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FAMILY HEALTH CLINICS

9Opening of

upaLOCAL MEDICAL

EMERGENCY UNIT

Establishment of

Management ReportSummary SOCIAL REPORT

2009, 2010, 2011, 2012 and 2013

The

esf(FAMILY HEALTH

STRATEGY)AGREEMENT

AP 5.1 and 5.2

upas4

Opening of


3Opening of

The

PADI(HOME CARE

SERVICES FOR SENIORS)

AGREEMENT

2009

2010

2011

2012


7Opening of

The

pse(Health Program

at Schools) Agreement

The

esf(FAMILY HEALTH

STRATEGY) AGREEMENT

AP 4.0healthcare

centres

6The ESF (family

health strategy) is implemented in

(LOCAL EMERGENCY UNITs)

(Copyright. Copying not allowed without IABAS authorisation)2

E ach year, IABAS moves forward to reach high level of excellence in

public health care services. Our mission is to work together with Rio’s

health authorities to ensure excellency and care of patients, prevent

diseases and integrate services to ensure the well-being of the population of

Rio de Janeiro at the Family Health Clinics and Local Medical Emergency Units

(UPA – Unidade de Pronto Atendimento), and through the Home Care Services

for Seniors (PADI – Programa de Atenção Domiciliar do Idoso) program and the

Health Program at Schools (PSE – Programa de Saúde nas Escolas).

There were many achievements in 2013. We opened new Family Health Clinics

(four in January and three in July), and the City Health Centres (CMS – Centros

Municipais de Saúde) were renovated or altered, for improved and more

humanised health care services to all users. Since 2009, when we took over the

management an important percentage of the city’s health care centres, more than

three million people have had access to quality heath care services.

By investing in sustainability, we implemented a waste management system at

the Family Health Clinics and the Local Medical Emergency Units (UPAs), and an

energy, water and

paper. We have been doing our part to preserve the environment and ensure a

better future to the planet.

As these achievements were only possible with the effort of everyone working at

IABAS, we have again invested in training our staff, allowing for the professional

education that

we will be able to ensure that the staff has the technical skills needed to provide

each time better health care services to the population of Rio de Janeiro.

With planned actions and working in an ethical and transparent manner, our next

step is to exceed contract goals. We are aware of the challenges; however, our

willingness to show more and more dignity and respect towards our users is what

motivates us.

4 YEARS of management, since 12/2009

4.145 employees

OVER

7,000,000consultations

Introduction

| |Management Report - Summary 2009, 2010, 2011, 2012 and 2013


E ach year, IABAS moves forward to reach high level of excellence in

public health care services. Our mission is to work together with Rio’s

health authorities to ensure excellency and care of patients, prevent

diseases and integrate services to ensure the well-being of the population of

Rio de Janeiro at the Family Health Clinics and Local Medical Emergency Units

(UPA – Unidade de Pronto Atendimento), and through the Home Care Services

for Seniors (PADI – Programa de Atenção Domiciliar do Idoso) program and the

Health Program at Schools (PSE – Programa de Saúde nas Escolas).

There were many achievements in 2013. We opened new Family Health Clinics

(four in January and three in July), and the City Health Centres (CMS – Centros

Municipais de Saúde) were renovated or altered, for improved and more

humanised health care services to all users. Since 2009, when we took over the

management an important percentage of the city’s health care centres, more than

three million people have had access to quality heath care services.

By investing in sustainability, we implemented a waste management system at

the Family Health Clinics and the Local Medical Emergency Units (UPAs), and an

energy, water and

paper. We have been doing our part to preserve the environment and ensure a

better future to the planet.

As these achievements were only possible with the effort of everyone working at

IABAS, we have again invested in training our staff, allowing for the professional

education that

we will be able to ensure that the staff has the technical skills needed to provide

each time better health care services to the population of Rio de Janeiro.

With planned actions and working in an ethical and transparent manner, our next

step is to exceed contract goals. We are aware of the challenges; however, our

willingness to show more and more dignity and respect towards our users is what

motivates us.

4 YEARS of management, since 12/2009

4.145 employees

OVER


Introduction

| |Management Report - Summary 2009, 2010, 2011, 2012 and 2013 3(Copyright. Copying not allowed without IABAS authorisation)

ESF - Family Health Strategy

I n the Family Health Strategy

program, the health care providers

work on promoting, preventing, and

bettering the health of patients.

Family members are assisted by a

cross-functional health care team, which

is comprised of physicians, nurses and

dentists, and have access to the health

care initiatives and services that will

meet the needs of the family.

