- Criado: 16 Setembro 2013
Health Care Secretariat - SAS
One of the main actions of this Secretariat is to participate in the formulation and implementation of basic and specialized care, observing the principles of the Brazilian Unified Health System (SUS).
The Secretariat is composed by the Basic Care Department (DAB); Specialized Care Department (DAE); Department of Systems Regulation, Assessment and Control (DRAC); Strategic Programmatic Actions Department (DAPES); and, Rio de Janeiro State Hospital Management Department (DGH).
The Basic Care Department is tasked with the duty of developing mechanisms to control and assess the basic care systems, and providing technical cooperation to states, municipalities and the Federal District, to organize actions on basic care like the Family Health Program (PSF), Oral Health, Hypertension and Diabetes, Food and Nutrition, Management and Strategy, Assessment and Follow-up.
Among others, the Specialized Care Department is in charge of outlining and assessing the policies of medium and high complexity, the SUS’ outpatient and hospital care, governing and coordinating the activities carried out by the National System of Organ Transplantation, Urgency, Emergency and Hospital Care.
The Department of Systems Regulation, Assessment and Control is responsible for formulating the policy to govern the care delivered. It also follows-up on and assesses the services delivered and sets the criteria to systematize and standardize the techniques and procedures related to control and assessment, besides maintaining and updating a national register on health facilities.
The Strategic Programmatic Actions Department is in charge of articulating, among others, the programs on Mental Health, Women’s Health, Youth and Adolescents’ Health, Children Health, Elderly Health, Health in the Prison System, and Health of People with Deficiency, guiding states, municipalities and the Federal District in the delivery of these services.
The Rio de Janeiro State Hospital Management Department integrates - both in the operational and care aspects - the health services bound to the Ministry of Health, expanding their efficiency and efficacy. Today, there are 6 (six) hospitals reporting to the DGH.
Science and Technology Secretariat – SCTIE
The Science, Technology and Strategic Inputs Secretariat (SCTIE) of the Ministry of Health is in charge of implementing policies on pharmaceutical care, assessment and incorporation of technologies into the Brazilian Unified Health System, and promotion of industrial and scientific development of the sector. In the field of science and technology, the Secretariat is in charge of fostering the development of research in health in Brazil, to earmark the investments made by the Federal Government to meet the public health's needs.
The field of Pharmaceutical Care promotes the citizen’s expanded access to medications, while fostering the rational use of medicines. The area is composed by: the Basic Components Program that ensures funding and distribution of medications and essential inputs to primary care; the Specialized Components Program, that provides, for free, high-cost medications for rare diseases; and, the Strategic Medications Program, to specific diseases like AIDS, Hansen’s disease, blood diseases and malaria.
Among the main programs of the Pharmaceutical Care Department, one could mention: Popular Drugstore which since 2004 offers medications subsidized by the Federal Government; and the National Program on Medicinal Plants and Herb-based Medicines, which fosters the safe and rational access to medicinal plants, and the sustainable exploitation of biodiversity.
Being a priority action front to the More Health Program, the Health Industrial Complex is in charge of developing the national productive chain, including the pharmaceutical industry and that of equipment and health technologies. According to data from the Brazilian Institute of Geography and Statistics (IBGE), the health sector today accounts for 8% of the Brazilian GDP. The development of this industry implies expanding the number of jobs generated in the country, thus assigning to the health care – additionally to its social duty – the task of fostering the national economic development.
Executive Secretariat – SE
The Executive Secretariat (SE) assists the Ministry of Health in the supervision and coordination of those activities performed by the Secretariats that are part of the Ministry of Health’s structure, and the entities bound to it. Among others, the following activities are outstanding:
- Administrative organization and modernization;
- Planning and budget systems;
- Financial administration and human resources;
- Information and informatics; and,
- General services.
The SE is composed by many internal areas, like sub-secretariats, departments and units:
- Sub-secretariat of Administrative Affairs (SAA)
- Sub-secretariat of Planning and Budget (SPO)
- National Health Fund (FNS)
- Department of Support to Decentralized Management (DAGD)
- Department of Health Economy and Development (DESD)
- SUS Informatics Department (Datasus)
- Logistic Department (DLOG)
- General Coordination of Managerial Innovation (CGIG)
- Decentralized Units (State Centers)
Special Secretariat of Indigenous Health – SESAI
The Special Secretariat of Indigenous Health (SESAI) is an area of the Ministry of Health created to coordinate and manage the Indigenous Health Care Subsystem all over the Brazilian territory. The main mission of SESAI’s is to protect, promote and recover the indigenous people’s health, and manage indigenous health, providing guidance to the development of actions on indigenous health integral care and education in health, according to the peculiarities, epidemiological profile and sanitary condition of each Special Indigenous Sanitary District (DSEI), pursuant to the policies and programs of the Brazilian Unified Health System - SUS.
The SESAI is in charge of coordinating and assessing the health care actions within the Indigenous Health Subsystem; promoting, articulating and integrating with governmental and non-governmental sectors related to the Indigenous health care. It is also responsible for identifying, organizing and disseminating knowledge related to indigenous health, and setting guidelines and criteria to the planning, execution, monitoring and assessment of actions on environmental and building sanitation at the Special Indigenous Sanitary Districts.
As regards social control, the SESAI is responsible for promoting, strengthening and supporting the full exercise of social control in the Indigenous Health Care Subsystem, through its organizational units.
