Intersectorality in social and health care: promoting integrated policies for care-dependent older people in Brazil
Lead Research Organisation:
University of East Anglia
Abstract
This project will extend the impact of a current project funded by MRC/CONFAP. Key objectives of that project include
(1) evaluation of a novel integrated health and social care intervention for older people in Belo Horizonte (BH), Brazil:
Programa Maior Cuidado (PMC).
(2) feasibility study for a similar intervention in the city of Fortaleza (FZ) (to demonstrate potential policy transfer).
(3) close engagement with local/national stakeholders.
These objectives are ahead of schedule and we did not anticipate the speed or degree of policy-maker uptake of our initial
research. Based on our evaluation, BH municipality has committed to extend and modify PMC. FZ funded a feasibility
study, completed in June 2019 and the State of Ceará (which includes FZ) have provided about £2million for related
intervention, to be developed and evaluated in partnership with us. Other municipalities have requested our support for
similar interventions. The Federal Ministry of Health (FMoH) now sees PMC as a model of good practice and is working
with us to extend its implementation.
This has created new impact opportunities, some of which require further funding. Activities specific to FZ and Ceará will be
funded by the Brazilian government. We are seeking NFIS funds for:
(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our
influence. It permits a baseline in the new districts, which will add robustness to our evaluations.
(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will
entail less direct interaction with the core project team and will support the development of an online knowledge hub. This
hub will later serve as a resource for other interested municipalities.
(3) Additional collaboration with FMoH to disseminate good practice.
(4) Further international engagement: using the Brazilian experience as a reference point for other countries.
We are seeking NFIS funds for:
(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our influence. It permits a baseline in the new districts, which will add robustness to our evaluations.
(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will entail less direct interaction with the core project team and will support the development of an online knowledge hub. This hub will later serve as a resource for other interested municipalities.
(3) Additional collaboration with FMoH to disseminate good practice.
(4) Further international engagement: using the Brazilian experience as a reference point for other countries.
(1) evaluation of a novel integrated health and social care intervention for older people in Belo Horizonte (BH), Brazil:
Programa Maior Cuidado (PMC).
(2) feasibility study for a similar intervention in the city of Fortaleza (FZ) (to demonstrate potential policy transfer).
(3) close engagement with local/national stakeholders.
These objectives are ahead of schedule and we did not anticipate the speed or degree of policy-maker uptake of our initial
research. Based on our evaluation, BH municipality has committed to extend and modify PMC. FZ funded a feasibility
study, completed in June 2019 and the State of Ceará (which includes FZ) have provided about £2million for related
intervention, to be developed and evaluated in partnership with us. Other municipalities have requested our support for
similar interventions. The Federal Ministry of Health (FMoH) now sees PMC as a model of good practice and is working
with us to extend its implementation.
This has created new impact opportunities, some of which require further funding. Activities specific to FZ and Ceará will be
funded by the Brazilian government. We are seeking NFIS funds for:
(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our
influence. It permits a baseline in the new districts, which will add robustness to our evaluations.
(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will
entail less direct interaction with the core project team and will support the development of an online knowledge hub. This
hub will later serve as a resource for other interested municipalities.
(3) Additional collaboration with FMoH to disseminate good practice.
(4) Further international engagement: using the Brazilian experience as a reference point for other countries.
We are seeking NFIS funds for:
(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our influence. It permits a baseline in the new districts, which will add robustness to our evaluations.
(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will entail less direct interaction with the core project team and will support the development of an online knowledge hub. This hub will later serve as a resource for other interested municipalities.
(3) Additional collaboration with FMoH to disseminate good practice.
(4) Further international engagement: using the Brazilian experience as a reference point for other countries.
Publications
Bastos Freire Netto J
(2021)
Building the capacity of community health workers to support health and social care for dependent older people in Latin America: a pilot study in Fortaleza, Brazil.
in BMC Geriatrics
Coelho De Amorim JS
(2022)
Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study.
in International journal of health services : planning, administration, evaluation
J.de Souza Aredes
(2021)
Integrated care in the community: the case of the Programa Maior Cuidado (Older Adult Care Program) in Belo Horizonte-Minas Gerais, Brazil.
in International Journal of Integrated Care
Lloyd-Sherlock P
(2022)
Integrated long-term care partnerships between government social care and health agencies in Brazil: The Belo Horizonte model
in International Social Security Review
Lloyd-Sherlock, P.
(2020)
Belo Horizonte's pioneering community care programme for older people
Peter
(2022)
The effects of an innovative integrated care intervention in Brazil on local health service use by dependent older people
in BMC Health Services Research
| Description | We have evaluated interventions for older people in Brazil and demonstrated a range of positive effects on outcomes of interest, with both quantitative and qualitative analysis. |
| Exploitation Route | We are now working with the Brazilian national ministry of health and global stakeholders, such as WHO |
| Sectors | Healthcare |
| Description | Our research supported the development, enhancement and evaluation of an intervention for health and social care for poor older people in Brazil, in the city of Belo Horizonte. We have shared this with the federal government who have no approved funding of around £400,000 to extend the intervention to other parts of the country, with a view to possible national roll-out in the future. |
| First Year Of Impact | 2022 |
| Sector | Healthcare |
| Impact Types | Policy & public services |
| Description | New interventions for older people in Brazil |
| Geographic Reach | South America |
| Policy Influence Type | Contribution to new or Improved professional practice |
| Impact | Our research supported the development, enhancement and evaluation of an intervention for health and social care for poor older people in Brazil, in the city of Belo Horizonte. We have shared this with the federal government who have no approved funding of around £400,000 to extend the intervention to other parts of the country, with a view to possible national roll-out in the future. |
| Description | Funding and support from Brazil State Government of Ceara |
| Organisation | Federal University of Ceara |
| Country | Brazil |
| Sector | Academic/University |
| PI Contribution | Collaborative development of a new intervention for integrated health and social care |
| Collaborator Contribution | Collaborative development of a new intervention for integrated health and social care for older people. This was initiated in 2019 and was due to launch in early 2020. The intervention has been postponed due to the impact of the COVID-19 pandemic on our state collaborating agencies. |
| Impact | Intervention ongoing |
| Start Year | 2019 |