Programmatic Area 4.0

Covers the following suburbs:

Jacarepaguá, Anil, Gardênia

Azul, Cidade de Deus, Curicica,

Freguesia (Jacarepaguá),

Pechincha, Taquara, Tanque,

Praça Seca, Vila Valqueire, Joá,

Itanhangá, Barra da Tijuca,

Camorim, Vargem Pequena,

Vargem Grande, Recreio dos

Bandeirantes, Grumari.



Deodoro, Vila Militar, Campo

dos Afonsos, Jardim Sulacap,

Magalhães Bastos, Realengo,

Padre Miguel, Bangu, Gericinó,

Senador Camará.



Santíssimo, Campo Grande,

Senador Vasconcelos, Inhoaíba,

Cosmos, Guaratiba, Barra de

Guaratiba, Pedra de Guaratiba.

AP 4.0

AP 5.1

AP 5.2AP 5.3

AP 3.3

AP 3.2

AP 2.2

AP 2.1

AP 1

AP 3.1

PROGRAMMATIC AREAS (AP) COVERED BY IABAS

CITY OF RIO DE JANEIRO

| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013

(Copyright. Copying not allowed without IABAS authorisation)4 | Management Report - Summary | 2009, 2010, 2011, 2012 and 2013

Family health - prog. area 4.0

Tanque

Cidade de Deus

Recreio dos Bandeirantes

COVERED SUBURBSJacarepaguá, Anil, Gardênia Azul, Cidade de Deus, Curicica, Freguesia, Pechincha, Taquara, Tanque, Praça Seca, Vila Valqueire, Joá, Itanhangá, Barra da Tijuca, Camorim, Vargem Pequena, Vargem Grande, Recreio dos Bandeirantes and Grumari.


Family healthcoverage

2.90%

2010 2013

19.8 9%

Source: VITACARE Electronic Medical Records (PEP VITACARE).

6,244

2010 2013

208.684

Total medicalconsultations

Source: PEP VITACARE.

COVERED SUBURBSDeodoro, Vila Militar, Campos dos Afonsos, Jardim Sulacap, Magalhães Bastos, Realengo, Padre Miguel, Bangu, Gericinó, Senador Camará

Realengo

Magalhães Bastos

Sulacap

Gericinó

Campo dos Afonsos

Vila Militar

Deodoro

Senador Camará

Bangu

Padre Miguel


22.51%

2010 2013

54.41%


74,472

2010 2013

495.839




over

200,000consultations

in 3 years

over


in 4 years

(Copyright. Copying not allowed without IABAS authorisation)4 | Management Report - Summary | 2009, 2010, 2011, 2012 and 2013


Tanque

Cidade de Deus

Recreio dos Bandeirantes

COVERED SUBURBSJacarepaguá, Anil, Gardênia Azul, Cidade de Deus, Curicica, Freguesia, Pechincha, Taquara, Tanque, Praça Seca, Vila Valqueire, Joá, Itanhangá, Barra da Tijuca, Camorim, Vargem Pequena, Vargem Grande, Recreio dos Bandeirantes and Grumari.



2.90%

2010 2013

19.8 9%

Source: VITACARE Electronic Medical Records (PEP VITACARE).

6,244

2010 2013

208.684



COVERED SUBURBSDeodoro, Vila Militar, Campos dos Afonsos, Jardim Sulacap, Magalhães Bastos, Realengo, Padre Miguel, Bangu, Gericinó, Senador Camará

Realengo

Magalhães Bastos

Sulacap

Gericinó

Campo dos Afonsos

Vila Militar

Deodoro

Senador Camará

Bangu

Padre Miguel


22.51%

2010 2013

54.41%


74,472

2010 2013

495.839




over


in 3 years

over


in 4 years

5(Copyright. Copying not allowed without IABAS authorisation)

COVERED SUBURBSSantíssimo, Campo Grande, Senador Vasconcelos, Inhoaíba, Cosmos, Guaratiba, Barra de Guaratiba, Pedra de Guaratiba.


over


in 4 years

Santíssimo

Campo Grande

Pedra de Guaratiba

Senador Vasconcelos

Barra de Guaratiba

Guaratiba

CosmosInhoaíba


42.60%

2010 2013

58.99%


79,399

2010 2013

676.132





Fitness centre

Fitness centres were opened

in 33 heath care centres

administered by IABAS. The

is to provide the population

of Rio with a space where

they can have a regular gym

practice, which will lead to

increased health and well-

being. There are skilled

physical educators at all times

to guide and support users,

and some of the Family Health

Clinics have sessions for

seniors.

