A portrait of Brazilian primary care: municipal expenditure and infrastructure in Brazilian municipalities

• Published in: Ciência & saude coletiva Vol. 26; no. S2; pp. 3397 - 3408
• Main Authors: Kashiwakura, Helder Kiyoshi, Goncalves, Andrea de Oliveira, de Azevedo, Ricardo Rocha, Nunes, Andre, Silva, Cesar Augusto Tiburcio
• Format: Journal Article
• Language: English; Portuguese
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 15-09-2021
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-81232021269.2.37112019

The paper presents the relationship between the allocation of financial resources and the type of local basic health infrastructure in an initial sample of 5,570 Brazilian municipalities. This is an explanatory research using multiple correspondence analysis and quantile regression between expenditure/control variables and the type of structure of PHC Units. The correspondence between the type and the representative variables of expenditure shows that inferior typologies are related to lower per capita expenditure in these variables, and vice versa. Quantile regression showed a positive relationship with the type of infrastructure in the two cycles evaluated. There is evidence that expenditure variables are positively related to infrastructure, which allows us to understand that allocating more resources leads to better infrastructure. Results point to the need to improve the governance of financial resources for health, as municipalities with lower socioeconomic indicators have an infrastructure in the lower categories. We can conclude that there are multiple actors, and the various criteria for allocating and decentralizing resources bring about difficulties of coordination and integration between the entities, restricting the appropriate prioritization in the distribution of resources.