The crew of president-elect, Luiz Inacio Lula da Silva (PT) believes that there are severe data issues in the well being sector. The authorities itself admitted that info on vaccines administered in opposition to Kovid-19 is not included in the folder system.
The transition obtained info from Consems (National Council of Municipal Health Secretaries) and Conas (National Council of Health Secretaries) that the ministry commanded by Marcelo Queroga warned on the finish of October that there was no file of a minimum of 30 million data. Dose utilized in opposition to the illness.
This info can be recorded in municipal and state databases and never transmitted to federal authorities techniques. SUS managers briefed the transition crew in November in regards to the lack of communication between well being databases.
To counter such a state of affairs, Lula’s well being crew wish to counsel the creation of a brand new secretariat targeted on SUS expertise. With this, the Datas (SUS IT System) space will probably be directed to the brand new folder.
The studying of group members is that the data must be modernized, with built-in techniques and centralized in a single secretariat. Currently, they declare that many of the data don’t match actuality and there’s additionally a compilation downside.
The formation of the brand new secretariat could run into the dearth of excessive-rating posts out there for the Ministry of Health. Lula’s crew remains to be evaluating which posts may be relocated on the Esplanada to accommodate options from transition technical teams with out creating new prices.
According to Mauro Junquera, Executive Secretary of Conasems, the issue of vaccination data has not but been resolved. They declare that the Ministry of Health’s system has severe interoperability issues.
Conasems members additionally estimate that there could also be greater than 30 million data of administered doses outdoors the nationwide database. This is as a result of in many cities it’s tough to even register the knowledge in the municipal and state techniques and thus, they write it down on paper and solely then register it, which may take days.
“Not having actual data from the knowledge system hurts planning, supervisor accountability concern, for instance. We have to have actual data, the system must be dependable, the web must be high quality. We have 5,000 well being items. Which There is not any connectivity in the nation”, mentioned Junqueira.
The Ministry of Health denied by a observe that there’s an affect on the vaccination protection data. He additionally mentioned that the folder continues to work to broaden the combination of techniques.
“The Ministry of Health is working on the evolution of info techniques and the combination of databases. The portfolio has already allotted greater than R$ 1.2 billion for the computerization of primary well being items, the place vaccines are administered. Currently, there are greater than 31 thousand. Units with computerized groups. “, he mentioned in a observe.
At the CIT (Tripartite Intermanagers Commission) assembly held on October 20, General Coordinator of Information and Operations Systems at Datasus, Frank James da Silva Pires, advised state and municipal managers that the issue can be resolved by the tip of December.
“The data, including all of it up, do not forget that not simply from the current interval, however over an extended interval of time, we consider it approaches 30 million data. [não cadastrados no sistema]”, Pires mentioned on the assembly.
The new secretariat being thought-about by the transition crew must also cowl the telehealth space. Transition members have already mentioned sheet This space ought to get power in the following authorities.
“Not simply in Brazil [vai ganhar força a telessaúde]But in all well being techniques, whether or not teleconsultation, teleconsultation carried out by the native crew, telediagnosis, telemanagement, teleguidance for customers, telemonitoring of chronically in poor health sufferers, for instance, whether or not grandfather’s wound is being handled correctly”, mentioned the previous. .Last month Health Minister Arthur Chiro.
The 2023 funds proposal despatched to the National Congress by the Jair Bolsonaro (PL) authorities proposes a modest reduce of 58% in the DataSUS funds.
The crew must also counsel sustaining the Secretariat of Primary Health Care created in the Bolsonaro administration. The function of the portfolio is to plan, coordinate, supervise, monitor and consider the implementation of the National Policy on Primary Health Care.
A Special Secretariat for Indigenous Health, liable for the coordination and implementation of the National Health Care Policy for Indigenous Peoples, must also stay in the portfolio, with the potential creation of a Ministry of Indigenous Peoples.
The transition crew remains to be planning to create a psychological well being division and alter management of federal hospitals in Rio de Janeiro.
The command of federal hospitals in Rio de Janeiro is to be faraway from the Executive Secretariat of Health and positioned in a folder that takes care of items all through the nation, the Secretariat for Special Health Care.
Transition assesses that these hospitals, in addition to being scrapped, are furnished by Bolsonaroist politicians appointed in Rio and by army personnel. The concept is to broaden the ministry’s mandate over federal items.
The well being group additionally needs to strengthen the nationwide manufacturing coverage for medicine and inputs.
The preliminary report of the well being crew has three details: it presents a dire well being state of affairs, suggests a reorganization of the ministry and addresses the funds deficit for 2023.
The transition crew has acknowledged that the state of affairs is one of well being chaos. The crew needs a rise of R$ 22.7 billion in subsequent 12 months’s funds. This worth will serve to speculate in medicines, vaccines and make sure the functioning of the SUS.
Bolsonaro despatched the funds proposal for 2023 with a forecast of 42% in the discretionary funds of the Ministry of Health, which is used for the acquisition of supplies, gear and investments.
At a gathering final month, Lula indicated that there can be no scarcity of funds for the realm. “Our job will probably be to search out these assets and make investments in SUS, particularly in saving the nationwide vaccination program to regain the boldness of the inhabitants in vaccines”, he mentioned.