FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE HEALTH IN DATA

Transcription

1 FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE HEALTH IN DATA

2 FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE Rio de Janeiro, 2016

3 FGV/DAPP Director Marco Aurelio Ruediger DAPP +55 (21) TEAM IMPLEMENTATION TEAM Coordination Marco Aurelio Ruediger Research Coordination Janaina Fernandes Researchers Wagner Oliveira Bárbara Barbosa Andressa Falconiery Graphic project Rebeca Liberatori Braga FGV is an institution with a philanthropic, educational, technical and scientific nature, created on 20 December 1944 as a private entity, whose aim is to act in a broad manner in all questions with a scientific nature, with an emphasis on the social sciences, administration, law, and economy, contributing to the socioeconomic development of the country. Head Office Praia de Botafogo 190, Rio de Janeiro RJ, CEP ou Caixa Postal CEP Tel: (21) Founding President Luiz Simões Lopes President Carlos Ivan Simonsen Leal Vice-Presidents Sergio Franklin Quintella, Francisco Oswaldo Neves Dornelles e Marcos Cintra Cavalcante de Albuquerque

4 HEALTH IN DATA FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE

5 OVERVIEW This study presents information about the government budget aimed at combating many sicknesses, including Dengue, in order to obtain information about how much is being spent in Brazil and on what. We analyze both the transfer of resources from the Federal Government to the other federated units and the direct applications under a specific budgetary plan. MAIN RESULTS Falling budget execution since 2014 The budget execution rate, meaning the relation between the payed values (including payed carry-over) and the approved values (including subscripted carry-over), in the budget for the transfers to states, municipalities and the Federal District concerning health surveillance was 98% in 2013 and it fell to 77% in For the budgetary plan of the National Coordination on Surveillance, Prevention and Control of Dengue, this value fell from 66% in 2013 to 27% in Distribution of transfers In absolute numbers, the transfers of federal resources to the state governments concerning health surveillance are mainly concentrated in the states of São Paulo, Minas Gerais and Bahia. In per capita terms, there s a concentration on the Federal District and northern states such as Amazonas and Tocantins. Transfers x Incidence: outlier identification Comparing the incidence rate of dengue in the states and the transfers they perceived from the federal government may help to identify outliers. For example, the state of Goiás had the highest incidence in 2015 (24.7 cases per inhabitants), while it was one of the states that received less transfers per capita (R$ 1.27 per inhabitant) 5 DEPARTMENT OF PUBLIC POLICY ANALYSIS

6 Budget execution of the Financial Incentive to states, Federal District and municipalities for Health Surveillance Nominal billions Approved + Subscripted Carry-over* Payed + Payed Carry-over* Real (IPCA) billions Approved + Subscripted Carry-over* Payed + Payed Carry-over* Source: SIGA Brasil (Senado Federal). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Access in 02/19/16; SGS/BCB (Banco Central do Brasil). Available at <https: /www3.bcb.gov.br/sgspub>. Access in 02/19/16. Data refers to the budget allocation under the code 20AL. Prepared by: FGV/DAPP *When an appropriation is approved and engaged in a fiscal year but not payed on the same fiscal year, it goes to the next year budget as a subscripted carry-over (translation for restos a pagar inscritos. The part of this amount which is actually payed on the next fiscal year goes into payed carry-over (translation for restos a pagar pagos ). FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 6

7 Budget execution rate (payed/approved) of the Financial Incentive to states, Federal District and municipalities for Health Surveillance Source: SIGA Brasil (Senado Federal). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Access in 02/19/16; SGS/BCB (Banco Central do Brasil). Available at <https: /www3.bcb.gov.br/sgspub>. Access in 02/19/16. Data refers to the budget allocation under the code 20AL. Prepared by FGV/DAPP 7 DEPARTMENT OF PUBLIC POLICY ANALYSIS

8 Budget execution of the budgetary plan on National Coordination of Surveillance, Prevention and Control of Dengue Fever of the Ministry of Health millions Approved + Subscripted Carry-over* Payed + Payed Carry-over* millions Approved + Subscripted Carry-over* Payed + Payed Carry-over* Source: SIGA Brasil (Senado Federal). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Access in 02/19/16; SGS/BCB (Banco Central do Brasil). Available at <https: /www3.bcb.gov.br/sgspub>. Access in 02/19/16. Data refers to part of the budget allocation under the code 20YJ, specifically on the budgetary plan National Coordination of Surveillance, Prevention and Control of Dengue Fever of the Ministry of Health. Prepared by: FGV/DAPP FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 8

9 Federal government state transfers for health surveillance 2016 (until 18/02): Absolute numbers (R$ millions) 2016 (until 18/02): Per capita Zero Less than 0,6 0,6-1,1 1,1-1,7 Zero Less then 0,06 0,06-0,11 0,11-0,17 1,7-2,2 More than 2,2 0,17-0,23 More than 0, : Absolute numbers (R$ millions) 2015: Per capita Less than Less than 1,1 1,1-2,3 2,3-3,4 3,4-4,6 More than 4,6 Source : SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Prepared by: FGV/DAPP 9 DEPARTMENT OF PUBLIC POLICY ANALYSIS

