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SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE
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SOCIAL PROTECTION INTERVENTIONS FOR TB CONTROL: THE BRAZILIAN EXPERIENCE

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Dr Jarbas Barbosa, Deputy Minister of Health, Brazil …

Dr Jarbas Barbosa, Deputy Minister of Health, Brazil

UNITAID Technical Briefing 65th World Health Assembly, 21st May 2012

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    • 1. Social protectioninterventions for TB control: The Brazilian Experience
    • 2. Brazil: factsheets Surface: 8,514,877 km² (5th largest country) States: 27 Borders: Argentina, Bolivia, Colombia, French Guyana, Guyana, Paraguay, Peru, Suriname, Uruguay and Venezuela Population (2011): 192,376,496 inhab. (5th largest population) Urban population: 83,8% GNP (2011): - Total: US$ 2,421 trillons USD (6th) - Per capita: US$ 12,422 USD (63rd) Social indicators - HDI (2011): 0,718 (84th) - Life expectancy: 73,5 year (92nd) - Child mortality: 19,3/thousand (106th) - Literacy: 90,4% (94th) Brazilian Health System – universal access, free of change (“Right of all, duty of the State” – Federal Constitution)
    • 3. TB in Brazil: factsheets71 thousand new TB cases reported in 2010 4,8 thousand deaths in 201017th country in burden of disease (one of 22 highburden countries)22nd country in TB deaths108th country in TB incidence rate4th death cause among infectious disease1st death cause among aids patients
    • 4. •Context• Decrease of incidence and mortality rates sincemid 90´s• Stability of operational indicators as cure anddefault rates in undesirable levels• One fourth of TB patients are enrolled in programsof cash transfer (below the poverty line)
    • 5. TB incidence rate. Brazil, 1990-2010. Decrease = 26% (average 1,4% per year, 2010 4%)Per 100 thousand inhab. 51,7 37,7 Source: MS / SVS / SINAN.
    • 6. TB mortality rate. Brazil, 2000 - 2010 Per 100.000 inhab. yearSource: Ministry of Health and Brazilian Institute of Geography and Statistics
    • 7. TB cure and default rates. Brazil, 2001- 2010 % cure defaultSource: Brazilian Surveillance System (SINAN)
    • 8. Vulnerable Populations (RR comparing with general population) Afrodescendent population: 2 times* Indigenous population: 4 times* Prisoners: 25 times* Aids: 30 times* Homeless: 67 times*** Source: Brazilian Surveillance System (SINAN)** Source: Adorno 2010
    • 9. Relationship between family income (in minimum wages per capita) and TB ocurrence. Brazil, 2008 MW MW MW MW MWSource: PNAD, 2008. Minimum Wage = R$415 (US$ 225)
    • 10. PoliticalCommitment
    • 11. Brazilian federal budget (US$) for TB, 2000-2012* US$Source: NTP Brazil. * 2012 estimate
    • 12. Overcoming the poverty• In the last 16 years, the poverty in Brazil decreased 67%• 28 million people left the poverty range since 2004• % of people with incomes > than a minimum wage per capitaincreased from 29% to 42%•The expenditure per capita of the poor on food increased 14%between 2005 and 2009. The household consumption of meat hasmore than tripled• The poverty decreased by 50.6% from 2002 – 2010•Total of families enrolled in social programs: 22 millions
    • 13. Next steps•Integration with PHC•Integration with aids program•Vulnerable population•TB-MDR
    • 14. Visit our website for further information: www.saude.gov.br/tuberculose

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