The Brazilian Open University of the National Health System

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The Brazilian Open University of the National
Health System Universidade Aberta do Sistema
Único de Saúde(UNA-SUS)
Francisco Eduardo de Campos Secretary of Human
Resources Development - Ministry of Health -
Brazil
Istambul, April, 2009
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(No Transcript)
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Basic Facts about Brazil
Population190,000,000 States 26 1 Federal
District Municipalities 5,563 40 of the
population in metropolitan areas
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Brazilian Health System

• Brazilian National Constitution of 1988 health
  is a political issue
• The principles of Unified Health System
• Universal
• Equitable
• Comprehensive services coverage
• Decentralization
• Social Participation

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Primary Health Care (PHC) in Brazil

• Stage of development
• Family Health Programme became a nationwide
  strategy in 1994, in order to implement PHC
• Result Infant Mortality Rate is reducing in the
  last decade
• Family Health Teams are composed by
• 1 physician, 1 graduated nurse
• 2 Nursing auxiliaries and 4 to 6 Community Health
  Workers
• PHC in numbers
• 1998 3.000 teams, covering 5 of population
• 2009 30.000 teams covering 50 of population

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Family Health Strategy Primary Health Care in
Brazil
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Family health teams coverage
2006
2007
April/2008
FONTE SIAB - Sistema de Informação da Atenção
Básica SCNES Sistema de Cadastro
Nacional de Estabelecimentos em Saúde
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Challenges

• Lack of quantity and quality of well-trained
  Family Health Professionals
• Shifting educational institutions towards health
  needs
• Implement in-training services methodologies for
  post-graduate courses residency programs and
  specialization
• Redirecting the production of researches in PHC
  and community-based needs

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Surveillance
HealthServices
Research Development
Ministry of Health
Education Workforce
Social Participation
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Education Workforce
Education
Managerialtraining
Workforce management
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CHW
Technical Education
Education
eHealth (Telessaúde)
Open University
Under-graduate
Specialization and Residences
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Open University of the National Health System
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What is it

• Universidade Aberta do SUS (UNA-SUS) is a network
  of Academic Institutions and Health Services that
  provides distributed learning to health workers.
• UNA-SUS is supported by the Ministry of Health of
  Brazil (MoH) in collaboration with Pan-American
  Health Organization (PAHO-WHO)

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UNASUS Mission

• Continuous education of the health care workers

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Goals2008-2011

• To offer post-graduation (specialization) for
  52.000 family health professionals.
• To offer managerial training for 110.000 health
  workers.

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Access of family health teams to post-graduate
training in 2008
Family health residencies Specialization Other
specialties or no post-graduation training
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Expected goals in 2011 using current training
approach
Family health residencies Specialization Other
specialties or no post-graduation training
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UNA-SUS goal for 2011
Family health residencies Specialization Other
specialties or no post-graduation training
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TBC
Family Health Specialization(52.000)
Professional Master of Sciencecourses
Denge
Swinne Avian Flu
Managerialtraining( 110.000)
Shor-termtraining
Academiceducation
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Diploma
Local support
Produzir Conteúdo
Knowledge production
Knowledge production
Produção de Cohecimento
New tech
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Knowledge production

• UNA-SUS uses CVSP standards and strategies so
  that every participant institution can create and
  share learning resources with the others
• Every learning resource financed by MoH is now
  made public
• Institutions just need to publish their learning
  resources on their on website

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Knowledge production

• Learning Objects Clearinghouse
• Provides evidence-based, re-usable learning
  objects
• On the web, directly to health workers, students
  and institutions
• Who runs it?
• PWR Brasil of PAHO, in collaboration with
• University of Brasilia, University of Minas
  Gerais and National School of Public Health /
  Fiocruz
• Mirrored with
• Ministry of Health Learning objects portal, and
  CVSP, witch, by its turn, is indexed as tertiary
  data by Bireme

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New learning technologies

• UNA-SUS is providing on-line and on-site training
  on planning e-learning processes wich includes
• Planning production of learning objects
• Planning distant-learning courses based on
  learning objects
• Indexing and publishing learning objects

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Local Support

• Education of Health workers does not succeed if .
• On-site training must be blended to the process
  (even by use of telemedicine e-health)
• Because of this, MoH is working in collaboration
  with other Ministries (of Education, of
  Communications, of Defense and of CT) to provide
  internet connectivity and local support
• This provides over 3.450 local learning support
  sites all over the country

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Local support

• E-HEALTH
• Partnerships with 6 other Ministries, linking
  academic institutions and reference hospitals to
  health centers in rural and outskirts areas.
• It carries simultaneously 2nd opinion and
  tele-education.
• 900 remote spots operational by the end of 2008.
• Reducing 50 times the costs related to
  traditional referral system.

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Deployment Amazon
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Learning certificates and Diplomas

• The certification of learning process is made by
  each Academic Institution of the UNA-SUS network
• The degrees varies from short-term training to
  specializations and Master of Science.
• MoH in partnership with MoE supports the Academic
  Institution in the exchange of students and
  graduates information
• This allows each Academic Institution to use
  previous experience of the health worker as part
  of the certification process.

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Conclusion

• UNA-SUS is a successful ongoing experience that
  uses CVSP methods mixed with Nation-wide
  strategies for e-learning and e-health to
  establish a network of distributed learning for
  health workers.