{"id":987501880,"date":"2023-02-03T08:18:26","date_gmt":"2023-02-03T07:18:26","guid":{"rendered":"https:\/\/p4h.world\/country\/brazil\/"},"modified":"2025-03-30T21:44:13","modified_gmt":"2025-03-30T20:44:13","slug":"brazil","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/brazil\/","title":{"rendered":"Brazil"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Brazilian health sector financing is organized mainly through the <a href=\"https:\/\/p4h.world\/en\/documents\/unified-health-system\/\">Unified Health System (SUS)<\/a>, a public health system established by the Federal Constitution of 1988. The SUS provides free medical care to all citizens and permanent residents. In addition to the SUS, the private sector plays an important role in the health service financing and delivery.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Despite public financing, out-of-pocket expenditure remains high<br \/>\n&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]According to the <a href=\"https:\/\/hia.paho.org\/en\/countries-22\/brazil-country-profile\">Pan American Health Organization\u2019s (PAHO) 2020 data on Brazil<\/a>, public health expenditure accounted for 4.62% of GDP, below the 6% recommended by the PAHO, and 10.77% of total public expenditure. Out-of-pocket health spending was equal to 22.7% of current health expenditure and catastrophic expenditure was estimated at 11.8% in 2020. Essential health services coverage was 80% (2021).[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Three levels of government fund the SUS: federal, state and municipal. Decentralization of funding allows local governments to adapt their health services to the specific needs of their populations. The federal government transfers resources to states and municipalities through different mechanisms, such as the <a href=\"https:\/\/p4h.world\/en\/documents\/national-health-fund\/\">National Health Fund<\/a>. Distribution criteria for these funds include factors such as population, health need and state and municipal fiscal capacity.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Remaining challenges are being addressed<br \/>\n&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 4 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>The government has enacted reforms, such as strengthening primary care and amending the <a href=\"https:\/\/www.mpf.mp.br\/atuacao-tematica\/sci\/normas-e-legislacao\/legislacao\/legislacao-em-ingles\/law-2000-brazil-fiscal-responsibility\/\">Fiscal Responsibility Act<\/a> (to allow greater transparency in resource use). Both are positive steps to move towards a more sustainable and efficient health system.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Brazilian health sector financing is organized mainly through the Unified Health System (SUS), a public health system established by the Federal Constitution of 1988. The SUS provides free medical care to all citizens and permanent residents. In addition to the SUS, the private sector plays an important role in the health service financing and delivery.[ba_gradient_heading&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987715422,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501880"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":3,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501880\/revisions"}],"predecessor-version":[{"id":987765333,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501880\/revisions\/987765333"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987715422"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987501880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}