Proposal

Create a Working Group focused on health in the Brazilian Legal Amazon.

Problem

The challenges of governance and coordination added to a poor local administrative capacity are some of the variables that negatively affect the implementation of assertive public health policies in the Amazon. The current Unified Healthcare System (SUS) normative framework lacks a cautious view. Specialists and public players must understand the complexities that exist in the region and the demands of the populations that reside there.

Goals

This plan proposes setting up a Working Group for Health Care in the Brazilian Legal Amazon (GTSAm). The group’s main objective would be to evaluate and propose measures adapted to the particularities and ways of life of Amazonian peoples and communities. It should also address the challenges related to access and logistics in remote areas. The group will include representatives of the Federal and local governments, civil society, and specialists from public and private entities. In the first 100 days, GTSAm should prioritise the proposition of public policies regarding: (i) access to telehealth and telemedicine; (ii) attracting and retaining health care professionals; and (iii) shared use of goods, services, infrastructure and public facilities between municipalities and their states.

Main axe

social

ADMINISTRATIVE SPHERES OF COMPETENCE

federal

Key Actors

Federal Government
States
Municipalities
Legislative
Academy
Private sector
Third sector
Civil society
Local communities

Resources needed

Allocation of existing financial resources
Allocation of existing human resources

steps

01
Executive Order
02
03
100 days
04
05
VISION FOR THE FUTURE
Form the Working Group for Health Care in the Brazilian Legal Amazon (GTSAm).
Convene members of the bodies and entities provided for in the legislation.
Submit work plan.
Agree on concrete actions and regulatory adjustments.
Reassess SUS’ mode of operation.
Review the SUS regulatory framework in order to address the particularities of traditional populations.

Basic applicable legislation

Head provision of Article 196 of the Brazilian Federal Constitution of 1988 - Health is a right of all and a duty of the State and shall be guaranteed by means of social and economic policies aimed at re- ducing the risk of illness and other hazards and at the universal and equal access to actions and ser- vices for its promotion, protection and recovery.

Law No. 8.080/1990 - Regulates the conditions for the promotion, protection and recovery of health, as well as the organisation and functioning of corresponding services.

Ordinance 2.488/2011 - Approved the National Primary Care Policy, reviewing guidelines and stand- ards for the organisation of Primary Care, for Family Health Strategy (ESF) and for the Community Health Agents Programme (PACS)

Decree No. 7.508/2011 – Regulates SUS, planning, health care and inter-federative policy articulation.

Bills of Interest

Bill No. 4.223/2021 - Provides for telehealth initiatives and services.

Bill No. 1.998/2020 - Amends Law No. 8080, of September 19, 1990, to authorise and regulate the practice of telehealth throughout the country; and revokes Law No. 13,989 of April 15, 2020.

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get to know the other proposals as well
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Type of draft

executive order
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Esferas administrativas de competência
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Main axis

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Type of draft

provisional presidential decree
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Esferas administrativas de competência
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Main axis

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Type of draft

executive order
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Esferas administrativas de competência
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Main axis

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Type of draft

executive order
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Esferas administrativas de competência
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Main axis

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Type of draft

provisional presidential decree
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Esferas administrativas de competência
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Main axis

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Type of draft

executive order
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Land use planning and land tenure
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Esferas administrativas de competência
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Main axis

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Type of draft

executive order
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Esferas administrativas de competência
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Main axis

Social

Type of draft

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Economy
9

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Esferas administrativas de competência
Federal

Main axis

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Type of draft

executive order
Andiroba
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10

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Esferas administrativas de competência
Federal

Main axis

Social

Type of draft

executive order
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Esferas administrativas de competência
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Main axis

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Type of draft

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Main axis

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Main axis

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