Aliança mais SUS
Lever
Health Culture in Society
Type of grant
Product development
Benefited population
Health teams and public managers
The Mais SUS Alliance is an initiative carried out by the Institute for Health Policy Studies (IEPS) and supported by Umane, bringing together efforts with public partners to strengthen Brazil’s Unified Health System (SUS), with a focus on improving Primary Health Care (PHC). The partnership unfolds through coordinated actions with the municipal, state, and federal levels, seeking to make the SUS more accessible, equitable, and efficient. Key areas of action include improving the management and career paths of health professionals, promoting healthier environments, and accelerating innovation within the public health system.
To achieve this, the Alliance develops initiatives such as the Mais SUS Agenda, which produces content, research, and guidance to influence decision-making at the highest levels of federal health management; Health Budget Monitoring, which oversees the federal health budget and generates analyses to improve resource allocation; and Health Policy Monitoring, which follows the design, implementation, and management of public policies and supports policy advocacy with the Executive and Legislative branches. Another axis focuses on Health Care Networks, aimed at regionalizing health services and strengthening regional governance, technical capacity, and knowledge management. In addition, Inova APS supports municipalities in designing and implementing policies to reduce the prevalence of risk factors within Primary Health Care.
Another important milestone was the Technical Cooperation Agreement between IEPS and the Primary Health Care Secretariat (SAPS) of the Ministry of Health, aimed at the joint development of solutions for PHC. The agenda includes topics such as governance, financing, service diversification, and strengthening the role of Community Health Workers, with a national survey planned to reach more than 70,000 workers.
The Alliance also carries out local high-impact projects, such as Qualifica Primary Care (Qualifica AB) in Recife, which introduced performance evaluation systems, innovative practices, and recognition of best experiences in Primary Health Care Units. Another initiative is the Cuidar Melhor program, developed with the government of Ceará, which trains municipal managers to improve health indicators.
Primary Health Care Strengthening through more effective public policies, evidence-based decision-making, and influence over public opinion, electoral agendas and legislative activity.
All PHC units (UBSs) in Recife included in the quarterly Recife Monitora assessments, with 136 action plans developed based on each unit’s results by 2024.
By the end of 2023, Recife Monitora had accumulated 55,000 user interactions and 80% engagement from Family Health Teams (ESF) in the program’s first cycle.
By 2024, 20 UBSs in Sobral-CE had implemented the three components of the InovAPS project.
375 managers, political actors and opinion leaders mobilized around the Institute’s advocacy and institutional relations projects throughout 2024.
Municipal Law No. 19,014, of December 16, 2022, institutionalized Recife Monitora as a program that evaluates public health facilities offering essential services through assessment cycles conducted every four months.
“One of the differentiators of working with Umane is the fact that the organization not only supports the project but also drives the development of our institution as a whole. There is highly qualified follow-up by the team, with very fluid exchanges, and Umane also opens other doors for IEPS. Our partnership has been very successful because it considers the long term and a set of interconnected topics — and that is essential for the structural changes in health that we aim for.”