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Redesigning National Health Systems to Respond to HIV and other chronic
conditions in Brazil
Jarbas Barbosa da Silva Jr.Vice Minister for Health Surveillance, MoH Brazil
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Brazil• Population: 191 mi (2010)• Area: 8,5 mi km2
• 26 states + Federal District• 5565 municipalities
• National Health System• Decentralized – 3 levels• Universal coverage• 75% NHS – 25% private
sector
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AGING RATE OF THE BRICS POPULATION
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EPIDEMIOLOGICAL TRANSITION
0%10%20%30%40%50%60%70%80%90%
100%
1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2009Infecciosas e parasitárias Neoplasias Causas externasAparelho circulatório Outras doenças
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Redesigning National Health Systems
• Comprehensive Surveillance and
Information System
• Integral Care
• Prevention and Health Promotion
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Comprehensive Surveillance System
0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
40,0
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Ano de diagnóstico
Taxa
de
inci
dênc
ia
Brasil Norte Nordeste Sudeste Sul Centro-Oeste
AIDS. Incidence rate by Region and year of diagnostics. Brasil, 1998 a 2010
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Comprehensive Surveillance SystemPrevalence of main risk and protection factors for NCDs by educational level, 2010
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Integral Care – PHC renewed strategy
Number of Family Health Teams. Brazil, 1994 – 2011.
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Integral Care – improving access
Number of people tested for HIV Brazil, 2003 – 2011.
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Integral Care – Strategies to ensure real access
Percentage of women (50 to 69 years) who had a mammography exam in the last two years. Brazil, 2007-2011
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Integral Care – Strategies to ensure real access
“Health is priceless” – 10 million people recieving treatment for Diabetes and Hypertension
ART covering 250.000 people
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Campaign to prevent smoking
Salt reductin (Brazilian Association
of Supermarkets) Campaing
Prevention and Health Promotion: Building PartneshipsIncrease the consumption
of fish (Ministry of Fisheries)
Graphic Novel about STI\HIV prevention
(MoH and ME)
Carnival 2012 advertisment campaing
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http://portal.saude.gov.br/portal/saude/profissional/area.cfm?id_area=1818
Thank you