Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil

Abstract

On January 2019, Brazil’s new far-right president Jair Bolsonaro was sworn into office. Bolsonaro’s administration supports downsizing the Brazilian Unified Health System (SUS), while increasing the size of the private health sector. The new administration might leave millions of Brazilians without medical care, including hundreds of thousands of people living with HIV/AIDS. Bolsonaro’s administration, allied with a highly conservative Congress and sharp decreases in federal funding for public health, education and research, could jeopardize key health and human rights strategies focused on women, LGBTQ + individuals, Indigenous populations, and people living with HIV/AIDS.

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References

  1. 1.

    The Lancet Global Health. Brazil enters the Bolsonaro zone. Lancet Glob Health. 2019;7(2):e160.

    Article  CAS  Google Scholar 

  2. 2.

    Alves L. Cuban doctors’ withdrawal from Brazil could impact health. Lancet. 2018;392:2255.

    Article  Google Scholar 

  3. 3.

    Pinto HA, de Oliveira FP, Santana JSS, Santos FOS, Araujo SQ, Figueiredo AM, Araújo GD. The Brazilian More Doctors Program: evaluating the implementation of the Provision axis from 2013 to 2015. Interface (Botucatu). 2017;21(Suppl 1):1087–101.

    Article  Google Scholar 

  4. 4.

    Franco CM, Almeida PF, Giovanella L. Comprehensiveness of practices by Cuban physicians in the More Doctors Program in Rio de Janeiro, Brazil. Cad Saude Publica. 2018;34(9):e00102917.

    Article  Google Scholar 

  5. 5.

    Andrade MV, Coelho AQ, Xavier Neto M, de Carvalho LR, Atun R, Castro MC. Transition to universal primary health care coverage in Brazil: analysis of uptake and expansion patterns of Brazil’s Family Health Strategy (1998–2012). PLoS ONE. 2018;13(8):e0201723.

    Article  CAS  Google Scholar 

  6. 6.

    Frasca T, Fauré YA, Atlani-Duault L. Decentralisation of Brazil’s HIV/AIDS programme: intended and unintended consequences. Glob Public Health. 2018;13(12):1725–36.

    Article  Google Scholar 

  7. 7.

    Massuda A, Hone T, Leles FAG, de Castro MC, Atun R. The Brazilian health system at crossroads: progress, crisis and resilience. BMJ Glob Health. 2018;3(4):e000829.

    Article  Google Scholar 

  8. 8.

    Rasella D, Basu S, Hone T, Paes-Sousa R, Ocké-Reis CO, Millett C. Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: a nationwide microsimulation study. PLoS Med. 2018;15(5):e1002570.

    Article  Google Scholar 

  9. 9.

    Angelo C. Brazilian scientists reeling as federal funds slashed by nearly half. Nature. 2017;2017(544):7648.

    Google Scholar 

  10. 10.

    Doniec K, Dall’Alba R, King L. Brazil’s health catastrophe in the making. Lancet. 2018;392(10149):731–2.

    Article  Google Scholar 

  11. 11.

    Murray LR, Kerrigan D, Paiva VS. Rites of resistance: sex workers’ fight to maintain rights and pleasure in the centre of the response to HIV in Brazil. Glob Public Health. 2018;24:1–15.

    Google Scholar 

  12. 12.

    Santos MJ, Mascarenhas MDM, Malta DC, Lima CM, Silva MMAD. Prevalence of sexual violence and associated factors among primary school students—Brazil, 2015. Cien Saude Colet. 2019;24(2):535–44.

    Article  Google Scholar 

  13. 13.

    Diniz D, Gumieri S, Bevilacqua BG, Cook RJ, Dickens BM. Zika virus infection in Brazil and human rights obligations. Int J Gynaecol Obstet. 2017;136(1):105–10.

    Article  Google Scholar 

  14. 14.

    Carrara S, Nascimento M, Duque A, Tramontano L. Diversity in school: a Brazilian educational policy against homophobia. J LGBT Youth. 2016;13:161–72.

    Article  Google Scholar 

  15. 15.

    Blondeel K, de Vasconcelos S, García-Moreno C, Stephenson R, Temmerman M, Toskin I. Violence motivated by perception of sexual orientation and gender identity: a systematic review. Bull World Health Organ. 2017;96(1):29–41.

    Article  Google Scholar 

  16. 16.

    Alves L, Fraser B. Health-care inequity a challenge for Brazil’s new Government. Lancet. 2019;393(10168):213–4.

    Article  Google Scholar 

  17. 17.

    Seffner F, Parker R. The neoliberalization of HIV prevention in Brazil. In: Myth vs. reality: evaluating the Brazilian response to HIV in 2016. Rio de Janeiro, Brazil: ABIA. http://gapwatch.org/wp-content/uploads/2016/07/Myth-vs-Reality_BRAZIL-HIV_2006.pdf. Accessed 1 Mar 2019.

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Correspondence to Monica Malta.

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Montenegro, L., Velasque, L., LeGrand, S. et al. Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil. AIDS Behav 24, 1–4 (2020). https://doi.org/10.1007/s10461-019-02470-3

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Keywords

  • Brazil
  • HIV/AIDS
  • Public health
  • Democracy
  • Human rights