NIHR Global Health Research Group on Social Policy and Health Inequalities (SPHI)

A photo of a busy shopping street in Brazil

Our main goal is to improve population health in Brazil by studying the social determinants of health and improving our understanding of how to reduce inequalities in low and middle income countries. Improving the health of the poorest people in a country is not just a matter of social justice, it is also key to improving the health of the population as a whole. The lessons learned in Brazil may be applicable to other low and middle income countries meaning this work could have a global impact.

Our project has five aims:

  • Expand the research potential of the 100 million cohort by adding further data: geographical information including an indicator of the deprivation of each person’s area of residence (created as part of this project) and data on non-communicable diseases from hospitals and other sources.
  • Evaluate the impact of specific policies (a welfare programme and a subsidised housing programme) on health and health inequalities.
  • Measure Brazil’s progress against the Sustainable Development Goals on non-communicable diseases for different social groups.
  • Build research capacity in the evaluation of public health programmes internationally through the development and delivery of a course.
  • Develop and maintain a strong relationship with stakeholders, including policy makers and practitioners, so that analyses and results are focused, useful, timely and accessible. This will maximise the opportunity for action to be taken as a result of this research and will lead to the joint production of future research.

This research was funded by the National Institute for Health Research (NIHR) (16/137/99) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care.

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London School of Hygiene and Tropical Medicine

Liam Smeeth

Laura Rodrigues


Mauricio Barreto

Yury Ichihara 

Federal University of Bahia

Estela Aquino

Rita Baretto

Rosemeire Fiaccone

Rita Ribeiro Silva

Federal University of Minas Gerais

Debora Malta

NIHR Global Health Research Group visit to Glasgow - September 2018

NIHR Global Health Research Group on Social Policy and Health Inequalities

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