Increased access and better quality services
Increased investments and more health care and prevention actions improve the quality of life of the population
HEALTH IS PRICELESS (SAÚDE NÃO TEM PREÇO)
Medications for hypertension and diabetes: more than 12 million people have received free medication since February 2011. In September 2012, approximately 3.94 million hypertension patients and 1.44 million diabetics got their medication in more than 20,000 units of the Popular Drugstore Network (Aqui tem Farmácia Popular). Free asthma medication: in September 2012, four months into beginning of the free distribution of asthma medication, approximately 108,000 people got their medication at drugstores participating in the Popular Drugstore Network program and at the proprietary network. In May 2012, before the beginning of the free distribution, 48,000 people got their anti-asthma drugs. Access has increased 125%. In total, the program has catered to 263,700 people since its inception.
NON-STOP HEALTH CARE (SAÚDE TODA HORA)
SAMU 192 (Mobile Urgency Care Service)
In October 2012, the services provided by SAMU covered areas with population of 127.8 million Brazilians or the equivalent to 67% of the country’s population. The network covers more than 2,000 municipalities through 180 Regulatory Centers and 2,554 ambulances (2,069 basic and 485 advanced units).
One year into the Child Car Seat Law, the number of deaths among children up to eight years of age in traffic accidents has fallen 23%.
Until October 2012, 1,170 new back-up hospital beds had been provided, coupled with the establishment of internal centers for the regulation of hospital beds and mechanisms to monitor the stay of patients in emergency care units in the 12 hospitals participating in the program. As a result, in eight of these hospitals the bed occupancy rate expressed in the ratio between the number of patients-day and the number of beds-day has fallen as much as 46%, due to the decrease in both the waiting time and the number of patients in hallways. R$ 159 million have already been invested in the 12 hospitals enrolled in the program.
In October 2012 there were 39,530 Basic Health Units in operation, against 32,810 in 2010.
In October 2012 there were 243 24-hour Emergency Care Units in operation, against 123 in 2010.
Program for Improving Access and Quality of Primary Care (Programa de Melhoria do Acesso e da Qualidade na Atenção Básica – PMAQ)
Until November 2012, 16,200 primary health care teams (94% of the teams participating in the program) had been visited by quality assessment people. In addition, over 64,000 Brazilians assisted by program personnel have already been interviewed in all states. About 11,400 teams from 2,843 municipalities have been certified and received additional program resources. The teams that got a positive evaluation in indicators such as prenatal care, assistance to chronic patients, waiting time per consultation and adequate healthcare for the elderly can receive up to 100% in additional PMAQ resources, which means an additional transfer of up to R$ 11,000 per month for each team.
R$ 3.85 million have been invested in the acquisition of 25 dental care units, 436 vehicles and miscellaneous equipment for 15 Special Indigenous Sanitary Districts, benefiting about 390, 000 Indigenous peoples with dental treatment and oral health promotion and disease prevention actions.
Better at Home (Melhor em Casa) - Home Care Service
Until October 2012, the program had been implemented in 22 states and 12,700 people have already been provided with home care services in 113 municipalities. Additionally, 401 home care teams and 174 specialized support teams to assist patients in their homes have been qualified.
Smiling Brazil (Brasil Sorridente)
Dental prostheses laboratories: 488 laboratories were accredited in 2012, totaling 1,304 municipalities with labs in operation.
Increased production of dental prostheses: 291,160 prostheses had been produced by August 2012, reflecting a 34% increase over the same period of 2011.
Mobile Dental Units: 181 units had been distributed by July 2012, all of them in municipalities in a state of poverty.
Oral Health Teams: in October 2012, there were 22,210 teams active in 88% of Brazilian cities.
Dental Specialties Centers: 942 centers were in operation by October 2012. The resources for implementation and funding of these centers increased 50% and 25% respectively.
Number of dentist appointments: a 25% increase, from 48.20 million in the period January-May 2011 to 60.34 million in the same period of 2012.
BETTER HEALTH CARE AND PREVENTIVE ACTIONS REDUCE DEATHS AND DISEASE
Stroke - mortality rate among people up to 70 years of age fell 32% from 2000 to 2010.
Dengue Fever – down 44% between 2001 and 2011.
Dengue - 90% less deaths and 66% less severe cases compared to 2011.
Malaria – down 56% between 2005 and 2011.
Meningitis - down 29% (meningococcal) and 30% (pneumococcal) between 2010 and 2011.
Tetanus - down 44% between 2001 and 2011.
PREGNANCY CARE – STORK NETWORK (REDE CEGONHA)
Accession to the Stork Network: by November 2012, every state and more than 4,800 municipalities had joined the Network, with plans approved in 57 health regions covering two million pregnant women, or 90% of all pregnant women assisted by the Unified Health System (SUS).
