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

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

AGING RATE OF THE BRICS POPULATION

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

Redesigning National Health Systems

• Comprehensive Surveillance and

Information System

• Integral Care

• Prevention and Health Promotion

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

Comprehensive Surveillance SystemPrevalence of main risk and protection factors for NCDs by educational level, 2010

Integral Care – PHC renewed strategy

Number of Family Health Teams. Brazil, 1994 – 2011.

Integral Care – improving access

Number of people tested for HIV Brazil, 2003 – 2011.

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

Integral Care – Strategies to ensure real access

“Health is priceless” – 10 million people recieving treatment for Diabetes and Hypertension

ART covering 250.000 people

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

http://portal.saude.gov.br/portal/saude/profissional/area.cfm?id_area=1818

Thank you