Preȷudicial attitudes towards Brazil’s health reforms delayed the introduction of community health workers to the UK

Ventura and colleagues argue that Brazil’s family health strategy should be a model for other countries.1 Since our first article in The BMJ in 2010 calling for the same thing,2 there has been growing adoption in the UK of a role similar to that of Brazilian community health workers. Led by the National Association of Primary Care, there are now nearly two dozen locations in the UK that have community health workers.3 The Fuller Stocktake report4 and the House of Lords inquiry into the future of primary care5 both cited Brazil’s community health workers as potential models for UK primary care. A recent pilot study demonstrated the promising but inevitable impact that such community health workers had on uptake of preventive services in a deprived community in the UK.6This is a good example of the global south inspiring the global north to deliver more effective, comprehensive, integrated, and people centred…
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