Prenatal Care: by November 2012, 4,783 municipalities had received funds to enhance prenatal testing and the acquisition of rapid pregnancy tests. 7,270 fetal detectors were distributed to basic health units in the states of Acre, Amapá, Bahia, Pernambuco, Rondônia and Tocantins.
Labor and childbirth care: by October 2012, 5,900 beds had been provided to the SUS hospital network for assistance in the Stork Network. R$ 3.3 billion have been approved for the provision of new beds as well as for the qualification and funding of care across the country.
The Infant Mortality Rate (below 1 year of age) dropped from 26.1 deaths per 1,000 live births in 2001 to 15.7 in 2011. As a result, Brazil has already achieved - four years in advance of the compliance date - one of the most important targets of the Millennium Development Goals, which is to reduce this rate by two thirds between 1990 and 2015.
CERVICAL AND BREAST CANCER
Mammograms: 2.14 million screening mammograms were performed in the first half of 2012, reflecting a 21% increase over the same period in 2010. Of these, 1.02 million were in the priority age group 50-69 years, representing a 41% increase over 2010.
Pap smears: 4.34 million Pap smears were performed in priority age group 25-64 years from January to June 2012.
From 2000 to 2010, female standardized mortality rate fell 12%, from 4.24 to 3.72 per 1,000 women.
Mobile Mammography Program: launched on October 1st, 2012, the program aims to expand cancer care in the country, especially for poor women in priority age group 50 and 69 years, living in more remote areas of difficult access. The estimated production of mobile units is 800 mammograms per month. The tests performed in these units will be sent via satellite to a health facility, so that a specialist MD can evaluate it and release the result within 24 hours. The Mobile Oncology Units will be funded by the Federal Government, states and municipalities.
SISCAN: launched in October 2012 and now available for all municipalities, the Cancer Information System (Sistema de Informação do Câncer - SISCAN) allows the identification and recall of women registered with the system who did not undergo mammography screening and Pap smears according to frequency and age group, as well as the follow up of those with abnormal tests.
Expansion and strengthening of the Oncology Network: nine additional hospitals have been established as reference centers in the treatment of people with cancer in seven states (BA, EC, ES, MG, RJ, RS and SP), which will receive funds from the Federal Government.
Trastuzumab drug: in July 2012, one of the most effective drugs to combat breast cancer began to be distributed by SUS at no cost, benefiting about 20% of patients with early or advanced breast cancer.
MORE TRANSPLANTS AT SUS
More than 12,300 transplants were performed at SUS, up 12.7% over 2011. The number of organ donors has also increased compared to 2011. In the first month of the partnership between the Health Ministry and Facebook, launched on July 30, 2012, more than 80,000 people declared themselves organ donors.
PROGRAM TO FIGHT CRACK AND OTHER DRUGS
Twelve states and their capitals have joined the plan: AC, AL, EC, ES, MG, MS, PE, PI, PR, RJ, RS, SC and SP. By November 2012, 29 24h-CAPS Alcohol and Drugs, 281 day care CAPS-AD, 79 street offices, 55 sheltering units and 94 new mental health beds in general hospitals had been established and were in operation. Other 552 new mental health beds in general hospitals have been approved and the municipalities have received federal funds for their implementation.
MORE DOCTORS CLOSER TO THE POPULATION
Increased supply of scholarships: in 2013, 1,623 new medical residency and 1,270 multidisciplinary residency scholarships will be funded. The amount of each scholarship is R$ 2,384.82 / month, payable from the first business day of March and for two years, which corresponds to the duration of the residency. In 2012, 500 medical residency and 3335 multidisciplinary residency scholarships were funded in 20 priority areas with lack of professionals. In total, 2,092 medical residency and multidisciplinary scholarships were granted in 2011 and 2012.
INNOVATION AT SUS
Productive Development Partnerships (Parcerias de Desenvolvimento Produtivo - PDP)
In October, another 20 partnerships were signed for the incorporation of technologies aimed at the domestic production of 21 products. Among them is the PDP for the production of a state-of-the art drug prescribed for the treatment of Hemophilia A: Recombinant Factor VIII, which will be available at SUS still this year. Its production in the country represents savings of approximately R$ 940 million per year, or about 40% of the total spent today on the purchase of the items covered.
With the new agreements signed, there are now 55 PDP for the domestic production of 47 drugs, five vaccines, an IUD contraceptive, a rapid test and an agreement on research and development (R&D). About 50 partners are involved, represented by 15 public and 35 private laboratories. These PDP are expected to result in annual savings of about R$ 2.5 billion.