4.0 Article

Social protection and public policy for vulnerable populations: an assessment of the Continuous Cash Benefit Program of Welfare in Brazil

Journal

CIENCIA & SAUDE COLETIVA
Volume 22, Issue 11, Pages 3515-3526

Publisher

ABRASCO
DOI: 10.1590/1413-812320172211.22092017

Keywords

International Classification of Functioning; Functioning Disability and Health; Disability evaluation; Social protection; Social vulnerability

Funding

  1. Public Policy Improvement for People with Reduced Functionality - People with Disabilities and the Elderly project [FIOCRUZ-FOG 50/2015, TED FIOCRUZ-MDS 02/2014]

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This paper describes the historical development and profile of Continuous Cash Benefit (BPC) applicants, intended for poor elderly and people with disabilities, which, since 2009, uses eligibility criteria based on the International Classification of Functioning, Disability and Health (ICF) of the WHO and is aligned with the UN Convention on the Rights of Persons with Disabilities. The behavior of benefits was determined from the analysis the coefficients of the general and non-judicial grants between 1998 and 2014. The profile was established for the years 2010 and 2014 according to situation of acceptance, age, gender and ICF components. The average annual growth of the coefficient was higher from 2000 to 2010, prior to the adoption of the biopsychosocial eligibility model, and the coefficient of non-judicial grants increased until 2010, falling thereafter. The deferrals acceptance / rejections ratio was higher among children and among those facing severe or total environmental barriers, limitations, constraints and bodily changes. The implementation of the biopsychosocial evaluation model did not cause an increased rate of grants and results evidence the need for flexibility in the eligibility criteria.

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