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Imagen Seminario CEDE - Andrés Moya
Activo

Seminario CEDE - Andrés Moya

Protecting caregivers and children from effects of violence, toxic stress, and deficits in maternal care is a key challenge in fragile and conflict-affected settings. In this paper we report the results from a randomized trial of Semillas de Apego, a community-based psychosocial model for mothers of young children among families affected by violence and forced displacement. The model aims to promote maternal mental health as an outcome itself but also as a pathway to foster the healthy child-mother emotional bonds and early childhood development. We implemented the model in Tumaco, Colombia a municipality torn by conflict and forced displacement and randomized the model across 18 Early Childhood Development Centers that serve vulnerable communities. Over 4 sequential cohorts, 1,372 caregivers participated in the evaluation, with 714 assigned to the treatment group and 662 to control. 83 percent of the participants had been directly victimized while 57 percent had been forcefully displaced by violence. Group-sessions were led by community members who did not have formal training or experience in psychosocial models but who were trained and supervised for this purpose. At the 8-month follow-up, we find positive impacts on the three core dimensions of the model: improvements of 0.14 standard deviations (sd) in a maternal mental health index; 0.24 sd in an index of child-mother interactions, and 0.19 sd in an early childhood development index. Despite this progress, we also find that the pandemic had a negative toll on maternal mental health and parenting stress regardless of the treatment status. Our findings speak to the need and feasibility of implementing quality psychosocial programs in fragile and conflict-affected settings but also on the importance of designing comprehensive strategies that address the different social and economic determinants of mental health.

11:00 am
Zoom
Imagen Seminario PePe (políticas públicas) - Pablo Andrés Neumeyer
Activo

Seminario PePe (políticas públicas) - Pablo Andrés Neumeyer

We document the heterogeneous effect of covid-19 on health and economic outcomesin Bogot ?a and develop a quantitative dynamic general equilibrium model intertwinedwith a behavioral epidemiological model where society is divided in two groups. Peoplein high/low socioeconomic strata (SES) have a higher/lower human capital, have/notaccess to financial markets and lower/higher contact rates to shop, work, and sociallyinteract. We assess the distributional consequences of covid-19 and evaluate policiesthat restrict economic activity and re-distribute income. Restrictions on economicactivity reduce social welfare and have modest public health benefits. Re-distributivepolicies improve social welfare despite contracting economic activity and worseninghealth outcomes. In some cases, redistributive policies induce Pareto improvementsin social welfare. The positive predictions of the model are consistent with observedmacroeconomic aggregates and with epidemiological outcomes across social groups. InBogot ?a, a year into de epidemic, the prevalence ratio is two, infection fatality ratesare similar across social groups, and more disadvantaged people have a 50% higherexposure to contagion. In the model, the elasticity of consumption with respect tosocial distancing along an indifference curve at the peak of the epidemic is 2%. Thebenchmark welfare cost of the pandemic is 0.1% of steady state consumption for peoplein low SES and 1.22% for people in high SES.

02:00 pm
Zoom