Contribution of Civil Society for Health for All How and where does the project fit within the country specific contexts?

1. Brief to the country context – main health and health sector related changes and challenges Universal health system (SUS) Public x Private (challenge): private insurance as commodities (40 million, international companies) Family Health Strategy (large scale): 95% municipalities, 56% population – main problems: infrastructure, organization and quality of care New programs for expansion of PHC (Mais Médicos, outreach to remote and vulnerable areas – doctors distributed throughout Brazil according to vulnerabilty criteria) New programs for expansion and PHC-oriented medical training Management and financial challenge: 200 million inhabitants, more than 5,000 municipalities – leading to privatizing management of HRH Challenge to retain Family Health teams, especially doctors and CHWs

-Development model based on extrativism, agribusiness. -Stagnation of land reform. -Improvements in health conditions and social aspects but with limitations, no actual transformation on development model, remains with neoliberal orientation. Source: Brazilian Bureau of Statistics

2. Brief to the role/engagement of civil society / social movements (including stories of activism) PHM Brazil Environment Friends of the stream - interinstitutional group Human rights Extractive industries Dam building Indigenous communities and land Popular education Gender and race National Black Women’s Movement HIV AIDS Movement – ABIA, GAPA Unified Health System Academia, Fiocruz Health + 10 Campaign Health councils, Community Action Landless Movement National Front Against Privatization of Health

3. How would the current project make a difference? Strengthen the structure of PHM Brazil through common platform Strengthen the connection local-global Strengthen our capacity: activism, research and training Strengthen PHM presence throughout the country Better balance between academia and grassroots Some plans: IPHU Maranhão, dissemination of the PHM Charter, Alegremia workshops in communities

4. Brief on the research capacity within the PHM circle (and how to strengthen it) Porto Alegre: UFRGS (Federal University of Rio Grande do Sul) Brasilia: UNB (University of Brasilia) Fiocruz: Rio Students (graduate and undergraduate) and residents Contacts: Cebes, UFMA (Maranhão)

MSPLA Salud para todos YA!,