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ABSTRACT In 2005, shortly after ratifying the Framework Convention on Tobacco Control (FCTC), Uruguay began an ambitious tobacco control campaign that brought the country to the global forefront in the fight against smoking. The wide range of measures implemented in a relatively short period and the rigorousness with which policies were implemented and enforced have few precedents, even in the most developed countries. This paper presents a synthesis and update of several papers by the authors that evaluate different aspects of the campaign ten years following ratification of the FCTC. In particular, these research studies highlight the campaign’s aggregate impact on the drop in prevalence of current tobacco consumption in adult and youth populations, and on decisions by pregnant women to quit smoking (1, 2), as well as the relative impact of tax policies in relation to non-price tobacco control measures. The analyses are based on observational studies (at the population or individual level) that use external (Argentina and Chile) and internal (nonsmokers) control groups. Pending challenges in the design of antismoking policies are also discussed.

RESUMEN En el año 2005, poco tiempo después de ratificar el Convenio Marco para el Control del Tabaco (CMCT), Uruguay comenzó una ambiciosa campaña de control de tabaco que ubicó a este país a la vanguardia mundial de la lucha antitabaco. La gran diversidad de medidas implementadas en un lapso relativamente corto y la rigurosidad con que se aplicaron y observaron las políticas tienen escasos precedentes, incluso en los países más desarrollados. En este trabajo, se presenta una síntesis y actualización de varios trabajos de los autores en los que se evalúan algunos aspectos de la campaña a diez años de la ratificación del CMCT. En particular, estas investigaciones resaltan el impacto agregado que tuvo la campaña en la caída de la prevalencia en la población adulta, en los jóvenes y en las decisiones de abandono del consumo de tabaco en las embarazadas (1, 2), así como el impacto relativo de las políticas impositivas en relación a medidas de control de tabaco distintas de los precios. Los análisis se basan en estudios observacionales (a nivel de la población o el individuo) que utilizan grupos de control externos (Argentina y Chile) e internos (población no fumadora). Se plantean, también, los desafíos pendientes en el diseño de políticas antitabaco.

This paper studies the effectiveness of prenatal care on low-income women’s birth outcomes. We analyze all births between 1995 and 2011 in Uruguay’s largest public maternity ward. We use mother-specific first differences to circumvent biases due to time-invariant, unobserved heterogeneity and implement robustness checks that reduce concerns about time variant shocks and feedback effects. We find that adequate use of prenatal care, as defined by early initiation and at least 9 visits, decreases the probability of low birth weight by 6 percentage points and the probability of pre-term birth by 11 percentage points, and increases birth weight by 149 grams.

We study the three-year impact of a private tuition-free middle school on the academic outcomes of poor students. Several features of the treatment school fit with innovative paradigms that have delivered successful outcomes in poor urban areas. Our research design exploits the excess of applicants over the school capacity and the fact that participants were selected randomly. Specifically, we follow a cohort of students that entered middle school in 2010 and that were randomly assigned to attend the treatment school or public school as usual. We find that the treatment school impacted favorably on students’ academic advancement and math competencies. Also, the treatment school had a positive -and quite robust over time- impact on students’ and their parents’ academic expectations. This culture of high expectations has been previously identified in the literature as a key input for school success

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