DECIT-CGATS – Coordenação Geral de Avaliação de Tecnologias em Saúde; Departamento de Ciência e Tecnologia
Brasília – DF Brazil
– Dr. Antonio Carlos Campos de Carvalho, Director, DECIT-CGATS
History and Structure
In Brazil, the Unified Public Health System (Sistema Único de Saúde – SUS) consists of a regionalized, hierarchical network of health actions and services jointly managed by federal, state, and local governments, and it meets the health planning guidelines stated in the Brazilian Constitution – decentralization, comprehensive care and community participation.
The Brazilian Ministry of Health aims to promote, protect, and recover health, to reduce disease and control endemic and parasitic illness, to improve health monitoring and technological and scientific knowledge regarding health, and to offer quality of life to the population.
Three departments – the Department of Science and Technology, the Department of Health Economics, and the Department of Pharmaceutical Care along with the National Commission for Technology Incorporation comprise the Ministry of Health’s Secretariat of Science, Technology, and Strategic Inputs.
The Department of Science and Technology (Departamento de Ciência e Tecnologia – DECIT) aims to promote and enhance health research. DECIT works to enforce the agreement among consumers, workers, stakeholders and researchers regarding the main points of the National Priority Agenda in Health Research (formulated in 2004 during the 2nd National Conference on Science, Technology, and Innovation in Health). To achieve its objectives of inducing and supporting health research, DECIT executes the National Policy on Science, Technology, and Innovation in Health, which demands strong and organized operational support.
In 2005, DECIT created a new coordination unit to implement health technology management and assessment policies, based on scientific evidence, as a strategy to strengthen regulatory power in the system’s three managerial spheres. This new unit, the Health Technology Assessment General Coordination (Coordenação Geral de Avaliação de Tecnologias em Saúde – CGATS), is responsible for the coordination, promotion, and diffusion of HTA in the SUS. It elaborates HTA studies for the National Commission for Technology Incorporation and acts on the standardization of methods and capacity-building for the Brazilian Public Health System. Additionally, in 2007, DECIT-CGATS and partners elaborated the National Policy on Health Technology Management, aiming to institutionalize Health Technology Assessment in the SUS, which occurred through Decree number 2690/2009. In 2008, the Brazilian Health Technology Assessment Network was created (Rede Brasileira de Avaliação de Tecnologias em Saúde – REBRATS), aiming to congregate HTA stakeholders and research institutions for the promotion and development of priority Health Technology Assessments for the Brazilian Public Health System. It was institutionalized by Decree number 2,915/2011. The HTA coordination is also member of RedETSA and represents Brazil on the HTA Sub-commission at MERCOSUR.
How DECIT- CGATS Works
The Ministry of Health defines priorities. DECIT – CGATS staff works with partners, such as research institutions and public universities, elaborating rapid reviews and requesting systematic reviews and full HTA studies. CGATS is the unit that elaborates the health technologies assessments for the National Commission for Technology Incorporation, created by Law 12,401/2011.
The CGATS-DECIT is responsible for REBRATS management and is also a REBRATS member, coordinating the standardization of methods, monitoring health technologies and producing HTA studies of public interest.
The HTA studies have been validated by REBRATS and disseminated to the National Commission for Technology of the SUS. Presentations at technical meetings, events and conferences, studies, findings, and other DECIT activities are presented to the general public on the DECIT home page, and on the REBRATS home page.
The Brazilian HTA General Coordination aims to:
- Coordinate Brazilian Health Technology Assessment Network (REBRATS)
- Prepare rapid reviews and mini-HTAs for the National Commission for Technology Incorporation
- Organize and qualify studies based on HTA demands, and define priority criteria in the Ministry of Health
- Monitor and assess HTA studies produced by academic institutions from REBRATS
- Produce reports for dissemination of HTA studies with the aim of supporting decision-making
- Promote professional training in Health Technology Assessment and Evidence-Based Medicine for the SUS
- Promote awareness among health stakeholders regarding the importance of HTA as a management tool in the SUS
- Establish international cooperation with HTA agencies (MERCOSUR, RedETSA)
- Articulate HTA actions developed by CCTI with other Ministry of Health agencies, education and research institutions, local and state government and social authorities.
Current Projects (A Selection):
- Cost-effectiveness of diagnostic techniques for tuberculosis
- Cost-utility of bone densitometry associated to sodium and vitamin D associated to calcium, both compared to the expectant alternative
- Cost-effectiveness studies on varicella, rotavirus, meningococcal conjugate C, conjugate hepatitis and pneumococcal vaccines to support their incorporation into the national immunization program.
- Brazilian Health Technology Assessment Bulletin (BRATS), the first trimester of each year.
- Workshop on the critical analysis of scientific evidence and the production of rapid reviews
- Other systematic reviews based on priorities defined by the Ministry of Health
- Deployment of a monitoring system of new and emerging technologies
- Validation of EuroQol for the Brazilian population.
- Guidelines to Evaluate Medical Devices
For a complete list of projects and publications, visit the HTA Database at SisREBRATS
- To promote methods for disinvestments
- A basic distance-learning course for policy-makers
Description of population served: National
Population served (mil): 188.9
Current HTA budget (mil USD):
Permanent staff: 25
Ongoing TA projects: 33
Director: Dr. Antonio Carlos Campos de Carvalho
Contact person: Ms. Isadora Patterson
Coordenação Geral de Avaliação de Tecnologias em Saúde – CGATS, Departamento de Ciência e Tecnologia – DECIT, Secretaria de Ciência, Tecnologia e Insumos Estratégicos – SCTIE
Ministério da Saúde – MS
SCN Quadra 2 Projeção C Sala S001 SubSolo
CEP: 70.712/902 Brasília – DF Brazil
Tel: +55 61 3410 4118