The Secretariat counts on two Departments in its administrative structure: Indigenous Health Management Department and the Indigenous Health Care Department.
Strategic and Participatory Management Secretariat – SGEP
The Strategic and Participatory Management Secretariat – SGEP is tasked with auditing the SUS, and monitoring and assessing the SUS management, as well. It bears the main mission of enhancing management and social control, aiming at strengthening the Brazilian Unified Health System – SUS.
The SGEP is composed by four departments complementary one another, which makes the SGEP a sort of the people’s sense organs in the SUS. The SGEP is in charge of reaffirming the doctrinaire and organizational principles of the Sanitary Reform of the Unified Health System (universality, integrality, equity, community’s participation, decentralization, hierarchy, regionalization and unique command in each governmental sphere), supporting the existing mechanisms of popular participation and social control, notably the Health Councils and Conferences, hearing, analyzing and referring the users' demands, besides auditing the SUS accounts and assessing the policies' achievements.
Departments making up the SGEP:
Department of Support to Strategic and Participatory Management - DAGEP
Department of the SUS Management Monitoring and Assessment - DEMAGS
The SUS General Ombudsman Office Department - DOGES
National SUS Auditing Department - DENASUS
Secretariat of Management of Labor and Education in Health – SGTES
The Secretariat of Management of Labor and Education in Health (SGTES) is in charge of formulating policies to guide the management, training, qualification and regulation of health workers in Brazil.
The Secretariat is tasked with:
- Promoting the training of human resources in the field of health;
- Outlining and recommending policies on professional training and development to the field of health; monitoring the execution and promoting the development of the Network of Observatories of Human Resources in Health;
- Planning, coordinating and supporting the activities related to labor and education in health; organizing the management of education and labor in health; formulating criteria to negotiations; establishing partnerships between the SUS managers; and, organization of responsibilities among the three governmental spheres;
- Promoting articulation with education bodies, trade unions and inspection bodies related to the professional exercise and social movements, and with entities representing the professionals’ education aiming at the training, professional development and labor in the field of health;
- Promoting integration between the health and education sectors to strengthen the institutions that train professionals working in the area;
- Planning and coordinating actions, aiming at the integration and improvement of links among federal, state and municipal management of the SUS as regards training plans, qualification and distribution of the offers of education and labor in health;
- Planning and coordinating actions devoted to promoting the participation of the SUS’ health workers in the management of services and regulation of health professions;
- Planning and coordinating actions to promote education in health, strengthen the initiatives of the popular movement in the field of education in health and management of health public policies, and promote information and knowledge on right to health and access to health actions and services; and,
- Fostering international cooperation, including through the establishment and coordination of discussion forums, so as to solve issues related to the training, professional development, management and regulation of labor in health, notably issues involving countries that neighbor the American continent, the Portuguese-speaking countries, and the countries from the South hemisphere.
Health Surveillance Secretariat – SVS
The last few decades have been marked by deep changes in the demographic and epidemiological profile of the Brazilian population. For example, in 1930 the infectious and parasitic diseases accounted for 46% of the deaths; now, these account only for 5% of deaths in Brazil. The cardiovascular diseases, in turn, have increased from 11.8% to 31.3%. The deaths from cancer and violence are also significant in the Brazilian mortality's profile.
To cope with the new challenges ensuing from these transformations, in 2003 the Ministry of Health established the Health Surveillance Secretariat (SVS) which inherited duties from the former National Epidemiology Center (CENEPI) and from the National Health Foundation, besides incorporating new objects of work.
Jointly with state and municipal managers, the SVS gathered not only the epidemiological surveillance of communicable and non-communicable diseases, but also the environmental surveillance, workers’ health, analysis on the population’s health status, and the implementation of the National Policy on Health Promotion.
Advances in health surveillance:
- Development of a wide program on human resources training, in partnership with academic and research centers, through short, medium and long-term courses at different levels, including specialization, Master's Degree and the EPISUS (Training Program on Epidemiology Applied to the SUS Services) which, since 2000, has been training experts in investigation of outbreaks, epidemics and unexpected events, providing quick responses to health services.
- Integration with primary health care, enabling the incorporation of actions on surveillance, prevention and control of diseases into the primary care, through the Family Health Program and Community-based Health Agent Program.
- Annual edition of the Expoepi – National Exhibition of Successful Experiences in Epidemiology, Prevention and Diseases Control – to discuss relevant matters in the field of public health, and promote interchange of experiences among managers and technicians from all the federative units, who work in this field.
- Creation of the CIEVS - Center of Strategic Information on Health Surveillance – to investigate and provide quick responses for events of outbreaks and public health emergencies that could pose risk to the population’s health.
- Hierarchical implementation of the National Network of Public Health Labs, with proper equipment, timely inputs provision and skilled professionals.
- Strengthening the PNI – National Immunizations Program.
- Development of agile and efficient mechanisms of information and communication.
- Expansion of the coverage and quality of nationwide health information systems, like that for reporting diseases, mortality and born alive.
- Strengthening of the capacity of analyzing health situation and assessing the impact of health policies and programs.
- Improvement in the indicators of morbidity and mortality of some communicable diseases.
- Development of health promotion actions to reduce risk factors of non-communicable diseases.
The health surveillance then becomes – to managers - the signaling of changes in the Brazilian population’s health-disease process, making more and more room in the main forums of political decisions. And to the society, it is the watchful guard that always warns about scenarios of risks and new tendencies and uses in health.