10 2014: Absolute numbers (R$ millions) 2014: Per capita Less than Less than 1,1 1,1-2,3 2,3-3,4 3,4-4,6 More than 4,6 2013: Absolute numbers (R$ millions) 2013: Per capita Less than More than 45 1,1-2,3 2,3-3,4 3,4-4,6 More than 4,6 Source : SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Prepared by: FGV/DAPP FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 10

11 2012: Absolute numbers (R$ millions) 2012: Per capita Less than Less than 1,1 1,1 a 2,3 2,3 a 3,4 3,4 a 4,6 More than 4,6 Source : SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Prepared by: FGV/DAPP 11 DEPARTMENT OF PUBLIC POLICY ANALYSIS

12 2015 Scatterplot of Federal government transfers to states for health control and the absolute number of cases of dengue per year Transfers (R$ millions) Dengue notifications 2014 Transfers (R$ millions) Dengue notifications Source 1: SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Source 2: Ministry of Health. Available at http: /portalsaude.saude.gov.br/images/pdf/2015/julho/29/dengue-at pdf e http: /portalsaude.saude. gov.br/images/pdf/2016/janeiro/15/svs2016-be003-dengue-se52.pdf, Accessed on January Prepared by: FGV/DAPP FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 12

13 2013 Transfers (R$ millions) Dengue notifications 2012 Transfers (R$ millions) Dengue notifications Source 1: SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Source 2: Ministry of Health. Available at http: /portalsaude.saude.gov.br/images/pdf/2015/julho/29/dengue-at pdf e http: /portalsaude.saude. gov.br/images/pdf/2016/janeiro/15/svs2016-be003-dengue-se52.pdf, Accessed on January Prepared by: FGV/DAPP 13 DEPARTMENT OF PUBLIC POLICY ANALYSIS

14 2015 Scatterplot of Federal government transfers to states per capita for health control and incidence rate of dengue per 1,000 inhabitants per year Per capita transfers Incidence Rate (per hab) 2014 Per capita transfers Incidence Rate (per hab) Source 1: SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Source 2: Ministry of Health. Available at http: /portalsaude.saude.gov.br/images/pdf/2015/julho/29/dengue-at pdf e http: /portalsaude.saude. gov.br/images/pdf/2016/janeiro/15/svs2016-be003-dengue-se52.pdf, Accessed on January Prepared by: FGV/DAPP FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 14

15 2013 Per capita transfers Incidence Rate (per hab) 2012 Per capita transfers Incidence Rate (per hab) Source 1: SIGA Brasil (Federal Senate). Available at <http: /www12.senado.gov.br/orcamento/sigabrasil>. Accessed on 02/19/16. IBGE (Population Projections). Available at: <http: / Accessed on 02/19/16. Source 2: Ministry of Health. Available at http: /portalsaude.saude.gov.br/images/pdf/2015/julho/29/dengue-at pdf e http: /portalsaude.saude. gov.br/images/pdf/2016/janeiro/15/svs2016-be003-dengue-se52.pdf, Accessed on January Prepared by: FGV/DAPP 15 DEPARTMENT OF PUBLIC POLICY ANALYSIS

16 METHODOLOGICAL NOTES The federal budget data was obtained from the consultation made on 19th February 2016 in the SIGA Brasil System of the Federal Senate. The values of government transfers to states to combat dengue refer to the total values paid and the carry-over (amounts earmarked in the previous year and paid in the current one) under the 20AL action (financial incentives to states, the federal district, and municipalities for health control), filtered by the 30 (transfers to states and the DF) and 31 (transfers to states and the DF fund by fund) application modes. The calculation of the incidence rate per thousand inhabitants for the states and the DF was based on the IBGE projected population data for 2012, 2013, 2014, and It is important to highlight that the 20AL action contain resources used to combat various diseases, including dengue. In other words, transfers to combat dengue can be found within this value, but the total value cannot be attributed to the specific combat of dengue. Besides the 20AL action, we present data on the 20YJ action referring specifically to the budgetary plan National Coordination on Surveillance, Prevention and Control of Dengue Fever. According to the Ministry of Health, these resources (available in the budget laws since 2013), shall also be accounted as direct Federal Government expenses for combating Dengue. TEAM FGV/DAPP Department of Public Policy Analysis Getulio Vargas Foundation DIRECTOR Marco Aurelio Ruediger IMPLEMENTATION TEAM Coordination Marco Aurelio Ruediger Research Coordination Janaina Fernandes Researchers Wagner Oliveira Bárbara Barbosa Andressa Falconiery FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE 16

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18 INNOVATION FOR PUBLIC POLICIES dapp.fgv.br +55 (21)