Breast Health Care System Assessment, São Paulo, Brazil

Dates: 2011-2012

Country: Brazil

Client(s): Komen for the Cure

Service: Assessment

Technical Expertise: Non-Communicable Diseases, Maternal Health


Breast cancer is the leading cause of cancer-related death among women in Brazil. Increasing breast health awareness, supporting targeted behavior change education efforts in communities, and increasing awareness of and access to mammography services are proven approaches to changing this situation.

As part of its Global Initiative for Breast Cancer Awareness, Susan G. Komen for the Cure contracted JSI to conduct an assessment for developing a profile of the current breast care health system in São Paulo city, Brazil. The assessment provided Komen a baseline understanding of the current breast care health system in São Paulo.

JSI conducted a health systems study in the city of São Paulo, Brazil to assess key components of breast health service delivery and financing for breast health care. The breast health service delivery component of the assessment captured the extent to which the health system is able to provide essential functions in relation to breast cancer control. Specifically, it assessed the health system's capacity to provide comprehensive breast health services, multidisciplinary coordination, and continuity of breast health care. The financing part of the assessment described the financing of breast cancer control, how the finances are pooled, the coverage of the population for breast cancer control services, the financing levels for breast cancer and the policies that provide financial protection.