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1. B rief to the country context – main health and health sector related changes and challenges

Contribution of Civil Society for H ealth for All How and where does the project fit within the country specific contexts?. 1. B rief to the country context – main health and health sector related changes and challenges. Universal health system (SUS)

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1. B rief to the country context – main health and health sector related changes and challenges

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  1. Contribution of Civil Society for Health for AllHow and where does the project fit within the country specific contexts?

  2. 1. Brief to the country context – main health and health sector related changes and challenges • Universal health system (SUS) • Public x Private (challenge): privateinsurance as commodities (40 million, internationalcompanies) • Family Health Strategy (largescale): 95% municipalities, 56% population – mainproblems: infrastructure, organizationandqualityofcare • New programs for expansionof PHC (Mais Médicos, outreachtoremoteandvulnerableareas – 13.300 doctorsdistributedthroughoutBrazilaccordingtovulnerabiltycriteria) • New programs for expansionand PHC-oriented medical training • Management and financial challenge: 200 millioninhabitants, more than 5,000 municipalities – leadingtoprivatizing management of HRH • Challengetoretain Family Health teams, especiallydoctorsandCHWs

  3. Developmentmodelbasedonextrativism, agribusiness. • Stagnationofland reform. • Improvements in healthconditionsand social aspectsbutwithlimitations, no actualtransformationondevelopmentmodel, remainswith neoliberal orientation. Source: Brazilian Bureau ofStatistics

  4. 2. Brief to the role/engagement of civil society / social movements (including stories of activism) Friendsofthestream - interinstitutionalgroup PHM Brazil Environment Extractive industries Dambuilding Indigenouscommunitiesandland Popular education Humanrights Genderandrace National Black Women’sMovement HIV AIDS Movement – ABIA, GAPA Unified Health System Health councils, CommunityAction • LandlessMovement • National Front AgainstPrivatizationof Health Academia, Fiocruz Health + 10 Campaign

  5. 3. How would the current project make a difference? • Strengthenthestructureof PHM Brazilthrough common platform • Strengthenthe connection local-global • Strengthenourcapacity:activism, researchand training • Strengthen PHM presencethroughoutthe country • Better balance between academia andgrassroots • Some plans: IPHU Maranhão, disseminationofthe PHM Charter, Alegremia workshops in communities

  6. 4. Brief on the research capacity within the PHM circle (and how to strengthen it) • Porto Alegre: UFRGS (Federal Universityof Rio Grande do Sul) • Brasilia: UNB (UniversityofBrasilia) • Fiocruz: Rio • Students (graduateandundergraduate) andresidents • Contacts: Cebes, UFMA (Maranhão)

  7. MSPLASalud para todos YA! , 

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