Brazil, Latin America’s largest country, faces a diverse and unequal health landscape. From urban favelas to remote Indigenous communities, access to care varies widely. Millions lack regular health services, and regional disparities in medical infrastructure persist. These challenges make Sustainable Development Goal 3 (SDG 3 in Brazil)—ensuring health and well-being for all—a particularly urgent priority.

SDG 3 includes targets to reduce maternal mortality, combat infectious diseases, improve mental health and ensure universal health coverage. Brazil has made significant progress in some areas, although gaps remain. The country is advancing this goal through a combination of public policy, innovation and grassroots action.

According to the Sustainable Development Report, Brazil is making steady progress on SDG 3 in Brazil, particularly in reducing child mortality and expanding access to primary health care. However, ongoing challenges in infrastructure and staffing call for targeted investment and coordination. Here are five ways Brazil is working to enhance the health and well-being of its people.

1. Expanding Universal Health Coverage

Brazil created the Sistema Único de Saúde (SUS) in 1988, declaring health a right for all citizens. SUS now provides free and universal health care to more than 200 million Brazilians, including vaccines, preventive care, childbirth support and HIV/AIDS treatment.

Despite challenges, Brazil continues to strengthen SUS through mobile health units, telemedicine and community outreach. These efforts, in particular, benefit rural and underserved populations in the Amazon and Northeast. SUS is a cornerstone of progress toward SDG 3 in Brazil, as it reduces inequality and ensures that all Brazilians—regardless of income or location—can access essential care.

2. CONASS and the Oral Health Care Network

Oral health inequality remains a serious issue in Brazil, particularly among low-income populations. Many families cannot afford dental services, and untreated oral diseases disproportionately affect people experiencing poverty. In response, the National Council of Health Secretaries (CONASS) and Conasems created the Oral Health Care Network (RASB) in partnership with the Ministry of Health.

This initiative aims to make comprehensive and preventive dental care accessible through the SUS network. The federal government increased investment in oral health programs from R$1 billion to R$4.5 billion, a fourfold rise. This funding supports public dental clinics, mobile services and training for oral health teams. By addressing an often-overlooked dimension of public health, this initiative helps Brazil advance SDG 3 in Brazil more equitably.

3. Addressing Doctor Shortages in Remote Areas

Remote regions of Brazil face a chronic shortage of doctors. In 2023, the government relaunched the Mais Médicos (More Doctors Program) to place trained physicians in underserved areas.

The program now includes incentives for long-term placements, expanded residency opportunities and support for Brazilian medical graduates. Its goal is to reduce turnover and strengthen primary health care delivery where it is most needed. Brazil advances SDG 3 by implementing strategies that enhance continuity of care and guarantee equitable access to health services across all regions.

4. Community-Led Health Outreach in the Amazon

Since 1987, Projeto Saúde e Alegria (PSA) has been working in the Amazon region to deliver health services to remote Indigenous and riverine communities. These groups often lack access to public clinics and face threats from illegal mining and environmental degradation.

PSA operates mobile clinics, provides clean water solutions, and trains community health agents. In response to mercury contamination from mining and the COVID-19 pandemic, PSA expanded its water and hygiene programs. Serving more than 30 villages, PSA shows how grassroots, community-led models can close health gaps and contribute directly to SDG 3 in Brazil.

5. Brazil’s Role in Global Health Policy

In 2024, Brazil hosted the G20 Health Working Group in Salvador, highlighting the need for sustainable financing in primary health care (PHC). To advance SDG 3 in Brazil, the Pan American Health Organization (PAHO), the World Bank and the Inter-American Development Bank (IDB) co-hosted the event, bringing together global leaders to discuss sustainable health financing.

At the summit, Brazil helped launch the Alliance for Primary Health Care in the Americas, a regional initiative to boost PHC investment and resilience. Brazil’s leadership showcased its commitment to building equitable health systems, both domestically and across Latin America. This international engagement reflects Brazil’s growing role as a health leader and its long-term investment in achieving SDG 3 in Brazil.

Progress and Outlook

Through programs such as SUS, Mais Médicos and PSA, Brazil has made significant strides toward achieving universal health coverage, particularly in marginalized regions. Oral health investments and regional partnerships further illustrate its multifaceted strategy to achieve SDG 3 in Brazil. According to recent SDG dashboards, Brazil is showing steady progress in reducing maternal and child mortality and expanding primary health care.

Challenges remain—particularly in infrastructure, staffing and rural care access—but Brazil’s combination of national policy and local innovation is producing measurable impact. Continued investment and coordination will be crucial to sustain progress and enhance the well-being of all Brazilians by 2030.

– Isaac Nelson

Isaac is based in Florianópolis, Santa Catarina, Brazil and focuses on Good News for The Borgen Project.

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