Afluentes – JPS
Lever
Organization of the work process in the Health System
Type of grant
Model development
Benefited population
82,274 people (pregnant women and/or individuals with hypertension) from the municipalities of Oriximiná, Curuá, Itaituba, Santarém, Aveiro and Belterra, in the state of Pará.
Developed by the Institute for Health Policy Studies (IEPS), the *Afluentes* project seeks to improve care for pregnant women and individuals with hypertension in the Legal Amazon. Carried out as a pilot in the Pará municipalities of Santarém, Belterra, Curuá, Oriximiná, Aveiro, and Itaituba, the project was designed across three fronts: updating prenatal, childbirth, and postpartum care lines, as well as hypertension lines; expanding connectivity in Basic Health Units (UBSs); and using messaging to encourage self-care and treatment adherence.
In 2025, IEPS validated new protocols in three pilot UBSs in Santarém and Belterra and developed two practical guides to support the reorganization of care in the territories. The messaging strategy was implemented across the six municipalities, in partnership with ImpulsoGov and the *Saúde e Alegria* organization, with more than 29,000 users activated in Santarém and Belterra alone, and interaction rates exceeding 15% for messages sent in the final quarter.
The project also completed the digitalization of the 113 eligible UBSs, which were integrated into the ImpulsoGov platform, and provided training to 94 healthcare professionals. To strengthen the continuity of the initiative, steering committees were formalized in the six municipalities. In 2026, the focus will be on improving the measurement of tracking indicators for pregnant women and people with hypertension, as well as expanding consolidated practices.
60% of the population with hypertension having their blood pressure measured within the last six months, 70% of pregnant women completing six or more prenatal consultations. A new model for the prenatal and hypertension care pathways for each municipality
Technical Cooperation Agreements signed with the participating municipalities (Belterra, Aveiro, Curuá, Itaituba, Oriximiná, and Santarém), ensuring institutional commitment and local co-responsibility
users activated in Santarém and Belterra alone
of eligible UBSs (113 units) digitalized, with integration into the ImpulsoGov platform