Public Health Financing in the State of Rio de Janeiro: Overview (2015 to 2018), Challenges, and Reflections

Resumo

Objectives: To present the allocation of resources in public health in the State of Rio de
Janeiro from 2015 to 2018, originating from the National Health Fund, and demons
trate the importance of understanding the management of public health resources. Me
thods: A quantitative descriptive study based on data extraction from the period 2015
to 2018 available on the National Health Fund (FNS) portal, as well as some regulatory
instruments such as the Multiannual Plan (2016-2019), made available on the State
Transparency Portal. Results: Based on the data extracted from the FNS, a total of
R$22,002,986,283.17 was executed for health, with R$480,758,737.56 allocated
to Pharmaceutical Assistance and R$4,428,294,397.74 to Primary Care, equivalent to
2.18% and 20.13%, respectively. In the Pharmaceutical Assistance scenario, the amount
budgeted for the quadrennium was R$621,551,730.00, but R$571,802,443.20 was
executed, corresponding to 92%. It is noteworthy that the Farmácia Popular program
saw a decrease in the budget from R$5 million in 2015 to R$2.8 million in 2017. Con
clusions: The study reinforces the relevance of the debate surrounding the financing of
the Unified Health System (SUS) and the importance of understanding the challenges in
the allocation of public health resources, aiming for active management and the consoli
dation of a universal and comprehensive SUS.