Action - Bolsa Familia Programme (BFP) - Growth monitoring and promotion - Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)

Programme: Bolsa Familia Programme (BFP)

Programme description

Bolsa Familia Programme (BFP) is an ongoing conditional cash programme where families with pregnant and lactating mothers and/or children less than 7 years of age, with monthly per capita income ceilings of US$ 57 (moderately poor) and US$ 29 (extremely poor), receive monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income. Conditions for receipt of the transfer included regular pre- and postnatal care, growth monitoring, immunization, and participation in nutrition education seminars. BFP coverag in 2006 was approximately 100% of the poor and 25% of the total Brazilian population.

Programme type

Large scale programmes


US$ 84-540/hd/year.Public expenditure for the BFP in 2005 was US$ 3.2 billion, equivalent to 0.36% of GDP. World Bank support for the programme was about US$ 562 million from 2003–2009, or approximately US$ 93.7 million/year(Monthly cash transfers range from US$ 7–US$ 45 per family depending upon eligibility as determined by monthly per capita income)



WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of BFP is retrieved from the ENA Part II where BFP is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.


Start date:

Target group: 
Infants and young children
Preschool-age children (Pre-SAC)
School age children (SAC)
Age group: 
Children below 7 years of age
Implementation details : 

<p>Regular growth monitoring in order to receive cash transfer&nbsp;</p>

Coverage level (%): 
11.1 million families (46 million persons), approximately 100% of the poor and 25% of the total Brazilian population
Outcome indicator(s): 

<p class="MsoNormal"><span style="font-size: 7.5pt; font-family: Verdana, sans-serif;">Height-for-age z-score (HAZ)</span></p>

M&E system: 

<p>Evaluation data from the BFP is limited, but a positive impact has been reported; stunting among beneficiary children aged 6–11 months was 3.3 ppt lower (2 versus 5.3) than nonbeneficiary children. However, the results are questionable due to selection bias. Study results may also be limited (especially for children aged 12–36 months) by supply-side constraints restricting health services, irregular growth monitoring despite the conditionality, and lack of information on timing of enrollment.</p>

Outcome reported by social determinants: 
Vulnerable groups

Revision log

Thu, 03/22/2018 - 14:21engesveenkCopy of the revision from Wed, 11/26/2014 - 16:00.published