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Health and Health Surveillance

One of the most important merits of Mais Médicos is the priority for training in the SUS, in the work of the basic units, since it is in the daily life of the health services that problems are experienced and solutions are constructed, through a permanent learning process”
 
Nísia Trindade, Minister of Health
Mais Médicos was officially resumed in March 2023 and expects to open 15,000 new vacancies by the end of the year. The Federal Government's intention is to reach 28,000 professionals throughout the country, taking into account the contracts that are still active, with a presence mainly in areas of extreme poverty. Scholarships are worth around R$ 12,800, plus housing allowance.
 
To serve the regions that most need it, Mais Médicos uses criteria in the distribution of vacancies such as social vulnerability, greater dependence on the SUS for the population's access to health and the difficulty in providing professionals. In this public notice, 47% of the vacancies were allocated to regions of high social vulnerability - 1,118 vacancies to municipalities of extreme poverty and 1,857 to contemplate the high and very high category of vulnerability. Another 666 vacancies (10.6%) are indicated for the municipalities of the G100, that is, those cities with more than 100 thousand inhabitants and low per capita income.
 
With this, the intention is that 96 million Brazilians have guaranteed medical care in primary care, the gateway to the Unified Health System (SUS). Operating in basic units, this first service monitors the health situation of the population, preventing and reducing injuries. The investment planned by the Federal Government is R$ 712 million this year.
 
The priority at Mais Médicos is for professionals trained in Brazil. If vacancies remain, Brazilians trained abroad may be hired. If all positions are still not filled, there will be room for foreign physicians established in Brazil and, finally, for foreign physicians.
 
“One of the most important merits of Mais Médicos is the priority given to training in the SUS, in the work of the basic units, since it is in the daily life of the health services that problems are experienced and solutions are constructed, through a permanent learning process”, said the Minister of Health, Nísia Trindade.
 
INCENTIVES - One of the challenges in serving regions of difficult access is the permanence of professionals. A survey carried out by the Ministry of Health indicates that 41% of program participants drop out in search of training and qualification.
 
To reduce this turnover and ensure continuity of care, Mais Médicos brings more educational and training opportunities. The doctor who participates in the program will be able to do a specialization and master's degree in up to four years. Professionals will also receive benefits, proportional to the monthly amount of the scholarship, to work in the outskirts and remote regions.
 
To support the continuity of female doctors, compensation will also be made to reach the same scholarship amount during the period of six months of maternity leave, complementing the INSS aid. For program participants who become parents, 20-day maintenance leave will be guaranteed.
 
Mais Médicos also wants to attract professionals trained with the support of the Federal Government. Those benefiting from Higher Education Student Financing (FIES) who participate in the program may receive incentives, which will help pay off the debt.
 
Another challenge is expanding the training of family and community physicians, who are those who work in basic health units. Approved physicians who complete the residency program in remote areas will also receive incentives from the Ministry of Health – including FIES professionals.
 
Category
Health and Health Surveillance
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ALESSANDRO ALVES JACOB

Mr. Alessandro Jacob speaking about Brazilian Law on "International Bar Association" conference

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