4.0

CF Prof. Maury Alves de Pinho CF Padre José de Azevedo TiúbaCF Otto Alves de CarvalhoCMS Harvey Ribeiro de Souza Filho

5.1

Policlínica Manoel Guilherme da Silveira FilhoCMS Athayde José da FonsecaCMS Dr. Henrique MonatCMS Sylvio BarbosaCMS Prof. Masao GotoCMS Waldyr FrancoCMS Eithel PinheiroCF Olímpia EstevesCF Kelly Cristina de SáCF Pe John CribbinCF Mario Dias AlencarCF Antonio Gonçalves da SilvaCF Rosino BaccariniCF Armando Palhares Aguinaga

5.2

CMS Dr. Mario Rodrigues Cid CMS Prof. Manoel de Abreu CMS Belizário Penna CMS Edgar Magalhães GomesCAPS Profeta Gentileza CMS Alvimar de Carvalho CF Dr. Hans Jurgen Fernando Dohmann CF Alkindar Soares Pereira CF Agenor de Miranda Araújo Neto (Cazuza) CMS Mário Vitor de Assis CMS Adão Pereira Nunes CMS Vila do Céu CF José de Paula Lopes PontesCMS Dr. Oswaldo Vilella CMS Raul Barroso

Units equipped with a fitness centre

UNITS WITH AFITNESS CENTRE

155.2

4.0

5.1

4

14

TOTAL NUMBER OFPHYSICAL EDUCATORS

145.2

4.0

5.1

4

13

NUMBER OF USERS

8,2425.2

4.0

5.1

1,969

7,832

Source: PEP VITACARE. Source: PEP VITACARE. Source: PEP VITACARE.




Fitness centre

Fitness centres were opened

in 33 heath care centres

administered by IABAS. The

is to provide the population

of Rio with a space where

they can have a regular gym

practice, which will lead to

increased health and well-

being. There are skilled

physical educators at all times

to guide and support users,

and some of the Family Health

Clinics have sessions for

seniors.

4.0

CF Prof. Maury Alves de Pinho CF Padre José de Azevedo TiúbaCF Otto Alves de CarvalhoCMS Harvey Ribeiro de Souza Filho

5.1

Policlínica Manoel Guilherme da Silveira FilhoCMS Athayde José da FonsecaCMS Dr. Henrique MonatCMS Sylvio BarbosaCMS Prof. Masao GotoCMS Waldyr FrancoCMS Eithel PinheiroCF Olímpia EstevesCF Kelly Cristina de SáCF Pe John CribbinCF Mario Dias AlencarCF Antonio Gonçalves da SilvaCF Rosino BaccariniCF Armando Palhares Aguinaga

5.2

CMS Dr. Mario Rodrigues Cid CMS Prof. Manoel de Abreu CMS Belizário Penna CMS Edgar Magalhães GomesCAPS Profeta Gentileza CMS Alvimar de Carvalho CF Dr. Hans Jurgen Fernando Dohmann CF Alkindar Soares Pereira CF Agenor de Miranda Araújo Neto (Cazuza) CMS Mário Vitor de Assis CMS Adão Pereira Nunes CMS Vila do Céu CF José de Paula Lopes PontesCMS Dr. Oswaldo Vilella CMS Raul Barroso

Units equipped with a fitness centre

UNITS WITH AFITNESS CENTRE

155.2

4.0

5.1

4

14

TOTAL NUMBER OFPHYSICAL EDUCATORS

145.2

4.0

5.1

4

13

NUMBER OF USERS

8,2425.2

4.0

5.1

1,969

7,832

Source: PEP VITACARE. Source: PEP VITACARE. Source: PEP VITACARE.


| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013 7(Copyright. Copying not allowed without IABAS authorisation)

CF Otto Alves de carvalho – 4.0

Date: 01/26/2012

CF Padre José de Azevedo Tiúba – 4.0

Date: 01/11/2012

CF MÁrio Dias Alencar – 5.1

Date: 01/13/2012

CF AntÔnio Gonçalves da Silva – 5.1

Date: 01/18/2012

CF Rosino Baccarini – 5.1

Date: 07/05/2012

CF Antonio Gonçalves Villa Sobrinho – 5.2

Date: 07/05/2012

CF Sonia Maria Ferreira Machado – 5.2

Date: 07/05/2012

CF armando Palhares Aguinaga – 5.1

Date: 13/08/2013

Family Health Clinics - New Openings



CMS Adão Pereira Nunes (AP 5.2) CMS Carlos Alberto Nascimento (AP 5.2) CMS Mourão Filho (AP 5.2)

