Sistema Único de Saúde

SUS official symbol

The Sistema Único de Saúde (Portuguese pronunciation: [sis.ˈte.mɐ ˈu.ni.ku dʒi sa.ˈu.dʒi], Unified Health System), better known by the acronym SUS, is Brazil's publicly funded health care system. SUS was created in 1990, and since then went through many revisions and reorganizations with the objective of better organizing it's scope, reach and decentralizing it's hierarchy.

Creation

After the fall of the military dictatorship that ruled the country for 20 years, the Brazilian Constitution of 1988 sought to guarantee more rights and freedoms to the population, and set many objectives of social development. Among those, improving health care was set as a priority:

Health is a right of all and an obligation of the State, guaranteed by socioeconomic policies which seek to the reduction of the risk of disease and of other grievances and to the universal and equal access to the actions and services in it's promotion, protection and recuperation.

Two years later in 19 September 1990, the objectives set in the constitution were consolidated in the letter of the law by law number 8.080, whose articles created the SUS and defined it's actuation.

Prior to that, only people who contributed with the social security were able to receive health care. The creation of SUS was important in the sense that more than 80% of the Brazilian population depend on it to receive medical treatment. Brazil provides two-tier health care, but almost 25% of the population pay for private insurance.

Objectives

The SUS's objectives are, by the law of it's creation, defined as:

• The identification and publication of determinant and conditioning factors for human health;
• The formulation of the health policy;
• Assistance to the people through actions of promotion, protection and recuperation of health, with the integrated realization of assistance actions and preventive activities;
• Sanitation and health surveillance;
• Epidemiological vigilance;
• Occupational safety and health;
• Integral therapeutic assistance, including pharmaceutic;
• Basic sanitation;
• Organization of the formation of health human resources;
• Nutritional vigilance and orientation;
• Collaboration with the protection of environment, including work environment;
• Formulation of policies regarding drugs, equipment, immunobiologicals and other resources of interest for human health, and participation in it's production;
• The control and fiscalization of services, products e substances of interest for human health;
• The fiscalization and inspection of food, water and beverages for human consumption;
• The participation in the control and fiscalization of the production, transportation, safety and utilization of [[radioactive, toxic, and psychoactive substances and products;
• Scientific and technological developments in it's area of actuation;
• The formulation and execution of the national policy for blood and it's derivatives.

External links

• SUS official website
• "Reorganizing the Health Care System in Brazil" by Lenaura Lobato