates, TMC programs have the potential for Significant reduce the morbidity and mortality by AIDSEspecially between populations with multiple vulnerabilities, ”says Davide Rasella, an ICREA researcher in Isglobal and study coordinator.“ Our findings show that these programs not only reduce the risk of HIV and deaths related to AIDS, but also boost the progress towards the Sustainable Development Goals In Brazil already global level, ”he concludes.

Reference

Silva, AF, Lua, I., Jesús, GS, Gestal, PF, Cavalcanti, DM, Santos, Ca, Ichihara, My, Barreto, ML, Magno, L., Souza, Le, Macinko, J., Doura, I., and Rasella, D. (2025). Intersctional impact of monetary transfers in AIDS between 12.3 thousands of Brazilian women. Nature Human behavior. 10.1038/S41562-025-02278-3