Author:

• Daniel Resende Faleiros - Faleiros, D. R. - <dfalleiros@gmail.com>
ORCID: https://orcid.org/0000-0003-2576-5360

Co-author(s):

• Blenda Leite Saturnino Pereira - Pereira, B. L. S. - <blendapereira@usp.br>
ORCID: https://orcid.org/0000-0002-7831-0258

Abstract:

We analyzed the balancesthe transfersthe Ministry of Health (MoH) to subnational entities, to finance the Unified Health System (SUS), including for COVID-19. We verified the representativeness of these vis-à-vis the transfersthe MoH to public health actions and services (2019/2020). We analyzed the MoH ordinances that gave rise to the COVID-19 transfers, classifying them as: quantity; object; apportionment criterion; amount of installments transferred; whether or not execution is linked to MoH strategies; value. In 2019, balances reached R$16.29 billion (annual increase of 10.2%), representing 19.9% of the total transferred. In 2020, they reached R$23.83 billion (an increase of 46.3%), representing 21.1% of the transferred, with a monthly trend of continued growth. More than 616 ordinances, with 28 different objectives, transferred R$32.30 billion to COVID-19. The resource before unrestricted use had R$11.88 billion (36.8%) linked to the strategies of the MoH, in the Structuring Block, andR$1.36 billion (99.9%) were tied and Maintenance R$10.52 billion (34.0%).There are several causes that give rise to the accumulation of balances, however the quality, quantity and complexity of the SUS normative framework strongly contribute to a slow, effective, efficient and effective implementation of resources.

Keywords:

Public health; Health economic; Budgets

Content:

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