{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:24:47Z","timestamp":1787037887480,"version":"build-2736575974"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004828","name":"Grand Challenges Canad\u00e1","doi-asserted-by":"publisher","award":["TTS-1808-18280"],"award-info":[{"award-number":["TTS-1808-18280"]}],"id":[{"id":"10.13039\/501100004828","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016061","name":"Funda\u00e7\u00e3o Maria Cec\u00edlia Souto Vidigal","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016061","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Early Childhood Development Innovation Fund"},{"DOI":"10.13039\/100004429","name":"Inter-American Development Bank","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004429","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fundaci\u00f3n FEMSA"},{"DOI":"10.13039\/100007409","name":"Bernard Van Leer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007409","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016061","name":"FMCSV","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000919","name":"Open Society Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000919","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020243","name":"Porticus","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020243","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to evaluate the impact of the Survive and Thrive program on neonatal mortality and child development in Boa Vista, Brazil. Between November 2017 and May 2021, the program to support pregnant women as well as mothers of children under age 3 was rolled out in three phases. Neighborhoods were selected either for home visits or for group meetings held at Social Assistance Reference Centers. To allow for an evaluation of the program, the timing of the rollout was randomized at the neighborhood level. To assess the impact of the program on neonatal mortality, we used complete vital registration data from the period 2010 to 2010, and estimated differences in child mortality before and after the program were launched. Impact on child development was assessed through a detailed assessment of 744 children born in 2019 using the Caregiver Reported Early Child Development Index and Regional Project on Child Development Indicators instruments. Home visits resulted in a significant improvement in child development [d = 0.28, 95% Confidence Interval (CI) (\u22120.013, 0.57), P-value of .06] and reduction of neonatal mortality [Risk Ratio (RR) 0.58, 95% CI (0.36, 0.93), P-value of .02]. No impacts were found for the group meetings. The findings indicate that a home visiting program beginning in pregnancy can significantly reduce neonatal mortality and improve child development in poor urban neighborhoods of Brazil.<\/jats:p>","DOI":"10.1093\/heapol\/czag057","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:34:48Z","timestamp":1777116888000},"page":"1115-1125","source":"Crossref","is-referenced-by-count":0,"title":["Survive and Thrive in Brazil: estimating the impact of the Boa Vista early childhood program"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6650-9705","authenticated-orcid":false,"given":"Alexandra","family":"Brentani","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of S\u00e3o Paulo Medical School FMUSP, Av. Dr. En\u00e9as de Carvalho Aguiar, 647, 05403-000, Sao Paulo ,","place":["Brazil"]},{"name":"Child Development Center, University of S\u00e3o Paulo Medical School CEDI-FMUSP, Av. 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Dr. En\u00e9as de Carvalho Aguiar, 647, 04503-000, Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Chang-Lopez","sequence":"additional","affiliation":[{"name":"Caribbean Institute for Health Research, The University of the West Indies , Mona Campus, Kingston 7 ,","place":["Jamaica"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan P","family":"Walker","sequence":"additional","affiliation":[{"name":"Caribbean Institute for Health Research, The University of the West Indies , Mona Campus, Kingston 7 ,","place":["Jamaica"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of S\u00e3o Paulo Medical School FMUSP, Av. Dr. En\u00e9as de Carvalho Aguiar, 647, 05403-000, Sao Paulo ,","place":["Brazil"]},{"name":"Child Development Center, University of S\u00e3o Paulo Medical School CEDI-FMUSP, Av. Dr. En\u00e9as de Carvalho Aguiar, 647, 04503-000, Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Grisi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of S\u00e3o Paulo Medical School FMUSP, Av. Dr. En\u00e9as de Carvalho Aguiar, 647, 05403-000, Sao Paulo ,","place":["Brazil"]},{"name":"Child Development Center, University of S\u00e3o Paulo Medical School CEDI-FMUSP, Av. Dr. En\u00e9as de Carvalho Aguiar, 647, 04503-000, Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4853-2335","authenticated-orcid":false,"given":"Florencia","family":"Lopez Boo","sequence":"additional","affiliation":[{"name":"Steinhardt School of Culture, Education, and Human Development, New York University, 246 Greene Street, 615E, New York, NY 100037 ,","place":["United States"]},{"name":"Global TIES for Children, New York University , 246 Greene Street, 615E, New York, NY 100037 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7525-3668","authenticated-orcid":false,"given":"G\u00fcnther","family":"Fink","sequence":"additional","affiliation":[{"name":"University of Basel Department of Economics, , Kreuzstrasse 2, Allschwil 4213, Switzerland"},{"name":"Department of Research, Swiss Tropical and Public Health Institute , 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