Financiamento do PSF: um problema para o município de Santa Rita do Sapucaí

Abstract

A new supportive health maintenance system came into force in 1990 when the Brazilian Law No. 8080, which conceived the Health Single System (HSS), was published. The Doctrinal Principles – namely: Universality, Equity and Integrity – were established to such System and they, in their turn, gave birth to organisational principles, such as Decentralization, Hierarchical Arrangement and Citizenry’s Wide Participation. Such organisation was devised in levels of complexity and inserted in a tripartite-pyramidal schema whose outline comprises Basic Attention, Medium Complexity and High Complexity priorities. Basic Attention Level is in charge of, approximately, 85% of all popular health demands and it is the main gateway to one enters the Brazilian Health System. Its financial funds are guaranteed by Basic Attention Segment, formed by two components, as follows: Permanent Basic Attention Fund (PBAF) – to which the resources are calculated and reserved according to the number of inhabitants – and Variable Attention Fund (VAF) – that provides the necessary money for all basic actions through social programmes – among which one can point out the Familiar Health Programme (FHP). The most substantial aim of this research work endeavours to expose, in a clear and objective way, the challenges faced by the municipality of Santa Rita do Sapucaí (located in the Southern Region of Minas Gerais) when the local government dedicates itself to maintain such social health programme, to obey the Fiscal Responsibility Law and to hire those professionals who must compose the FHP.