The population studied in this report is the country of Brazil, located in South America. Brazil has the 5th largest population in the world, measuring a little over 200 million people (Table 1). Brazil’s population is roughly 51% female and has a population growth of approximately 1.2% per year from 2010-2015 (United Nations, 2015). Approximately 85% of people in Brazil live in urban regions, with the majority of the rural populations consisting of indigenous people (World Bank, 2016).
Rio de Janeiro, Brazil is one of the largest tourist destinations in the world and although still considered a middle income developing nation, Brazil is held to developed world standards in sanitation, medical care, and access …show more content…
Beginning in 1984, a middle-class led revolution occurred, replacing the military dictatorship with a democracy, which ushered in a wave of social, economic and political reforms. Beginning with the implementation of the Sistema Único de Saúde (SUS), the national health system a basic universal health care system to provide gaps in health care inequity (Macinko & Lima-Costa, 2012). This system tackled not only health access related inequities but also, social determinants of health such as poverty (Garcia-Subirats et al., 2014). Despite the implementation of the SUS in 1988, Brazil continued to have large gaps in coverage and access to healthcare and expanded its healthcare throughout the 1990’s to include the Health Workers Programme, the family health strategy which includes the National Women’s Health Programme, and National Programme for the Reduction of Infant Mortality (Table 2). These programs mitigated some effects of socio-economic inequality, but were unable to wholly address the urban-rural population inequities faced by indigenous …show more content…
The MDG’s the FHS focused on were MDG 1- no poverty and MDG 3, promote equality. By tackling socio-economic problems such as poverty, income inequalities and micro/macro environmental inequalities, the FHS was able to reduce mortality from communicable diseases, increase healthcare provided for chronic and non-communicable diseases, and transition the urban population into a well-developed health system. However, while the FHS is successful in reducing health inequalities in urban settings, the programme was limited in its ability to reach into the rural populations (Macinko & Lima-Costa, 2012). These communities continue to have difficulty accessing healthcare service and receiving proper