From PROVAB to the Mais Médicos Program: paths taken in the state of Bahia

• Autor(a) principal: Santana, Anderson Freitas de
• Data de Publicação: 2022
• Outros Autores: Silva, Kally Cristina Soares, Guimarães, Maria Clara da Silva, Bittencourt, Maria Ferreira, Vieira, Mariângela Costa, Prado, Viviane Mascarenhas Gois
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3579
• topic: Atenção primária à saúde; Estratégia saúde da família; Educação médica; Recursos humanos em saúde; Atención primaria de salud; Estrategia de salud familiar; Educación médica; Recursos humanos en salud; Primary health care; Family health strategy; Education medical; Human resources in health

Scarcity and inequality of human resources, especially physicians in Primary Health Care, are a challenge for universal health systems. In Brazil, several strategies to mitigate the issue have been adopted since 1968. In 2011, the Primary Care Professional Appreciation Program (Provab) was established to provide and qualify doctors, nurses, and dentists to work in Family Health. Associated with this strategy, the Mais Médicos pelo Brasil Program was created in 2013, acting on three axes: emergency provision, medical education, and investment in care network services infrastructure. This paper presents the experience of Provab in the state of Bahia, Brazil, considering the different viewpoints regarding Provab and the Mais Médicos Program, emphasizing the priority component of in-service medical education, especially the integration between these programs. Some strategies were established, such as: actions aimed at qualifying in-service medical education; qualification of medical supervision; implementation of decentralized supervision; institutional support; and integration of the State Coordinating Committees. The strategies adopted by the state of Bahia to promote integration between the programs proved to be effective, as can be seen in the implementation of the Mais Médicos Program structuring axes.