Brazil - Innovative Approaches to Extending Family Health Services
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World Bank, Washington, DC
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The recently completed Family Health
Extension Project (FHEP) has provided support to
Brazil's Family Health Program (Programa de Saude da
Familia, or PSF) and allowed dramatic improvements in the
coverage of basic health services. The project aimed to
improve utilization and quality of publicly-financed health
services by: (a) expanding coverage of the PSF in about 100
large municipalities, establishing well-articulated referral
and counter-referral systems, and introducing
performance-based financing and management arrangements; (b)
establishing family health as a core element of health
professional and para-professional training; and (c)
strengthening the Ministry of Health's (MOH or
Ministerio da Saude) capacity to monitor and evaluate PSF
health services, policies, and training activities on a
systematic basis.
Palabras clave
ACCESS TO HEALTH SERVICES, AUXILIARY NURSES, BASIC HEALTH SERVICES, CERTIFICATION, CHILD CARE, CHILD HEALTH, CITIES, COMMUNICABLE DISEASES, CONTRACTUAL ARRANGEMENTS, DEATHS, DECENTRALIZATION, DELIVERY SYSTEM, DELIVERY SYSTEMS, DENTAL HEALTH, EQUIPMENT, ESSENTIAL PHARMACEUTICALS, EXPENDITURES, FAMILIES, FAMILY HEALTH, FAMILY HEALTH SERVICES, FAMILY PLANNING, FERTILITY, FERTILITY RATES, FINANCIAL INCENTIVES, FINANCIAL MANAGEMENT, GENERAL PRACTICE, HEALTH CARE, HEALTH CARE SYSTEM, HEALTH DELIVERY, HEALTH EXTENSION, HEALTH FACILITIES, HEALTH FINANCING, HEALTH OUTCOMES, HEALTH PLANS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE PROVISION, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH STRATEGIES, HEALTH STRATEGY, HEALTH SYSTEM, HOSPITAL, HOSPITAL ADMISSIONS, HUMAN RESOURCES, ILLNESS, ILLNESSES, INCOME, INCOME GROUPS, INEQUITIES, INFANT, INFANT MORTALITY, INFANT MORTALITY RATES, INSTITUTIONAL CAPACITY, LARGE CITIES, MATERNAL MORBIDITY, MEDICAL SUPPLIES, MEDICINES, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, MOTHER, NATIONAL GOVERNMENTS, NURSE, NURSES, PATIENT, PATIENT DEMAND, PHYSICIAN, PHYSICIANS, POLICY FRAMEWORK, POOR FAMILIES, POOR GIRLS, POOR POPULATIONS, PREGNANT WOMEN, PREVENTABLE DISEASES, PRIMARY CARE, PRIMARY HEALTH CARE, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, QUALITY CONTROL, QUALITY IMPROVEMENT, QUALITY OF CARE, REFERRAL SYSTEM, REFERRAL SYSTEMS, RESPECT, RURAL AREAS, SERVICE DELIVERY, SERVICE UTILIZATION, SHORT SUPPLY, TECHNICAL ASSISTANCE, TECHNICAL CAPACITIES, TEENAGE GIRLS, TEENAGERS, TETANUS, TRANSPORT SYSTEMS, URBAN AREAS, VACCINATION, VACCINES