Lessons from Brazil's Health System

From Emergent Africa Tue Nov 11 2014, 19:14:00

Chikwe Ihekwazu writing in Nigeria Health Watch:

A tour round the Primary Health care centre in the Rochina favela Photo Credit: Pilar Olivares/TED

I recently visited Brazil. Brazil has a lot in common with Nigeria: a large population (200M in Brazil vs. 170M in Nigeria) and a similarly huge gap between the rich and the poor. Over the years, I had heard a lot about Brazil's progressive policies in public health. Long before universal access to antiretroviral therapy (ART) became accepted, Brazil challenged conventional wisdom and, despite World Bank objections, provided free universal access to ART for all people living with HIV/AIDS since 1996. In addition, Brazil manufactures most of its own vaccines in the famous Fiocruz Institute. So, I jumped at the opportunity enabled by the TEDxChange programme and supported by the Bill & Melinda Gates Foundation, to visit a primary health centre in Rocinha (Rio de Janeiro), one of the largest favelas in Brazil. Its proximity to the homes of the upper class from neighboring districts marks a profound contrast to the urban landscape of the region. It was just as seen in the movies; narrow alleyways ascending steep hills absolutely packed with people. While I felt somewhat uncomfortable about looking around and into their day-to-day reality, I ...

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