Background
Before 1988, people who can pay for private services or those with their employers’ health insurance can enjoy the health services. All others have no popper right to health but sometimes would receive charity. (Nasser, 2013)
Since 1988, Brazil provided free public healthcare services - Unified Health System (SUS) for all Brazilians and foreign residents in Brazil. (Nasser, 2013)
For 190 million Brazilians in 2008, primary health care remains one of the leading pillars of the public health system. There is 64% population covered by public healthcare services and around 70% Brazilians enjoyed the free public healthcare. (World Health Organization [WHO], 2008)
In this essay, the basic requirements of sound PHC (the 8 A's and the 3
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After receiving the report, the health department should purchase enough or more the often-used drugs while buying low-priority medicines barely to enhance the available stock of essential medicines in pharmacies and avoid the situation of “expired” drugs.
Adequacy
Even though the Brazilian government provided free public healthcare to residents, there are only 31% hospitals are public while 69% are private in 2014 (Bruha, 2014). It reveals that public hospitals are insufficient.
Besides, many of the poor in need of immediate care have had to purchase private insurance or those that can afford to avoid the queues and inconvenience of the public system including a shortage of doctors and nurses, and patients treated in corridors – opt for private care (WHO, 2008). Around 25 percent of the population enrolled in private health plans in 2015 (Gómez, 2012).
It is recommended that Brazilian government could implement a public-private partnership project to enhance the capacity of public health services (Bruha, 2014). For the shortage of doctors and nurses, the government could recruit overseas doctors and nurses to help boost