Evaluation of the Impacts of the “Avançar” Health Program on the Provision of Primary Health Care in the State of Rio Grande do Sul
Abstract
In response to the twin challenge of restoring
fiscal balance and enhancing social welfare, the
Government of Rio Grande do Sul launched
the Avançar Program in 2021, committing
roughly R$ 6.3 billion in public investment.
Organized around three strategic pillars –
Growth (economic support, tax relief, logistics
and mobility), People (public security, social
assistance, culture, health and education), and
Sustainability (innovation, technology and the
environment) – the program earmarked R$ 542.5
million for the health sector. This study assesses
the impact of the share allocated to upgrading
the physical infrastructure of Primary Health
Care Units (UBSs) on supply-side indicators of
services delivered at these facilities, employing
difference-in-differences econometric models.
The evidence indicates that renovations and
expansions of UBSs increased the volume of
dental consultations, general procedures, and
maternal care – manifested in a direct rise in
prenatal visits – thereby suggesting that Avançar
investments are strengthening Primary Health
Care in Rio Grande do Sul.
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Copyright (c) 2026 Gibran da Silva Teixeira, Pedro Henrique Soares Leivas, Vinícius Halmenschlager, Rodrigo da Rocha Gonçalves, Thaís Waideman Niquito, Victória Beatriz Lessa Rosolem
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