Couttolenc, BernardDmytraczenko, Tania2013-05-022013-05-022013-01https://hdl.handle.net/10986/13287This case study summarizes the responses to the questionnaire on The Nuts and Bolts of the Program Expanding Health Coverage to the Poor, developed within the framework of the World Bank's UNICO - Universal Challenge Program. By so doing, it assesses the key features and the achievements and challenges of Brazil s Primary Care Strategy (PCS) and analyzes the contribution of this strategy to the establishment and implementation of universal coverage. Section 2 provides context for the discussion by summarizing key reforms and the impact of the PCS and describes Brazil s health care delivery and financing system. The institutional architecture and interaction of the health care program (HCP), in this case the PCS, is discussed in section 3. Sections 4 through 8 outline the main features of the strategy, including the identification and targeting of beneficiaries, management of public funds, services covered, and the information environment. The case study concludes with a discussion of lessons learned (section 9) and the pending agenda (section 10).0en-USCC BY 3.0 IGOaccess to health careaccess to servicesadministrative rulesAdult mortalityAdult mortality rateage distributionagedbreastfeedingbudget allocationcapitationcapitation systemchild mortalitychild mortality ratechoice of providerscitiescitizenCommunicable diseasesCommunity Healthcommunity participationcost of carecost-effectivenessdeathsdelivery systemdemocracydental caredental healthdeveloping countriesdevelopment strategiesdiabetesdisease controldrinking watereconomic growthemergency roomsemploymentEpidemiologyessential drugsfamiliesFamily Healthfee-for-servicefee-for-service basisfertilityfewer peoplefinancial contributionsfinancial managementfinancial risksglobal budgetsgross domestic producthealth careHealth Care Deliveryhealth care needshealth care networkshealth care provisionHealth Care Usehealth care utilizationHealth committeeshealth conditionsHealth Coveragehealth determinantsHealth Economicshealth educationhealth expenditureHealth Expenditureshealth indicatorshealth insuranceHealth Interventionshealth managementhealth organizationshealth outcomeshealth planningHealth Policyhealth problemshealth professionalshealth professionshealth promotionhealth promotion activitieshealth providershealth reformHealth reformshealth riskshealth sectorhealth serviceshealth spendinghealth statushealth status indicatorsHealth StrategyHealth SystemHealth System PerformanceHealth System Reformhealth systemshealth workershealthcare servicesHIV/AIDShome visitshospitalhospital bedshospital carehospital serviceshospitalizationhospitalsHuman Developmenthuman resourcesHypertensionill healthimmunizationincomeincome countriesincome distributionindigenous groupsIndigenous Peoplesinequity in healthinfantinfant mortalityinfant mortality rateinformal sectorinformal sector workersinformation campaignsinformation systeminformation systemsinpatient careinsuranceinsurance coverageInsurance premiumsinsurance schemesintegrated health careintegrationlabor supplylawslevel of povertyLife expectancyLife expectancy at birthlive birthsliving conditionsliving standardslow incomematernal mortalitymedical caremedical needsMedical SchoolMinistry of EducationMinistry of HealthmorbiditymortalityNational HealthNational Health Systemnonprofit hospitalsnurseNursesnursingnursing carenutritionoral healthoutpatient careOutpatient Servicesoutreach activitiespatientpatientsPharmacyphysicianPhysicianspocket paymentspoor familiespregnant womenPrimary Careprimary health carePrivate ambulatory careprivate financingprivate health insuranceprivate hospitalsprivate insurancePrivate insurersPrivate pharmaciesprivate sectorprogressprovider paymentprovision of careprovision of health carePublic Expenditurepublic expenditure on healthpublic healthPublic Health Expenditurespublic health servicespublic health systempublic sectorpublic servicespublic spendingquality of liferate of growthregional networksresource allocationresource constraintsright to health carerisk factorsrural areasschool enrolmentscreeningService DeliverySick leavesocial controlsocial marketingsocial movementssocial participationsocial programssocial sectorsSocial Securitysocial servicesstate governmentssurgeryteaching hospitalstuberculosistuberculosis casesuniversal accessuniversal righturban areasurban centersvaccinationvulnerabilityvulnerable groupsvulnerable populationsworkersWorld Bank10.1596/13287