Health conditions and health-policy innovations in Brazil: the way forward

Universidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil
Universidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre, RS, Brasil
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil /CAPES/Fulbright Visiting Scholar, Brown University, Providence, RI, USA
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil
Universidade Estadual do Rio de Janeiro. Instituto de Medicina Social, Rio de Janeiro, RJ, Brasil
Universidade Católica de Pelotas, Pelotas, RS, Brasil

Abstract

Brazil is a large complex country that is undergoing rapid economic, social, and environmental change. In this Series of six articles, we have reported important improvements in health status and life expectancy, which can be ascribed largely to progress in social determinants of health and to implementation of a comprehensive national health system with strong social participation. Many challenges remain, however. Socioeconomic and regional disparities are still unacceptably large, refl ecting the fact that much progress is still needed to improve basic living conditions for a large proportion of the population. New health problems arise as a result of urbanisation and social and environmental change, and some old health issues remain unabated. Administration of a complex, decentralised public-health system, in which a large share of services is contracted out to the private sector, together with many private insurance providers, inevitably causes confl ict and contradiction. The challenge is ultimately political, and we conclude with a call for action that requires continuous engagement by Brazilian society as a whole in securing the right to health for all Brazilian people.

Citation

VICTORA, C. G. et al. Health conditions and health-policy innovations in Brazil: the way forward. The Lancet, v.377, n.9782, p. 2042-2053, 2011.

DOI

10.1016/S0140-6736(11)60055-X

ISSN

0140-6736

Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/2731

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