At a public hearing held by the Committee on Health, Social Advancement, Work and Women on Wednesday (25/5), the team of the Municipal Health Secretary, Luiz Carlos Zamarco, presented the responsibility for implementing the portfolio budget, referring to the first quarter of 2022 to advisors and citizens.
According to the Municipal Health Service, capital income for the application account in public health procedures and services until the first quarter of 2022, between January and April, amounted to R$22.63 billion. This represents 40.22% of projected revenue for the whole of 2022. During this period, other additional revenue of R$868 million complements the total health financing.
Total committed expenditures R$ 6.79 billion or 44.66% of the 2022 budget appropriation. There was R$ 5.3 billion in expenditures with public health measures and services, and R$ 1.49 billion in expenditures not included for purposes of calculating the minimum percentage.
The stable expenditures provided by the CEO amounted to R$4.91 billion or 32.29% of the 2022 budget allocation. There was R$4.09 billion in expenditures for public health procedures and services, and R$818 million in unaccounted for the purposes of calculating the minimum percentage.
Master budget executions
For primary health care, out of the total updated amount of R$ 5.49 billion, R$ 2.72 billion was committed and R$ 2.31 billion was settled in the first four months.
As for hospital and outpatient care, out of the total updated amount of R$5.94 billion, R$2.40 billion has been committed and R$1.62 billion has been settled.
Out of a total of R$ 424 million updated, R$ 254 million was committed and R$ 111 million was paid for preventive and curative support.
Click here to view the full statement from the Municipal Health Service.
Councilwoman Luana Alves (PSOL) has requested more transparency around health coordination units. “Some things worry me a lot. We see that out of the R$6 billion, more than R$3 billion went directly to OS (Social Organizations), which are outsourced to São Paulo City Hall service providers and paid with public funds,” the councilor questioned.
Board member Alfredinho (PT) questioned the shortage of doctors in UBSs (basic health units). “In all the health units I visited, I noticed a shortage of doctors of various specialties. Not only of doctors but also of medicines. This complaint from those present is increasing,” the parliamentarian noted.
Councilwoman Giuliana Cardoso (Labour) also criticized the work of the support organizations. The council member commented, “For me, social organizations do not implement their staff with extensive and demanding qualifications like public health personnel.”
According to Zamarco, “In cases where there is a shortage of doctors and family health teams, the amounts related to the employment of these professionals are deducted from the transfer of amounts to social organizations. The Minister of Health explained that there is accountability for this.
The local community and parliamentarians, as well as the Municipal Health Board, sent questions to representatives of the Municipal Health Department about health care for indigenous communities, treatment aimed at mental health and investments in the operation of public hospitals in the city of São Paulo.
Watch the full discussion in the video below:
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