Expansion of the Brazilian Population’s Access to Primary Health Care (PHC)

Results / Conclusions: There are 61,824,000 people with a potential offer of access to the Family Health Strategy as a result of PMM. In August 2013, there were 34,216 Family Health teams installed in the country, and by December 2015, there were 40,162.
Recommendations / Lessons Learned: During 2001-2015, the Brazilian Basic Health Care achieved considerable progress in coverage, access and service quality in its Family Health Strategy, as evaluated with a set of diversified REF indicators. The PMM distribution rate of its professionals and the supply of Family Health Strategy services considerably strengthened Basic Health Care performance since 2013.
Status: Completed

Evaluation of the conditions and work processes of PMM Cuban doctors

Results / Conclusions: One hundred percent of the doctors are Basic Health Care specialists with prior experience in international missions, 62% with more than 10 years of professional experience, and 36% knowledgeable about holistic medicine as well as traditional medicine.
Recommendations / Lessons Learned: The impact of the insertion of Cuban doctors in Basic Health Care has been acknowledged due to the growing trend for the improvement of working conditions and compliance with work guidelines, particularly in the case of Family Health teams. Result indicators highlight a change in spontaneous as well as scheduled medical appointments.
Status: Completed

Production of PMM medical appointments

Results / Conclusions: 1. Basic Care medical appointments grew during the period studied from 33.1% in 2012 to 36.2% in 2016. It is estimated that more than 36 million people have regular access to medical care from teams assisted by PMM professionals. 2. There has been a discrete growth trend in country’s rate of prenatal visits with our without the PMM that has allowed keeping prenatal visit access.
Recommendations / Lessons Learned: The Program showed a capacity to improve the medical appointment rate of teams to which professionals had been assigned, reaching and even surpassing the rate of the country’s best teams without PMM professionals in the country.
Status: Completed

Evaluation of the Access and Distribution of PMM Doctors for Primary Health Care Services (PHC).

Results / Conclusions: 1) The geographic location of the Basic Health Care Units (UBS) covered by the PMM and distribution standards; 2) PMM doctor distribution throughout the UBS in temporary cycles; 3) PMM doctor distribution in municipalities, comparing social determinants; 4) study of the viability of the geographic location process of hospital admissions during 2015 in the state of Goias; 5) Identification of hospi
Recommendations / Lessons Learned: This study must continue in order to: 1) Undertake a census data comparison of sectors with quality health care measures; 2) A possible analysis of the impact of social health and environmental determinants, the effect of the proximity to urban infrastructures, roadways, waterways, etc…; 3) A determination of income, schooling, gender, and age profile levels and other demographic characteristics a
Status: Ongoing

Evaluation of the PMM Impact

Results / Conclusions: A Working Paper on the Evaluation Challenges of the More Doctors Project in Brazil: A synthesis of theoretical and methodological issues currently being debated on the evaluation of the social intervention impact and fundamental matters regarding the PMM and its implementation, aimed at the preparation of a proposal to evaluate the impact on the health of the populations they benefit, taking into
Recommendations / Lessons Learned: In order to design an evaluation of the PMMB impact on the health of the populations that benefit from it, an initial requirement is to clarify certain matters relevant to this intervention and its implementation in Brazil: 1) The PMMB implementation contexts, in order to anticipate any heterogeneities; 2) The PMMB intervention: The establishment of a theory for the Program; and 3) The premise t
Status: Ongoing