Brazil

• Are health interventions implemented where they are most needed? District uptake of the Integrated Management of Childhood Illness strategy in Brazil, Peru and the United Republic of Tanzania
  Cesar Victora, Luis Huicho, Joao Amaral, Joana Schellenberg, Fatuma Manzi, Elizabeth Mason, & Robert Scherpbier, 2006, Bulletin of the World Health Organization. October 2006, 84
  In a perfect world, IMCI would be more strongly implemented in districts with high under 5 mortality rates and lower standards of living, and among these, priority would be given to districts with a large population of children younger than five years old. This was not the case in any of the three countries studied.
  (10pages, pdf 394KB)
• Implementation of promotion and prevention activities in decentralized health systems: comparative case studies from Chile and Brazil
  Sarah Atkinson, Amélia Cohn, Maria Elena Ducci and Jasmine Gideon, 2005 Health Promot. Int. 20:167-175
  health system structures; partnerships and “intersectorality” and human resources issues. decentralised management allows variation in local implementation of policy; need for a “family health approach”; success factors: whether health systems are vertically or horizontally structured; awareness of prevention and promotion issues; bias towards urban areas; strategies to attract human resources to primary care and to rural areas; and the importance of local capacity building.
  (10 pages, pdf 389KB)
• Back to Basics: Does Decentralization Improve Health System Performance? Evidence from Ceará in North-East Brazil
  Allan Rosenfield, Bulletin of the World Health Organization 2004;82:822-827.
  Good management practices lead to decentralized health systems
  (11 pages, pdf 215KB)
• Improving the Quality of Care
  Michelle Heerey, Alice Payne Merritt, Adrienne J. Kol, 2003, Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs
  Quality of care, clinic management
  (27 pages, pdf 464KB)