City Hall abandons federal funding to create 312 teams of family physicians

The deputy of Rio establishes an investigation to investigate

The mother of Crivella occurs at Salgado Filho hospital [19659004] Fila at Salgado Filho hospital after surgery of Crivella's mother

Crivella's mother is operated at Salgado Filho hospital and patients complain of differential treatment [19659004] At the request of the town hall, the Ministry of Health confirmed, four months ago, that he was going to transfer funds to cover, in part, the 312 teams. But the municipality did not respect the deadline to implement them. Today, there are 1,294 Family Health Teams in Rio working in the 232 primary care units in the city. Each can handle up to 3,500 people. With the new groups, the program would reach 86.8% of the population

– Family health clinics are the gateway to the system. It's a mistake not to prioritize the basic attention, in which health problems are avoided – says the chairman of the Regional State Medicine Council of Rio (Cremerj), Nelson Nahon

The Ministry of Health informed by note that it has failed to transfer to the mayor the resources related to the new teams. The transfer of federal funding, according to the agency, is conditional on the establishment of the service, which must be duly registered in the National Register System of Health Establishments (SCNES) by the municipal management. As the city has not created the teams, the money that will arrive in Rio will be aimed at "new applications for accreditation".

"VERY DIFFICULT SITUATION"

According to the Department of Municipal Health, the demand to increase the number of teams was sent to the Ministry of Health in 2016, in the management of the mayor of Then Eduardo Paes. "However, there was no planned expansion of the network and these teams have never been put in place," he said. The justification would be "the very difficult situation left by the previous government, with a debt of 266 million R $ canceled in December, referring to the accounts of November and December." He also stressed that "despite all the difficulties encountered, seven family clinics were inaugurated last year, with teams already engaged".

A report from the Municipal Court of Auditors, released last week, shows, however, that the former leadership has not left a break in the public accounts. Contrary to the claim of the mayor Marcelo Crivella, the court concluded that even if all the suppliers had been paid by the previous administration, there would remain a surplus of 38.9 million reais in cash.

– There is more debt for the current government, and TCM has proven it. Crivella promised in his campaign to put R $ 200 million more into health, but took R $ 340 million – said Daniel Soranz, last secretary of health management Eduardo Paes

The president of the 39, Association of Family Medicine and the community, Dr. Moisés Nunes, regrets the disqualification:

– The previous management project was to extend even more coverage of the family health strategy.

Councilor Paulo Pinheiro (PSOL) announced that he will meet today the Municipal Secretary for Health, Marco Antônio de Mattos, to find out why federal resources have not been used:

This is one of the biggest absurdities of recent times. Both by the Ministry of Health and the city. The expansion of the family health program has been a speech of the mayor. However, we have witnessed the destruction of an essential program for public health

The loss of the federal budget, which was already badigned to the program, is not the only loss that is suffered by basic care in Rio. which were open until 8pm, closed earlier. The João Barros Barreto Municipal Health Center in Copacabana closed at 18:00. In addition, officials report that five health workers left the program in June. Yesterday, cleaning lady Rosa Camilo, 50, tried to make an appointment after 6pm and was not able to:

– I wanted to come back here only after my work, but I got it asked to be up until 16h.

At the Neto Salles Municipal Health Center in Rio Comprido, 33-year-old Cristiane Cardoso tried to make an appointment with a general practitioner last week, but will have to wait more than ten hours to make an appointment: [19659014] – I went to the Comprido Family Clinic Rio today, but they said my address is not part of this area. We need more options