Together for Health: a Matchfunding initiative to strengthen the Brazilian Public Health System (SUS)

The Brazilian Unified Health System, known as SUS, is universal, free, and a worldwide reference. Nevertheless, it could benefit even more people and perform better if allocating public and private resources.

Did you know that for 18% of the Brazilian population, especially in the North and Northeast regions, the number of doctors available in public health is less than 1 for every thousand inhabitants? The Brazilian average is 2.15 per thousand.

In addition, the average life expectancy in these regions is 3 years lower than in the rest of the country. At the same time, the infant mortality rate is 3% higher compared to the Central and South regions.

Let’s change this reality together!

 

What is Together for Health?

Together for Health Program is a donation initiative of the BNDES (National Bank of Social and Economic Development) in the matchfunding style. In other words, it will be co-financed by the private enterprise and social organisations to allocate R$ 200 million* to projects in the health area of the North and Northeast regions over four years.

R$ 1 in donations + R$ 1 BNDES = donation to strengthen public health

With these guidelines, the initiative confirms its alignment with UN Sustainable Development Goals (SDGs) 3 – Health and Wellness, and 10 – Inequality Reduction.

 

What is the Program’s goal? 

Supporting and strengthening the Brazilian Health System (SUS) in the North and Northeast regions, focusing on improving the efficiency of health service provision, quality, and integration of the system as a whole.


Who will benefit from the Program?

The entities that can receive resources from the program are: non-profit private organizations (Philanthropic Health Units, for example) or public bodies that do not depend on transfers of resources from the Union for their maintenance. The health projects presented must be in line with the premises of Together for Health and will be submitted to the approval of the Validation Committee, formed by members of the BNDES and other supporters of Together for Health.

How will the resources be invested? 


Depending on the supported health unit’s needs, there will be three possibilities for investment:

– Fixed assets: equipment acquisition or execution of recovery, modernization, expansion, and construction works;

– Management: telehealth system, digital systems, regulation systems, and implementation of applied management methodologies;

– Campaigns: cost of temporary health service provision campaigns associated with the start of health infrastructure operation.

Who participates:

 

– BNDESBanco Nacional de Desenvolvimento Econômico e Social (National Bank of Economic and Social Development): promoter and financer of the initiative.

– IDIS – Instituto para o Desenvolvimento do Investimento Social (Institute for the Development of Social Investment): responsible for resource management, fundraising, and project selection that will benefit from the Program.

– Impulso Gov: author of “Impulso Previne”, a project that brings together solutions and free services for municipalities to expand the reach and quality of SUS primary care and is already eligible to receive investments.

Together for Health supporters

– Vale Foundation

– Banco do Brasil Foundation

 

Join us!
To learn more about how to get involved, visit our website or contact juntospelasaude@idis.org.br 

* On December 2022, USD 1 is equivalent to R$ 5,20

National Bank for Economic and Social Development selects IDIS as ‘manager partner’ to improve Brazilian public health system

The matchfunding initiative will finance new technologies to expand health service in the North and Northeast of Brazil. By encouraging the participation of private donors, BNDES – National Bank for Economic and Social Development will double any contribution made to the program. Over 4 years, the equivalent to USD 40 million will be donated.

 

The National Bank for Economic and Social Development (BNDES) selected the consortium formed by IDIS and Impulso Gov as the managers for the “Juntos pela Saúde – Together for Health” initiative

Launched in June 2022, the initiative aims to increase investment in technology and equipment for the Brazilian population’s access to health, in addition to improve the Brazilian free and public health system (SUS). The focus will be the North and Northeast regions of the country.

BNDES will use the matchfunding strategy, in which it doubles the amount invested by private donors. The initiative aims to gather R$ 200 million in non-reimbursable resources, equivalent to about USD 40 million, health of it invested by the bank, which will be transferred to public and philanthropic health units that serve the SUS by the means of acquisition of equipment, IT, management improvements and health campaigns.

So far, there is already a declared intention of a contribution from the multinational miner company Vale, in the amount of R$34 million, that, as the strategy suggests, will be also matched by  BNDES. These resources will strengthen primary care in the municipalities surrounding Vale’s operations in the State of Maranhão, with the expansion of the successful experience of the “Ciclo Saúde” (health cicle), project by Vale Foundation. 

The Bank’s resources come from the BNDES’ socio environmental fund.

The contracted manager will be responsible for supporting fundraising and carrying out public selection of projects and/or structuring projects eligible for support, in the minimum amount of R$2 million. All proposals will be submitted to a validation committee, with equal participation of BNDES and donors.

The project manager will also have the attribution of receiving funds from BNDES and other supporting institutions and passing them on to the contemplated projects, following up on the application and monitoring the results. The management of “Juntos pela Saúde” will follow all the corporate governance and compliance requirements, with the establishment of measurable goals, contracting of external audits, dissemination of results and public selections. In addition to improving access to healthcare, the initiative has as goals the efficiency and transparency of the investments.

“IDIS is very proud of this achievement. Our experience in managing donations and creating robust governance structures, such as the Emergency Health Fund – Coronavirus Brazil and the Private Social Investment Fund for the End of Violence against Women and Girls, was certainly decisive in demonstrating our ability to deliver such an important and complex project”, comments Paula Fabiani, CEO of IDIS.

Founded in 1999, IDIS is considered one of the pioneering organizations in advisory for social investors in Brazil. ImpulsoGov, on the other hand, has the mission of improving health policies through the intelligent use of data and technology.

The expectation is that the selected consortium will be hired in December, after technical and legal analysis by the BNDES, and that, in 2023, it will start working on the selection and structuring of projects.