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

Cesar G. Victora, Mauricio L. Barreto, Maria Do Carmo Leal, Carlos A. Monteiro, Maria Ines Schmidt, Jairnilson Paim, Francisco I. Bastos, Celia Almeida, Ligia Bahia, Claudia Travassos, Michael Reichenheim, Fernando C. Barros

Research output: Contribution to journalArticle

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, reflecting 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 conflict 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.

Original languageEnglish (US)
Pages (from-to)2042-2053
Number of pages12
JournalThe Lancet
Volume377
Issue number9782
DOIs
StatePublished - Jun 11 2011
Externally publishedYes

Fingerprint

Health Policy
Brazil
Health
Social Determinants of Health
Social Participation
Urbanization
Private Sector
Social Conditions
Life Expectancy
Insurance
Health Status
Public Health
Economics
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Victora, C. G., Barreto, M. L., Do Carmo Leal, M., Monteiro, C. A., Schmidt, M. I., Paim, J., ... Barros, F. C. (2011). Health conditions and health-policy innovations in Brazil: The way forward. The Lancet, 377(9782), 2042-2053. https://doi.org/10.1016/S0140-6736(11)60055-X

Health conditions and health-policy innovations in Brazil : The way forward. / Victora, Cesar G.; Barreto, Mauricio L.; Do Carmo Leal, Maria; Monteiro, Carlos A.; Schmidt, Maria Ines; Paim, Jairnilson; Bastos, Francisco I.; Almeida, Celia; Bahia, Ligia; Travassos, Claudia; Reichenheim, Michael; Barros, Fernando C.

In: The Lancet, Vol. 377, No. 9782, 11.06.2011, p. 2042-2053.

Research output: Contribution to journalArticle

Victora, CG, Barreto, ML, Do Carmo Leal, M, Monteiro, CA, Schmidt, MI, Paim, J, Bastos, FI, Almeida, C, Bahia, L, Travassos, C, Reichenheim, M & Barros, FC 2011, 'Health conditions and health-policy innovations in Brazil: The way forward', The Lancet, vol. 377, no. 9782, pp. 2042-2053. https://doi.org/10.1016/S0140-6736(11)60055-X
Victora CG, Barreto ML, Do Carmo Leal M, Monteiro CA, Schmidt MI, Paim J et al. Health conditions and health-policy innovations in Brazil: The way forward. The Lancet. 2011 Jun 11;377(9782):2042-2053. https://doi.org/10.1016/S0140-6736(11)60055-X
Victora, Cesar G. ; Barreto, Mauricio L. ; Do Carmo Leal, Maria ; Monteiro, Carlos A. ; Schmidt, Maria Ines ; Paim, Jairnilson ; Bastos, Francisco I. ; Almeida, Celia ; Bahia, Ligia ; Travassos, Claudia ; Reichenheim, Michael ; Barros, Fernando C. / Health conditions and health-policy innovations in Brazil : The way forward. In: The Lancet. 2011 ; Vol. 377, No. 9782. pp. 2042-2053.
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