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The potential impact of austerity on attainment of the Sustainable Development Goals in Brazil
Souza, Luis Eugenio Portela Fernandes de; Barros, Rafael Damasceno de; Barreto, Maurício Lima; Katikireddi, Srinivasa Vittal; Hone, Thomas V; Sousa, Rômulo Paes de; Leyland, Alastair; Rasella, Davide; Millett, Christopher J; Pescarini, Julia.
Affiliation
  • Souza, Luis Eugenio Portela Fernandes de; Instituto de Saúde Coletiva. BR
  • Barros, Rafael Damasceno de; Instituto de Saúde Coletiva. BR
  • Barreto, Maurício Lima; Instituto de Saúde Coletiva. BR
  • Katikireddi, Srinivasa Vittal; University of Glasgow. GB
  • Hone, Thomas V; Imperial College London. GB
  • Sousa, Rômulo Paes de; Fundação Oswaldo Cruz. BR
  • Leyland, Alastair; University of Glasgow. GB
  • Rasella, Davide; Universidade Federal da Bahia. BR
  • Millett, Christopher J; Imperial College London. GB
  • Pescarini, Julia; Universidade Federal da Bahia. BR
BMJ Glob Health ; 4(5): [7], 6 September 2019.
Article in English | LILACS, BDS | ID: biblio-1022085
Responsible library: BR2260
ABSTRACT
In the recent decades, Brazil has outperformed comparable countries in its progress toward meeting the Millennium Development Goals. Many of these improvements have been driven by investments in health and social policies. In this article, we aim to identify potential impacts of austerity policies in Brazil on the chances of achieving the sustainable development goals (SDGs) and its consequences for population health. Austerity's anticipated impacts are assessed by analysing the change in federal spending on different budget programmes from 2014 to 2017. We collected budget data made publicly available by the Senate. Among the selected 19 programmes, only 4 had their committed budgets increased, in real terms, between 2014 and 2017. The total amount of extra money committed to these four programmes in 2017, above that committed in 2014, was small (BR$9.7 billion). Of the 15 programmes that had budget cuts in the period from 2014 to 2017, the total decrease amounted to BR$60.2 billion (US$15.3 billion). In addition to the overall large budget reduction, it is noteworthy that the largest proportional reductions were in programmes targeted at more vulnerable populations. In conclusion, it seems clear that the current austerity policies in Brazil will probably damage the population's health and increase inequities, and that the possibility of meeting SDG targets is lower in 2018 than it was in 2015.
Subject(s)
Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Governance Arrangements / Goal 1 Equitable access to health services / Goal 11: Inequalities and inequities in health / Goal 4: Health financing / Target 3.8 Achieve universal access to health Database: BDS / LILACS Main subject: Brazil / Health Status Disparities / Health Policy Aspects: Social determinants of health / Equity and inequality / Patient-preference Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: BMJ Glob Health Year: 2019 Document type: Article Affiliation country: Brazil / United kingdom Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Imperial College London/GB / Instituto de Saúde Coletiva/BR / Universidade Federal da Bahia/BR / University of Glasgow/GB
Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Governance Arrangements / Goal 1 Equitable access to health services / Goal 11: Inequalities and inequities in health / Goal 4: Health financing / Target 3.8 Achieve universal access to health Database: BDS / LILACS Main subject: Brazil / Health Status Disparities / Health Policy Aspects: Social determinants of health / Equity and inequality / Patient-preference Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: BMJ Glob Health Year: 2019 Document type: Article Affiliation country: Brazil / United kingdom Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Imperial College London/GB / Instituto de Saúde Coletiva/BR / Universidade Federal da Bahia/BR / University of Glasgow/GB
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