In Brazil less than half of the total expenditures of the health system are from the public/government sources which is below the average for government share of health expenses.

Which of the following is NOT true about the Brazilian system based on the article provided with this exam? In Brazil less than half of the total expenditures of the health system are from the public/government sources which is below the average for government share of health expenses. This indicates concerns for the key sector issue of financing the health system The article mentioned reduced disparities (differences based on income or where people live) in oral health (dental) as a result of the FHS teams. This is an example of Improvements in the key sector issue of access and equity. The shortage of Brazilian physicians and the importation of Cuban physicians are examples of a health system’s response to the key sector issue of epidemiologic change. The increase in the number of community health agents is a positive aspect of the human resources key sector. The article states that there is variability in the capacity and quality of the family health teams. This is an example of the key sector issues of quality of care. Question 32. 3 pts Which of the following is/are true about the role of accompagnateurs in Rwanda? A. The role of the accompagnateurs was essential in the successful treatment of those with HIV, something which many had previously thought was not possible in poor rural areas of sub-Saharan Africa. B. Each HIV positive patient in the area was assigned an accompagnateur who made sure that they had enough food, sufficient housing, transportation and that their children could attend school. C. Accompagnateurs observed HIV patients taking their medications daily, similar to how nurses observe patients taking TB medications. A and C A, B and C Question 33 3 pts Which of the following is true about the mutuelle health insurance plan in Rwanda? The mutuelle system offers health insurance primarily through employers rather than through the government. The system was deemed a success as the majority of the population now has insurance. The majority of the population was unable to enroll in a plan because of the high cost of premiums needed to cover the costs of the programs The failure of the mutuelle system demonstrated that comprehensive health insurance is not feasible in such an impoverished country.

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