The Brazilian SUS is one of the largest universal health systems in the world. This policy brief outlines a series of recommendations to enhance shared management within SUS's existing institutional framework, in accordance with the constitutional principle of regionalisation of health. Key proposals include increasing resources and professionalising the regional branches of state health secretariats to provide stronger support to municipalities.

This paper from the Lemann Foundation Programme at Oxford analyses AI's impact on government, highlighting algorithmic accountability, global examples, Brazil's governance strategy, and needed improvements.