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 km 2 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

Redesigning National Health Systems Comprehensive Surveillance and Information System Integral Care Prevention and Health Promotion

Comprehensive Surveillance System AIDS. Incidence rate by Region and year of diagnostics. Brasil, 1998 a 2010

Comprehensive Surveillance System Prevalence 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,

Integral Care – Strategies to ensure real access “Health is priceless” – 10 million people recieving treatment for Diabetes and Hypertension ART covering people

Campaign to prevent smoking Salt reductin (Brazilian Association of Supermarkets) Campaing Prevention and Health Promotion: Building Partneships Increase the consumption of fish (Ministry of Fisheries) Graphic Novel about STI\HIV prevention (MoH and ME) Carnival 2012 advertisment campaing

Thank you