Health transition kit for the president-elect Luiz Inacio Lula da Silva (PT) finished the work, indicating ten priorities that were considered urgent for the next Minister of Health to work in the first 100 days of the government to reduce what they described as the “utter chaos” that will be left in the file with the departure of the president. Jair Bolsonaro (pl).
10 suggested measures for the first 100 days:
- strengthening the management and coordination of SUS;
- Restructuring NIBP [Programa Nacional de Imunização] to restore vaccination rates.
- strengthening the response to COVID-19 and other emergencies;
- reduced queues for specialists adjusted to strengthen specialist networks;
- strengthening the national primary care policy and provision of health professionals;
- promoting the health of women, children and adolescents;
- improving indigenous health;
- the rescue of the Farmácia Popular do Brasil program and the pharmaceutical assistance of the SUS;
- redevelopment of the sanitary economic and industrial complex;
- working on issues related to information and digital health;
They say the government was incompetent, but very competent in destroying the Ministry of Health. It’s scorched earth, really! I don’t shrink a millimeter, it was a destruction project. Doctor and former Minister Arthur Chiuru, Coordinator of the Health Working Group (Grupo de Trabalho).
Urgent problems to be solved in the first few days. Last Wednesday (14), Shioro participated in a presentation of the Transition Group Final Report submitted to the CNS (National Health Council). For about two hours, he talked to the advisers about what the next government would face, such as Increased malnutrition in children And the Low vaccination coverage rates🇧🇷
“In the report, we put some of the most urgent measures, for 30 days; some for 60 days, some for 100 days, it depends on the action,” says Chiuru.
The column has contacted the Department of Health for comment Statements, suggestions and criticisms submitted, but have not received any response so far.
General Electricity Corporation to expand the budget
The group’s hope for implementing the measures lies in the idea of reconstituting the portfolio budget with the approval of the Council of Ministers. transition pecwhich has been approved in the Senate and is being debated in the House of Representatives.
We have an estimated budget of R$10.4 billion, but we will add R$12.3 billion for health after approval. [da PEC]🇧🇷 It’s not perfect, but you can put some general policies into practice.”
Arthur Shiro
“Frame catastrophically” with a fall Vaccination. “They destroyed PNI. I left in 2015, and we had over 95% vaccination coverage. Seven years later, none of it has happened,” Shiro said.
The former minister of the Dilma government reported that, for sure, he could not obtain the number of doses present, because the ministry led by Marcelo Quiroga would have made some information difficult.
Much of the information regarding the quantity and expiration date of vaccinations was kept secret🇧🇷 “President Lula, when he takes office, will be able to cancel it, and then we will talk. But we know that 3 million doses of the coronavirus vaccine have expired this month, because the TCU [Tribunal de Contas da União] speak,” he explained.
But there are millions more doses now expiring in early January, and the ministry doesn’t know where they are or what they have. The information system is very broken.”
Arthur Shiro
Electronic blackout. Shioro says that in meetings with technical groups and fields, it became apparent that accurate data was lacking. “Of all the masses, only dentists have not complained about the system.”
The reported COVID-19 vaccination coverage rate may be wrong🇧🇷 He said: “It will be something in the range of 30 million doses applied by the municipalities and it has not been calculated. It is speculation.”
Unconfirmed waiting list. Also an issue due to the lack of data is the queue for actions that are closed due to the pandemic.
“Probably 2 billion procedures were left incomplete in the last two years and these waiting lists formed. But this is an estimate, the ministry knows how big it is, what it is, where it is. Modernizing these procedures is one of our greatest challenges.”
Moreover, Shiro says, there are no sanitary kits for emergencies, for times after floods or landslides. 🇧🇷The number of kits they have is not enough even for the first emergency of the year. Imagine starting 2023 without groups?question.
In the report, the The group also proposes 23 acts of abolition And warns of the dangers of the collapse of infectious disease programs such as lozenges And the Lever InflammationBecause of the shortage of supplies and medicines.
SUS Card (Unified Health System)
Image: Disclosure
SUS is not regulated
Central nervous system chief Fernando Pigato told the column that what shocked him most about the offer “was the lack of structure in the Ministry of Health and the lack of coordination in the unified health system”.
“For us, in the central nervous system, it wasn’t something new, but because there was no data to convey and also some data that was troubling,” he says.
He says he agrees with the 10 main points made by the working group, and also highlights that over the past few years, the ministry has stopped dialogue with federal entities and entities that make up the SUS.
It is necessary to strengthen the management and coordination of the SUS with the performance of social control and the appreciation of the central nervous system, which should return, in the organizational structure of the Ministry of Health, to work with the Minister’s office.
Fernando Pigato, President of the National Council of Health (CNS)
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