SESAI rescues R$2.3 million of residual balance in municipal funds for indigenous health
The Special Secretariat of Indigenous Health (SESAI) of the Ministry of Health identified R$ 2.3 million available for indigenous health that had been frozen in the Municipal Health Funds since the extinction of the Basic Care Incentive for Indigenous Peoples (IAB-PI) in 2012. SESAI has been monitoring these remaining resources since April 2020, contacting the Municipal Health Secretariats and guiding them to apply the funds to combat the COVID-19 during the pandemic.
Ninety municipalities have been identified with the possibility of having resources from the extinct IAB-PI frozen at the Municipal Health Fund. Of the municipalities contacted, 64 checked their accounts and 51 informed that there were frozen resources for application in indigenous health. The amounts vary from R$ 150 to R$ 681 thousand per municipality. Many municipalities were surprised to find that there was a remaining balance for indigenous health in the municipal health funds.
According to the Special Secretary of Indigenous Health of the Ministry of Health, Robson Santos da Silva, SESAI requested the National Health Fund to survey the municipalities that had the IAB-PI resource and from this information, the Secretariat has contacted the municipalities to identify the balance and to guide on how to use it. "This is an action of the new SESAI’s governance policy. We are working with transparency to ensure that the resources for indigenous health really reach the population and are applied correctly," said the Secretary.
SESAI has guided managers to use the amount available only for actions and services along with the Indigenous Special Sanitary Districts (DSEI). To this end, they must prepare an Application Plan allocating resources for the acquisition of drugs, medical, dental and pharmaceutical materials, health surveillance actions and improvements in facilities related to indigenous health and also in the acquisition of supplies for the fight against COVID-19.
So far, São Paulo City Hall has been identified with the highest amount available in the municipal fund. According to the Application Plan presented by the municipality, R$ 681 thousand had been frozen since 2012 and is now being used for the purchase of equipment and supplies for the Litoral Sul DSEI. 2.5 thousand RT-PCR tests were acquired for COVID-19 and 251 thousand Personal Protective Equipment (PPE), besides oximeters, laser thermometers and alcohol gel.
The city of Manaus identified R$ 311 thousand frozen at IAB-PI and directed the resource to the purchase of 2 thousand rapid test kits and 1.4 thousand PPE kits, besides the hiring of six Indigenous Health Agents (AIS) to act in the area of the Manaus DSEI. The Cacoal City Hall (RO) directed R$ 182 thousand rescued from IABI-PI for the purchase of medical and office supplies for Vilhena DSEI.
All the Application Plan of the remaining resources must be elaborated by the Municipal Health Secretariats together with the DSEI and the Indigenous Health District Councils (CONDISI) to be approved by SESAI.
Check here the list of municipalities with remaining resources from IAB-PI (hiperlink com a lista)
SESAI/Ministry of Health