Original disclosure @ IADB website
Updated in EWS Oct 8, 2026
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The objective of this Technical Cooperation is to evaluate the effectiveness, implementation, and cost-effectiveness of the Cuidado em Casa (CeC) program, Brazil's first operational implementation of the National Care Policy, and to generate evidence to inform the scale-up of integrated home-based long-term care services. Specifically, the TC aims to: (i) estimate the causal effects of CeC on older adults' functional status and quality of life and on unpaid family caregivers' burden, mental health, labor-force participation, and time use; and (ii) assess the model's implementation, intersectoral coordination, and cost-effectiveness across diverse municipal contexts. The findings will inform the implementation of Brazil's National Care Policy and contribute to the IDB's Care initiative.
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The Independent Consultation and Investigation Mechanism (MICI) is the independent complaint mechanism and fact-finding body for people who have been or are likely to be adversely affected by an Inter-American Development Bank (IDB) or Inter-American Investment Corporation (IDB Invest)-funded project. If you submit a complaint to MICI, they may assist you in addressing the problems you raised through a dispute-resolution process with those implementing the project and/or through an investigation to assess whether the IDB or IDB Invest is following its own policies for preventing or mitigating harm to people or the environment. You can submit a complaint by sending an email to MICI@iadb.org. You can learn more about the MICI and how to file a complaint at http://www.iadb.org/en/mici/mici,1752.html (in English) or http://www.iadb.org/es/mici/mici,1752.html (Spanish).