Public only health spending and transfers by federative level: federal, state and local (2010–2018)
| Health spending by source (US$ billions*) | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | Average change | ||
| 2010–2014 | 2015–2018 | |||||||||||
| Federal government | Total | 27.35 | 29.94 | 31.45 | 30.71 | 31.96 | 31.91 | 31.16 | 32.52 | 31.95 | 4.0% | 0.0% |
| Direct | 7.62 | 8.75 | 9.45 | 9.76 | 10.55 | 11.27 | 11.45 | 11.47 | 11.04 | 8.5% | 1.1% | |
| Transfers | 19.73 | 21.19 | 22.00 | 20.95 | 21.41 | 20.64 | 19.71 | 21.05 | 20.91 | 2.1% | (0.6%) | |
| States | 6.82 | 6.45 | 6.87 | 6.38 | 5.92 | 5.49 | 5.25 | 5.49 | 5.27 | (3.5%) | (2.9%) | |
| Local governments | 12.91 | 14.75 | 15.13 | 14.57 | 15.49 | 15.15 | 14.46 | 15.56 | 15.64 | 4.7% | 0.2% | |
| São Paulo | Total (state+local) | 14.32 | 14.95 | 15.38 | 16.22 | 16.62 | 16.26 | 16.08 | 16.47 | 16.44 | 3.8% | (0.3%) |
| State total | 6.30 | 6.35 | 6.11 | 6.37 | 6.20 | 6.03 | 5.74 | 6.14 | 6.12 | (0.4%) | (0.3%) | |
| Own sources | 4.43 | 4.66 | 4.61 | 4.84 | 4.67 | 4.48 | 4.36 | 4.68 | 4.60 | 1.3% | (0.4%) | |
| Transfers | 1.87 | 1.70 | 1.49 | 1.53 | 1.53 | 1.56 | 1.39 | 1.46 | 1.53 | (4.9%) | (0.1%) | |
| Local governments total | 8.02 | 8.59 | 9.27 | 9.86 | 10.43 | 10.22 | 10.34 | 10.33 | 10.32 | 6.8% | (0.3%) | |
| Own sources | 5.84 | 6.33 | 6.76 | 7.30 | 7.57 | 7.53 | 7.59 | 7.70 | 7.46 | 6.7% | (0.4%) | |
| Transfers | 2.18 | 2.26 | 2.51 | 2.56 | 2.85 | 2.69 | 2.75 | 2.63 | 2.85 | 7.0% | 0.0% | |
| São Paulo (capital) | São Paulo (capital) Total | 2.24 | 2.35 | 2.47 | 2.52 | 2.64 | 2.73 | 2.85 | 2.85 | 2.73 | 4.2% | 0.8% |
| Own sources | 1.69 | 1.80 | 1.90 | 1.88 | 1.96 | 2.05 | 2.21 | 2.26 | 2.13 | 3.7% | 2.0% | |
| Transfers | 0.55 | 0.55 | 0.58 | 0.64 | 0.68 | 0.67 | 0.63 | 0.59 | 0.61 | 5.5% | (2.9%) | |
| Maranhão | Total (state+local) | 1.30 | 1.41 | 1.44 | 1.54 | 1.62 | 1.49 | 1.49 | 1.60 | 1.71 | 5.6% | 1.3% |
| State total | 0.41 | 0.47 | 0.53 | 0.53 | 0.58 | 0.55 | 0.54 | 0.58 | 0.61 | 9.0% | 1.3% | |
| Own sources | 0.32 | 0.37 | 0.39 | 0.40 | 0.45 | 0.43 | 0.42 | 0.46 | 0.48 | 8.5% | 1.6% | |
| Transfers | 0.08 | 0.11 | 0.14 | 0.13 | 0.13 | 0.11 | 0.12 | 0.12 | 0.13 | 10.8% | 0.2% | |
| Local governments total | 0.90 | 0.94 | 0.91 | 1.00 | 1.05 | 0.94 | 0.95 | 1.02 | 1.10 | 4.0% | 1.3% | |
| Own sources | 0.36 | 0.39 | 0.36 | 0.43 | 0.44 | 0.41 | 0.42 | 0.45 | 0.43 | 5.3% | (0.9%) | |
| Transfers | 0.53 | 0.55 | 0.55 | 0.58 | 0.60 | 0.53 | 0.53 | 0.57 | 0.68 | 3.1% | 2.8% | |
| São Luís (capital) | São Luis total | 0.21 | 0.23 | 0.21 | 0.24 | 0.24 | 0.21 | 0.24 | 0.24 | 0.24 | 3.4% | 0.7% |
| Own sources | 0.11 | 0.12 | 0.11 | 0.14 | 0.13 | 0.12 | 0.14 | 0.13 | 0.13 | 6.0% | (0.9%) | |
| Transfers | 0.10 | 0.11 | 0.10 | 0.11 | 0.10 | 0.09 | 0.09 | 0.10 | 0.11 | 0.3% | 2.6% | |
Source: Public data—Ministry of Health/Public Health Budgets Information System; private data—National Agency of Supplementary Health.
*Constant values in BRL converted to 2018 USD.