President-elect Luiz Inácio Lula da Silva’s (PT) Health Transition Group finalized the work 10 priorities are thought-about emergencies The subsequent health minister has to work in the primary 100 days of the federal government to cut back what he classifies as “full chaos” that will probably be left in the portfolio with the departure of President Jair Bolsonaro (PL).
10 Suggested Steps for the First 100 Days:
- strengthening SUS administration and coordination;
- restructuring NIBP [Programa Nacional de Imunização] to recuperate vaccination charges;
- strengthening the response to Covid and different emergencies;
- Reduction of the queue for specialists adjusted to the strengthening of specialised networks;
- strengthening nationwide coverage on provision of main care and health professionals;
- strengthening the health of ladies, kids and adolescents;
- bettering indigenous health;
- Pharmacia Popular do Brasil Program and (*100*) Pharmaceutical Assistance in SUS;
- restore the event of the health financial and industrial complicated;
- work on points associated to info and digital health;
They say the federal government was incompetent, however it was extraordinarily able to destroying the Ministry of Health. It is scorched earth, certainly! I’m not decreasing one millimeter, it was a catastrophe challenge. Former Minister Arthur Chioro, Coordinator of the GT (Work Group) on Health.
Report open to CNS. Chiro participated in the presentation of the transition group’s closing report back to the CNS (National Health Council) final Wednesday (14). For almost two hours, he spoke to the councilors in regards to the issues the subsequent authorities will face, corresponding to rising malnutrition amongst kids and falling immunization protection charges.
Although not revealing everything, he detailed the factors in the report that he urged to the federal government and careworn that Immediate issues to be solved OK in the primary few days.
The column was requested for Ministry of Health to touch upon the info, solutions and criticisms introduced, however to date no response has been acquired.
Different time frames. “In the report, we put some extra pressing measures for 30 days; one other 60, one other 100 days, it will depend on the motion”, says Chiro.
The group’s hope for the implementation measures lies in the concept that the portfolio finances will probably be recreated with the approval of the transition PEC, which was authorized in the Senate and is being debated in the chamber.
We have an estimated finances of R$ 10.4 billion, however we could have an addition of R$ 12.3 billion for health with approval. [da PEC]?? It’s not preferrred, however you possibly can put some public insurance policies into observe.”
Arthur Chioro, Coordinator of the Health WG
Secrecy in vaccination drops and batches. “They destroyed the PNI. I left in 2015, we had greater than 95% vaccination protection. Seven years later, no person has. Today the image is catastrophic”, Chiro stated.
He says he was unable to get the variety of current doses, with certainty, as a result of The ministry could have made some info troublesome?? “When exchanging obligatory paperwork, we are going to look for them, and they’ll say that the knowledge is connected. When we checked out it, there was no info. Weeks, when the report was prepared”, he defined.
One of the issues he cites is that Much of the knowledge on the amount and expiration date of the immunizer batch was saved secret?? “We can not give particulars as a result of they’re confidential; President Lula, when he takes workplace, can cancel it after which we are able to discuss. But we all know that 3 million doses of the vaccine in opposition to Covid expired this month. gone, as a result of T.C.U. (*10*) Said,” he defined.
But there are tens of millions extra doses that at the moment are expiring in early January, and the ministry would not know the place they’re or what they’ve. The info system is just about destroyed.”
Arthur Chioro, Coordinator of the Health WG
No information. Speaking in regards to the system, he says that in conferences with technical teams and areas it has change into clear that correct information is missing. “Of all of the audiences, solely the dentists did not complain in regards to the system. The downside is that TCU makes use of the time period ‘cyber blackout’ in its stories to speak in regards to the destroyed system”, he quoted.
Also Reported Covid-19 vaccination protection charges could also be in error, stated. “It can be one thing in the order of 30 million doses utilized by municipalities that weren’t calculated. They are estimates”, he knowledgeable.
indefinite queue. One downside as a result of lack of information is that the queue of procedures has stopped as a result of pandemic.
“It is feasible that 2 billion processes had been left undone in the final two years and people queues type. But that’s an estimate, the ministry is aware of its measurement, what it’s, the place it’s. Keeping these processes updated is one in every of them. Our greatest challenges,” he says.
Moreover, Chiro says, there are not any emergency health kits for the time after a flood or landslide. ??The quantity of equipment they’ve just isn’t even sufficient for the primary emergency of the yr. Imagine beginning 2023 with out kits?‘ he questioned.
In the report, the The group additionally suggests 23 acts to cancel and warns of the danger of collapse of infectious illness packages corresponding to AIDS and hepatitis as a result of lack of inputs and medicines.
SUS Card (Unified Health System)
Image: Disclosure
Unstructured SUS
The CNS president, Fernando Pigatto, stated in the column that what struck him most in regards to the presentation was “the dearth of construction in the Ministry of Health and the dearth of coordination in the Unified Health System.”
“For us, at CNS, it was not new, however due to the absence of information that needed to be handed on and a few worrying information too”, he says.
He says he agrees with the 10 key factors raised by the GT and in addition highlights that over the previous few years the ministry has stopped speaking with federal our bodies and our bodies that make up the SUS.
It is important to strengthen the administration and coordination of SUS with the demonstration of social management and appreciation of the CNS, which ought to return to work in collaboration with the Minister’s Office, inside the organizational framework of the Ministry of Health.”
Fernando Pigatto, President of the CNS (National Health Council).