federal budget for the fight against dengue

HEALTH IN DATA

FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE


Rio de Janeiro, 2016

FGV/DAPP

DirectorMarco Aurelio Ruediger

DAPP+55 (21) 37994300 | www.dapp.fgv.br | [email protected]

Head OfficePraia de Botafogo 190, Rio de Janeiro | RJ, CEP 22250-900 ou Caixa Postal 62.591 CEP 22257-970 | Tel: (21) 3799-5498 | www.fgv.br

Founding PresidentLuiz Simões Lopes

PresidentCarlos Ivan Simonsen Leal

Vice-PresidentsSergio Franklin Quintella, Francisco Oswaldo Neves Dornelles e Marcos Cintra Cavalcante de Albuquerque

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 socio-economic development of the country.

TEAM

IMPLEMENTATION TEAMCoordinationMarco Aurelio Ruediger

Research CoordinationJanaina Fernandes

ResearchersWagner Oliveira Bárbara BarbosaAndressa Falconiery

Graphic projectRebeca Liberatori Braga

HEALTH IN DATA


5 | DEPARTMENT OF PUBLIC POLICY ANALYSIS

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.

OVERVIEW

MAIN RESULTS

Falling budget execution since 2014The 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 2015.

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 2015.

Distribution of transfersIn 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 identificationComparing 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 1.000 inhabitants), while it was one of the states that received less transfers per capita (R$ 1.27 per inhabitant)

6|FEDERAL BUDGET FOR THE FIGHT AGAINST DENGUE

Approved + Subscripted Carry-over*


Payed + Payed Carry-over*


billi

ons

billi

ons

Budget execution 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

*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”).

Nominal

Real (IPCA)


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






mill

ions

mill

ions

Budget execution of the budgetary plan on “National Coordination of Surveillance, Prevention and Control of Dengue Fever” of the Ministry of Health

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


34 - 45 3,4 - 4,611 - 23 1,1 - 2,3Less than 11 Less than 1,1 More than 4,623 - 34 2,3 - 3,4

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://www.ibge.gov.br/home/estatistica/populacao/projecao_da_populacao/2013/default_tab.shtm>. Accessed on 02/19/16.Prepared by: FGV/DAPP

2015: Absolute numbers (R$ millions) 2015: Per capita

Zero Zero

1,7 - 2,2 0,17 - 0,23

0,6 - 1,1 0,06 - 0,11Less than 0,6 Less then 0,06

More than 2,2 More than 0,23

1,1 - 1,7 0,11 - 0,17

Federal government state transfers for health surveillance

2016 (until 18/02): Absolute numbers (R$ millions) 2016 (until 18/02): Per capita


34 - 45 More than 45

34 - 45

3,4 - 4,6

3,4 - 4,6

11 - 23

11 - 23

1,1 - 2,3

1,1 - 2,3

Less than 11

Less than 11 Less than 1,1

More than 4,6

More than 4,6

23 - 34

23 - 34

2,3 - 3,4

2,3 - 3,4

2013: Absolute numbers (R$ millions)

2014: Absolute numbers (R$ millions)

2013: Per capita

2014: Per capita




34 - 45 3,4 a 4,611 - 23 1,1 a 2,3Less than 11 Less than 1,1 More than 4,623 - 34 2,3 a 3,4

2012: Absolute numbers (R$ millions) 2012: Per capita




Tran

sfer

s (R

$ m

illio

ns)

Dengue notifications

Tran

sfer

s (R

$ m

illio

ns)


Scatterplot of Federal government transfers to states for health control and the absolute number of cases of dengue per year

2015

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://www.ibge.gov.br/home/estatistica/populacao/projecao_da_populacao/2013/default_tab.shtm>. Accessed on 02/19/16.Source 2: Ministry of Health. Available at http://portalsaude.saude.gov.br/images/pdf/2015/julho/29/Dengue-at---2014.pdf e http://portalsaude.saude.

gov.br/images/pdf/2016/janeiro/15/svs2016-be003-dengue-se52.pdf, Accessed on January 2016. Prepared by: FGV/DAPP

2014


Tran

sfer

s (R

$ m

illio

ns)


Tran

sfer

s (R

$ m

illio

ns)


2013

2012





Per c

apita

tran

sfer

s

Incidence Rate (per 1.000 hab)

Per c

apita

tran

sfer

s


Scatterplot of Federal government transfers to states per capita for health control and incidence rate of dengue per 1,000 inhabitants per year

2015

2014





Per c

apita

tran

sfer

s


Per c

apita

tran

sfer

s


2013

2012





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 2015.

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.

FGV/DAPPDepartment of Public Policy Analysis | Getulio Vargas Foundation

DIRECTOR

Marco Aurelio Ruediger

IMPLEMENTATION TEAMCoordination

Marco Aurelio Ruediger

Research CoordinationJanaina Fernandes

ResearchersWagner Oliveira Bárbara Barbosa

Andressa Falconiery

METHODOLOGICAL NOTES

TEAM

[email protected]

+55 (21) 3799.4300

INNOVATION FOR PUBLIC POLICIES

federal budget for the fight against dengue

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