CMS Raul Barroso (AP 5.2) CMS Vila do Céu (AP 5.2) CMS Woodrow Pimentel Pantoja (AP 5.2)

Clínica da Família OlÍmpia Esteves (AP 5.1) CMS Eithel Pinheiro (AP 5.1) CMS Dr. Henrique Monat (AP 5.1)

CMS Buá Borges Boanerges (AP 5.1) CMS Waldyr Franco (AP 5.1) CMS Padre Miguel (AP 5.1)

Policlínica Manoel Guilherme da Silveira Filho (AP 5.1) CMS Professor Masao Goto (AP 5.1) CMS Alexander Fleming (AP 5.1)

CMS CATIRI (AP 5.1) CMS Athayde da Fonseca (AP 5.1) CMS Santa Maria (AP 4.0)

Constructions and improvements - City Health Centres

2009, 2010, 2011, 2012 and 2013 || Management Report - Summary


CMS Adão Pereira Nunes (AP 5.2) CMS Carlos Alberto Nascimento (AP 5.2) CMS Mourão Filho (AP 5.2)

CMS Raul Barroso (AP 5.2) CMS Vila do Céu (AP 5.2) CMS Woodrow Pimentel Pantoja (AP 5.2)

Clínica da Família OlÍmpia Esteves (AP 5.1) CMS Eithel Pinheiro (AP 5.1) CMS Dr. Henrique Monat (AP 5.1)

CMS Buá Borges Boanerges (AP 5.1) CMS Waldyr Franco (AP 5.1) CMS Padre Miguel (AP 5.1)

Policlínica Manoel Guilherme da Silveira Filho (AP 5.1) CMS Professor Masao Goto (AP 5.1) CMS Alexander Fleming (AP 5.1)

CMS CATIRI (AP 5.1) CMS Athayde da Fonseca (AP 5.1) CMS Santa Maria (AP 4.0)

Constructions and improvements - City Health Centres

2009, 2010, 2011, 2012 and 2013 || Management Report - Summary 9(Copyright. Copying not allowed without IABAS authorisation)

PSE TEAM

1General Coordinator

5Public Health Coordinators

9

Health Analysts

6Administrative Assistants

160

Education and Health Assistants

9

Mobile health care units

Cross-functional health care team:

18

Doctors

18

Dentists

9

Psychologists

9

Nurses

9

Dental Assistants

PSE figures

5,120 consultations

per month

8,000health checks

per month

13,000students per group

(approximately)

6,000teachers and staff

PSE - Health Program at Schools

I n partnership with the City Health Department and City Education Department,

IABAS manages the Health Program at Schools, covering 151 “schools of

tomorrow” (a program that invests in quality education in Rio’s most violent

suburbs). Through this partnership, the Institute provides care for over 100,000

students only in 2013.

A link between the city’s schools and day-care centres and the Family Health

Strategy, the program offers activities that ensure that school communities will have

live in poorer and

low Human Development Index (HDI) areas.

Schools served by iabas


160schools served

over

109,000students served

per month



UPA - Local Medical Emergency Unit

T he Local Medical Emergency Units (UPA -

Unidades de Pronto Atendimento) operate 24 x 7,

providing emergency health care services.

In the areas served by a Local Medical Emergency Unit

(UPA), 97% of the cases are solved in the emergency

unit, contributing to less patients queuing at hospital

emergency rooms, and shorter hospitalization length.

These Local Medical Emergency Units (UPAs) rely on a

team of doctors on duty and are equipped with all the

equipment needed to serve the population.

Structure of a UPA• 1,300 m2

• patient evaluation room• suture room• procedure room• pathology laboratory• digital radiography• electrocardiography device• pharmacy• instrument sterilisation room

AREAS SERVED BY IABAS-ADMINISTERED UPAS

UPA Complexo do Alemão

UPA Cidade de Deus

UPA Vila Kennedy

UPA Costa Barros

UPA Madureira

AP 4.0

AP 5.1AP 3.3

AP 3.1

CITY OF RIO JANEIRO

over




UPA - Local Medical Emergency Unit

T he Local Medical Emergency Units (UPA -

Unidades de Pronto Atendimento) operate 24 x 7,

providing emergency health care services.

In the areas served by a Local Medical Emergency Unit

(UPA), 97% of the cases are solved in the emergency

unit, contributing to less patients queuing at hospital

emergency rooms, and shorter hospitalization length.

These Local Medical Emergency Units (UPAs) rely on a

team of doctors on duty and are equipped with all the

equipment needed to serve the population.

