QUALISUS-REDE Brazil Health Network Formation and Quality Improvement Project

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The objectives of the First Phase of the Adaptable Program Loan for the Health Network Formation and Quality Improvement Project for Brazil are to: i) improve the quality and efficiency of the Unified Health System (SUS)' Regional Health Care Networks (RHCN) with the emphasis on secondary-level health care, specialty, diagnostic and emergency centers, and logistical systems serving the project's targeted regions and populations; and ii) improve the effectiveness of the SUS' RHCNs delivery systems to prevent, detect, and treat priority health conditions in the project's targeted regions and populations. There are three components to the project. The first component of the project is development of regional health care networks and strengthening of health care facilities. This component supports two related categories of activities. The first involves the development and implementation of regional and organized arrangements for coordinated or integrated care - (RHCNs). The second consists of upgrading, quality enhancement, organizational reform, and strengthening of management practices in facilities within the RHCNs. The second component of the project is systems development for performance enhancement. This component supports the creation of an enabling institutional and systems environment to support the implementation of RHCNs, improve quality and care management, promote alternative payment systems, and strengthen monitoring and evaluation capacity. This component will have a national focus and will be implemented directly by the Ministry of Health (MOH). The third component of the project is project management. This component aims at strengthening the MOH to implement and supervise the project implementation and results. It will finance a group of fulltime consultants that will support the MOH's staff to carry out procurement, financial management and administrative tasks associated to the project's daily implementation. It will also finance facility upgrading (rehabilitation, office furniture, and computer equipment), consulting and non-consulting services such as printing, training and travel expenses.