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  • Publication
    Research for Innovation in Health Systems - Improving the Management of Health Care Services for Patients with Multiple Chronic Conditions in Three Latin American Countries: Brazil, Colombia and Uruguay - Key Messages
    (Washington, DC: World Bank, 2024-06-24) World Bank
    The accelerated aging of the Brazilian population, alongside the gradual increase in the concomitant occurrence of multiple chronic diseases in the same individual, brings important challenges to the Brazilian National Health System (SUS). n Colombia, during 2012 - 2016, multimorbidity had a prevalence of 19.5 percent for all ages, according to data from the study carried out by the World Bank and the Ministry of Health and Social Protection. The investigation also showed an increase in the use and cost of health services associated with older age and the complexity of multimorbidity, in an aging population that shifts its epidemiological profile towards chronic diseases. The expenditure with patients with multimorbidity in Uruguay is high. Persons with five or more of diseases (Cardiovascular Disease, High Blood Pressure, Diabetes, Chronic Obstructive Pulmonary Disease and Degenerative Neurological Disease) represent 8.44 percent of the total patient population, but their care accounts for 42.07 percent of the total expenditure, and 50.48 percent of the expenditure on medications.
  • Publication
    The Nerds, the Cool and the Central: Peer Education and Teen Pregnancy in Brazil
    (Washington, DC: World Bank, 2024-06-11) World Bank
    Teenage pregnancy rates in Brazil are among the highest in Latin America. The current rate of 68.4 per 1,000 adolescents lies well above the world average of 46 per 1,000 and is higher than the Latin American average of 65.5 per 1,000