"Mais Médicos" Program

“Mais Médicos” is a Program that aims to contribute to the development of the Unified Health System (SUS) of Brasil, through a set of human resource management strategies that work to strengthen Basic Care, focused on health training, the improvement of infrastructure and the provision of medical doctors (physicians) for health services.

The Program includes interventions in the field of training of health teams, the provision of medical doctors to the primary health care system services.

"Mais Médicos" Cooperation Project

The "Mais Médicos" Cooperation Project (MM Project), formalized by Cooperation Term 80 (TC 80) between PAHO / WHO and the Ministry of Health of Brazil (MS), which correlates with a special agreement on Technical Cooperation between PAHO / WHO and the Ministry of Public Health of Cuba, contributes to the development of the axis of emergency physician provision of the "Más Médicos" program by means of the calls, training, certification and insertion of cooperating Cuban medical doctors in primary health care services of SUS.

The "Mais Médicos" Project's contribution has been essential to achieving the goals of the "Mais Médicos" Program, aimed at reducing the lack of medical doctors in priority regions of the SUS and the strengthening of primary health care services by facilitating the insertion of medical doctors in training and with knowledge about the health situation of the population.

PAHO/WHO article on PMM (Mais Médicos Program)

Monitoring and availability of the PAHO/WHO Cooperation Project with the Mais Medicos Program:  Half Way Reflections

Molina J., Suarez, J., Tasca R.

Working relations between the Pan-American Health Organization (PAHO) and the World Health Organization (PAHO/WHO) in conjunction with the Brazilian health institutions have a long history of cooperation for mutual benefits that in many cases are shared with other countries under a diversity of cooperation health development schemes.  The framework of this relationship is provided by means of the technical cooperation under the More Doctors Program (PMM-Mais Médicos).   This cooperation adds strategic value to a reduction of the gaps in the equality of health and capitalizes the unique nature of the South-South Cooperation between Cuba and Brazil, triangulated through PAHO/WHO.  This article discusses the role of PAHO/WHO in the assessment of its technical cooperation with PMM, developed within a framework of monitoring and assessment to progressively identify the advances in coverage and quality of the basic health care services the Single Health System (SUS) provides as a result of the impact of PMM, as well as the management and dissemination of the knowledge acquired with its implementation, by means of a platform of knowledge.  Some of the relevant results of PMM are summarized and analyzed herein.

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More Doctors Programme and the strengthening of Primary Health Care in Brazil: Reflections  from the monitoring and evaluation of the More Doctors Cooperation Project

Molina J, Suarez, J, Tasca R, Kemper ES.

Universal Health Coverage has been a challenge for the majority of the world’s health systems. Efforts to strengthen systems through universal coverage with the aim of improving living conditions and access to health services are optimized when this is based on quality Primary Health Care (PHC). A national policy has been being developed in Brazil since 2013 aimed at strengthening human resources for PHC. This policy is called the More Doctors Programme and is considered to be an important investment for PHC development in Brazil’s Unified Health System. The purpose of this article is to present the main results of the More Doctors Programme monitoring and evaluation actions undertaken by Pan American Health Organization. The More Doctors Programme has the potential to strengthen PHC in Brazil. It contributes to servisse improvement, puts PHC at the heart of the discussion on public policies, and increases the interest of the scientific community in evaluating high-investment public policies, in addition to providing satisfactory responses to the population’s health needs and thus contributing to service user satisfaction.

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Mais Medicos Program (PMM):  An outlook of scientific production

Kemper ES, Mendonça VM, Sousa MF.

Despite the advances achieved in the Primary Care and Family Health Strategy of the Single Health System (SUS), challenges still persist with regard to a universal access and the quality of the services.  Some of the factors are the disparity and the unequal distribution of doctors.  The Brazilian Government proposes the Mais Medicos Program (PMM) for Brazil, considered as a set of measures to advance the recruitment, retention, and training of doctors for the Single Health System (SUS).  This study consists of a bibliographic review of the Mais Médicos Program (PMM) with the objective of mapping and dimensioning its scientific production, either by systematizing the findings, or submitting critical analysis results.  54 publications were selected to assess the Mais Medicos Program in terms of its effectiveness, an analysis of its implementation process, the media, speeches by actors, training and judicial and constitutional analysis.  In addition, the criticisms and limitations found were systematized. With regard to the analysis, in general terms, PMM assessments have been positive and show substantial changes in the working processes, services, and training. A special focus is placed on the studies that point out the Program as an important tool for the effectiveness of the right to health.

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Monitoring and Assessment Framework of the Mais Medicos Project (PMM) by PAHO/WHO

The objective of this document is to present the monitoring and assessment actions within the Mais Medicos Cooperation Project (PMM) on the basis of the pertinent technical logic according to PAHO/WHO commitment to its management and administrative functions in Brazil.