Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 1/2020

01-01-2020 | Public Health | Commentary

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

Authors: Luiz Montenegro, Luciane Velasque, Sara LeGrand, Kathryn Whetten, Ricardo de Mattos Russo Rafael, Monica Malta

Published in: AIDS and Behavior | Issue 1/2020

Login to get access

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.
Literature
1.
The Lancet Global Health. Brazil enters the Bolsonaro zone. Lancet Glob Health. 2019;7(2):e160.CrossRef
2.
Alves L. Cuban doctors’ withdrawal from Brazil could impact health. Lancet. 2018;392:2255.CrossRef
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.CrossRef
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.CrossRef
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.CrossRef
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.CrossRef
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.CrossRef
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.CrossRef
9.
Angelo C. Brazilian scientists reeling as federal funds slashed by nearly half. Nature. 2017;2017(544):7648.
10.
Doniec K, Dall’Alba R, King L. Brazil’s health catastrophe in the making. Lancet. 2018;392(10149):731–2.CrossRef
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.
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.CrossRef
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.CrossRef
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.CrossRef
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.CrossRef
16.
Alves L, Fraser B. Health-care inequity a challenge for Brazil’s new Government. Lancet. 2019;393(10168):213–4.CrossRef
17.
Metadata
Title
Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil
Authors
Luiz Montenegro
Luciane Velasque
Sara LeGrand
Kathryn Whetten
Ricardo de Mattos Russo Rafael
Monica Malta
Publication date
01-01-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02470-3

Other articles of this Issue 1/2020

AIDS and Behavior 1/2020 Go to the issue

Original Paper

Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis

Original Paper

Social Network Organization, Structure, and Patterns of Influence Within a Community of Transgender Women in Lima, Peru: Implications for Biomedical HIV Prevention

Original Paper

Anticipated HIV-Related Stigma and HIV Treatment Adherence: The Indirect Effect of Medication Concerns

Original Paper

Comparing Different Measures of Retention in Care Among a Cohort of Adolescents and Young Adults Living with Behaviorally-Acquired HIV

Original Paper

Development and Validation of the Personalized Sexual Health Promotion (SexPro) HIV Risk Prediction Model for Men Who Have Sex with Men in the United States

Original Paper

“That Guy is Gay and Black. That’s a Red Flag.” How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits