Intersectorality in social and health care: promoting integrated policies for care-dependent older people in Brazil

该项目将扩大目前由MRC/CONFAP资助的一个项目的影响。该项目的主要目标包括：（1）评价巴西贝洛奥里藏特（BH）老年人新的综合保健和社会护理干预措施：Alfrema Maior Cuidado（PMC）。(2)在福塔莱萨市（FZ）进行类似干预的可行性研究（以证明潜在的政策转移）。(3)与当地/国家利益相关者密切合作。这些目标提前完成，我们没有预料到政策制定者对我们最初研究的理解速度或程度。根据我们的评估，BH市政府已承诺扩大和修改PMC。FZ资助了一项可行性研究，于2019年6月完成，塞阿拉州（包括FZ）提供了约200万英镑用于相关干预，将与我们合作开发和评估。其他城市也要求我们支持类似的干预措施。联邦卫生部（FMoH）现在将PMC视为良好实践的典范，并与我们合作扩大其实施范围。这创造了新的影响机会，其中一些需要进一步的资金支持。FZ和Ceará的具体活动将由巴西政府资助。我们正在寻求NFIS的资金，用于：（1）监测和评价波黑PMC的扩展和改革。这将为我们的影响力提供更多的证据。它允许在新的地区有一个基线，这将增加我们评估的可靠性。(2)我们选择了一个新的市镇（孔塔海姆）来试行一种新的模式，以支持私营军事公司类型的干预措施。它将减少与核心项目小组的直接互动，并将支持开发一个在线知识中心。Thishub后来将成为其他感兴趣的市政当局的资源。(3)与联邦卫生部进一步合作，传播良好做法。(4)进一步的国际参与：利用巴西的经验作为其他国家的参考点，我们正在寻求NFIS的资金，用于：（1）监测和评价波黑PMC的扩展和改革。这将为我们的影响力提供更多的证据。它允许在新的地区有一个基线，这将增加我们评估的可靠性。(2)我们选择了一个新的市镇（孔塔海姆）来试行一种新的模式，以支持私营军事公司类型的干预措施。这将减少与核心项目小组的直接互动，并将支持建立一个在线知识中心。该中心稍后将成为其他感兴趣的城市的资源。(3)与联邦卫生部进一步合作，传播良好做法。(4)进一步的国际参与：利用巴西的经验作为其他国家的参考点。

This project will extend the impact of a current project funded by MRC/CONFAP. Key objectives of that project include(1) evaluation of a novel integrated health and social care intervention for older people in Belo Horizonte (BH), Brazil:Programa Maior Cuidado (PMC).(2) feasibility study for a similar intervention in the city of Fortaleza (FZ) (to demonstrate potential policy transfer).(3) close engagement with local/national stakeholders.These objectives are ahead of schedule and we did not anticipate the speed or degree of policy-maker uptake of our initialresearch. Based on our evaluation, BH municipality has committed to extend and modify PMC. FZ funded a feasibilitystudy, completed in June 2019 and the State of Ceará (which includes FZ) have provided about £2million for relatedintervention, to be developed and evaluated in partnership with us. Other municipalities have requested our support forsimilar interventions. The Federal Ministry of Health (FMoH) now sees PMC as a model of good practice and is workingwith us to extend its implementation.This has created new impact opportunities, some of which require further funding. Activities specific to FZ and Ceará will befunded by the Brazilian government. We are seeking NFIS funds for:(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of ourinfluence. It permits a baseline in the new districts, which will add robustness to our evaluations.(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It willentail less direct interaction with the core project team and will support the development of an online knowledge hub. Thishub will later serve as a resource for other interested municipalities.(3) Additional collaboration with FMoH to disseminate good practice.(4) Further international engagement: using the Brazilian experience as a reference point for other countries.We are seeking NFIS funds for: (1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our influence. It permits a baseline in the new districts, which will add robustness to our evaluations.(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will entail less direct interaction with the core project team and will support the development of an online knowledge hub. This hub will later serve as a resource for other interested municipalities.(3) Additional collaboration with FMoH to disseminate good practice.(4) Further international engagement: using the Brazilian experience as a reference point for other countries.