Participatory budgeting has led to increase citizen’s overall well being. For example, studies based on Brazil’s adaptation of participatory budgeting shows that increase in participatory budgeting correlates to improvements in infant mortality in Brazil. Through researching the influence of participatory budgeting in Brazil, studies have found that infant mortality rates are substantially lower in governments that use participatory budgeting compared to those that do not. This is due to the fact that infant mortality disproportionately affects poorer income groups than middle-upper groups, with participatory budgeting leading to an increase in pro-poor investments, such as health and sewage infrastructure. These results suggest that countries who “sustain participatory budgeting programs may be part of general improvements in governance that produce more durable access to healthcare.” Participatory budgeting has led to advancements in government because democratic governments with this kind of budgeting are able to make better use of public funding.