MOH: Secretariat of Management of Education and Work in Health Sector

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Berkeley Conference on the Global Health
Workforce Human Resources for Health Policy
Country Perspectives BRAZIL
Francisco Campos Secretary for Management of
Education and Work in the Health Sector MOH,
Brazil
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• 186 million inhabitants
• The fifth largest country in the world
• PC GDP US8 t (middle income)
• Among the top ten economies in the world
• Multicultural
• Tackling poverty and inequality

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Health Reform in Brazil NHS

• Universal and equitable system.
• Decentralized and socially controlled.
• Still under-financed.
• Remarkable advances and much left to do.
• PHC Families Health Teams as the System's
  spinal cord and gate-keeper 27 t teams have
  been set up so far reaching 100 million people.
• HR as the main pitfall to NHS move forward
• Establishment of a Secretariat of Work and
  Education Management for the Health Sector

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Secretariat's Main Challenges

•  Health Professions Education
• CHW (200T)
• Technical level PROFAE(1M)
• Incentives to change curricula (200 schools)
• Specialization in PHC (52t)
• Continuous Education Open University
• E-health

• Labor Market Regulation
• Fighting unprotected job
• Tackling Maldistribution
• Supporting decentralized governments to set
  professional carriers
• National table of Negotiation/Bargaining
• Consultancy to Congress and Executive

• Observatorys Network

• Managerial Training
• (100t)

Support Projects
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Lessons learnt

• Bridge the gap between POLITICIANS they tend to
  be driven and biased by short term answers.
  Diversely Brazilian HR TECHNICAL GROUP has been
  for 30 years in this business. How to conciliate
  structural reforms, with future outcomes and
  immediate responses?
• Dialog between sectors MOH must chat on a daily
  basis with MOE ? Academia, M Labor ?Worker
  Unions, ST ? Research Institutes, Professional
  Associations, Regulatory Bodies and so on.
  Avoids misunderstandings, jealousies,
  parallelisms, etc
• Generation of sound evidences is needed to
  support decision-making. HR Observatories
  network.
• Health goes beyond being a technical issue. In
  Brazil there is a supra party caucus of the
  health reform

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Muito obrigado!Thank you!

• francisco.campos_at_saude.gov.br