DESK REVIEWS | Who sets the priorities for funding?

DESK REVIEW | Who sets the priorities for funding?

The budget to be spent on social assistance, which includes LTC, follows a “transference system” and the priorities are set by the federal government, states, and municipalities in an independent way (Brazilian Ministry of Citizenship, n.d.). Decisions are based on strategic/economic/epidemiological figures and on active participation from the population in the decision-making processes (e.g., municipal and state health forums; local management collegiate; national older people’s council). The processes of planning and allocating resources are transparent, decentralized and regularly evaluated by CONASS, which ensures that the data are available for consultation online (Brasil, 2019).


Brasil. (2019). Conselho Nacional de Secretários de Saúde – CONASS.

Brazilian Ministry of Citizenship. (n.d.). Módulo II: o Financiamento do SUAS. Retrieved July 17, 2019, from

It is a calculative process between the Ministry of Finance and the ministries to which the budget is allocated to decide on the funding. The budget process guides the respective ministries and departments to prepare revised budget estimates.

As previously explained, we understand that priorities for funding are set autonomously by the local governments and monitored by the central government through the Ministry of Home Affairs and with guidance from other ministries involved.

Ministry of health decides using its own criteria or formula how funding should be distributed while prioritizing allocations towards the achievement of “Big Four Plan (Otieno, 2016).


Otieno, M. (2016). Resource allocation to health sector at the county level and implications for equity, a case study of Baringo county. University of Nairobi.



As with any other public administration agency, as mentioned above. Just as DIF and INAPAM define the budget to be annually allocated to the few LTC institutions they have, they define their priorities for funding.