Proposal

Integrate data from the Health Information System for Indigenous Peoples (SIASI) to the Health Information System for Primary Care (SISAB) and to other Unified Healthcare System (SUS) information systems at a national level.

Problem

The subsystems that comprise SUS allow states and municipalities to manage their health-related policies, automate processes and improve their infrastructure. And, in the case of SISAB, SUS also gives them access to the financial resources of the National Primary Care Policy. The lack of integration, of broad access to and of reliability of data on indigenous health hamper subnational governments’ ability to ensure comprehensive care and one that respects the traditions and singularities of these peoples.

Goals

This plan proposes a draft Executive Order that provides for: (i) the full integration of the Health Information System for Indigenous Peoples (SIASI) with the Health Information System for Primary Care (SISAB), as a matter of priority; and (ii) the presentation of a plan to enable integration with other SUS information subsystems at a national level. Such a measure requires a robust and innovative information and knowledge base that could support SUS agents and practitioners in identifying health-related demands of the indigenous population and making evidence-based decisions. The integration among these databases must include training of professionals who work at the front end so that they have analytical capacity and that they are qualified for collection and registration of information.

Main axe

social

ADMINISTRATIVE SPHERES OF COMPETENCE

federal

Key Actors

Federal Government
States
Municipalities
Academy
Third sector

Resources needed

Allocation of existing financial resources
Allocation of existing human resources

steps

01
02
50 days Proposed Executive Order
03
04
05
100 days
VISION FOR THE FUTURE
Survey and data analysis, Information and Communication Technologies (ICT) infrastruc- ture mapping and consolidation of descriptors.
Train field-level managers and agents on how to collect and fill in data.
Public disclosure of SIASI data.
DATASUS inte- gration plan at a national level and expansion of ICT infra- structure.
First data collection with a unified survey that is integrated with DATASUS.
Inclusion of the indigenous population at all levels of health care.

Basic applicable legislation

Brazilian Federal Constitution of 1988, article 196, head provision – 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 reducing the risk of illness and other hazards and at the universal and equal access to actions and services for its promotion, protection and recovery.

Law No. 9.836/1999 - Provides for health promotion, protection and recovery among the indigenous population, organisation and operation of related services, and other measures, creating the Health Information System for Indigenous Peoples (SIASI) as part of the Sub-System for Indigenous Peoples’ Health Care.

Law No. 13.844/2019 - Established the basic or- ganisation of the bodies of the Presidency and of its ministries, including the Ministry of Health.

Decree No. 3.156/1999 - Sets forth the provision of health care to indigenous peoples within the scope of the Unified Healthcare System (SUS).

Decree No. 7.508/2011 - Provides for integrative articulation within the scope of SUS.

PDTI 2022/2024 – Ministry of Health’s Information and Communications Technology Master Plan

Bills of Interest

Bill No. 3.814/2020 – Amends Law No. 8.080/1990 (‘Organic Health Law’), and Law No. 13.787/2018, prescribing that the Unified Healthcare System should keep a single digital platform with patient health information.

Bill No. 3.514/2019 – Regulates the profession of Indigenous Health Agent (AIS) and Indigenous Sanitation Agent (AISan).

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