Fiscal Challenges and Health Expenditure Dynamics in Subnational Governments: A Comprehensive Analysis of Public Health Financing

• In Event: Human Development and Human Capital

Brief Overview

Health systems need a mix of local revenue and external transfers. In Brazil, over 80% of municipal health funding depends on federal transfers. Enhancing oversight and autonomy is key for stability and efficiency.

Authors

• Blenda Pereira, National Council of Municipal Health Secretariats

• Antonio Carlos Rosa de Oliveira Junior, National Council of Municipal Health Secretariats

• Natalia Nunes Ferreira-Batista, FIPE

• Gustavo Lopes Fernandes, Fundacao Getulio Vargas