Structure of a UPA• 1,300 m2

• patient evaluation room• suture room• procedure room• pathology laboratory• digital radiography• electrocardiography device• pharmacy• instrument sterilisation room

AREAS SERVED BY IABAS-ADMINISTERED UPAS

UPA Complexo do Alemão

UPA Cidade de Deus

UPA Vila Kennedy

UPA Costa Barros

UPA Madureira

AP 4.0

AP 5.1AP 3.3

AP 3.1

CITY OF RIO JANEIRO

over



TOTAL CONSULTATIONS

upas


UPA - Objective• To provide the population with improved

health care services for emergency cases.

• To reduce the demand for hospital emer-gency rooms.

• To provide the population with improved health care services for emergency cases.

VILA COMPLEXO CIDADE MADUREIRA COSTA KENNEDY DO ALEMÃO DE DEUS BARROS

20122013

201120102009

120.

769

120

.555

87.9

32

95.0

63

66.0

13

59.5

24

138.

670

109.

665

102.

018

135.

246

72.4

74

141.

331

137.

602

31.3

65

101.

941

101.

022

2.29

3

6.04

7

119.

301

105.0

76

80.46

0



PADI - Home Care Services for Seniors

T he Home Care Services for

Seniors (PADI) is a health

care program for the elderly.

It provides home care services for,

mainly, people over 60 years and is

focused on reducing the number of

hospital admissions; promoting and

regenerating health; and preventing

diseases. The objective is to improve

hospital bed turnover, reduce the

patient’s risk of infections, and

shorten hospitalisation. In 2012, there

were more than 5,400 consultations

and over 35,000 visits to follow-up

patients.

PADI TEAMDoctor

Registered Nurse

Social Worker

Nutritionist

Physiotherapist

Speech Therapist

Occupational Therapist

Psychologist

Practical Nurse

Administrative Assistant

AREAS SERVED BY IABAS-ADMINISTERED PADI

PADISouza Aguiar

PADIMiguel Couto

PADISalgado Filho

OVER

70,000consultations


Source: IABAS records.

Total number of consultationsthrough the padi program

7.118

25.855


2010 2013


PADI - Home Care Services for Seniors

T he Home Care Services for

Seniors (PADI) is a health

care program for the elderly.

It provides home care services for,

mainly, people over 60 years and is

focused on reducing the number of

hospital admissions; promoting and

regenerating health; and preventing

diseases. The objective is to improve

hospital bed turnover, reduce the

patient’s risk of infections, and

shorten hospitalisation. In 2012, there

were more than 5,400 consultations

and over 35,000 visits to follow-up

patients.

PADI TEAMDoctor

Registered Nurse

Social Worker

Nutritionist

Physiotherapist

Speech Therapist

Occupational Therapist

Psychologist

Practical Nurse

Administrative Assistant

AREAS SERVED BY IABAS-ADMINISTERED PADI

PADISouza Aguiar

PADIMiguel Couto

PADISalgado Filho

OVER

70,000consultations



Total number of consultationsthrough the padi program

7.118

25.855


2010 2013

2009, 2010, 2011, 2012 and 2013 13(Copyright. Copying not allowed without IABAS authorisation)

IABAS Staff

T he IABAS staff is comprised of skilled health

care practitioners, such as doctors, nurses,

nursing assistants, physiotherapists, dentists,

pharmacists and social workers. The staff is also

comprised of administrative professionals (technicians,

assistants, managers and receptionists).

There are currently 4,145 staff members: 82 at the

head office; 671 at the Local Medical Emergency Units;

3,124 working on the Family Health Strategy program;

47 working on the Home Care Services for Seniors

program, and 220 working on the Health Program at

Schools. They are all dedicated and committed to

social organisation.

TOTAL NUMBER OF EMPLOYEES

2009 2013

135

4,145

Total training sessions conducted

144 For the following areas and programs

AP 5.2, 5.1, 4.0, PADI, PSE, head office

Total number ofemployees trained

4,797


|| Management Report - Summary


Innovations

ELETRONIC PANEL

The electronic panel enables managers from each unit to

monitor the location, attendance and non-attendance of staff

members in all projects and units administered by IABAS.

BENEFITS

n

case of non-attendance of a worker in a certain division, ensuring

being served. It allows the routine of each unit to be monitored

more closely, enabling relocation of staff, amongst other measures,

in case of shortage of staff in a particular unit and/or in emergency

situations, for instance.

HOW IT WORKS

ger

of each unit sends these records to the electronic panel system,

which has a database that is updated several times a day.

The Health Information and Technology

Centre (NITES – Núcleo de Informação

e Tecnologia em Saúde) is an alternative

tool to gather, in an appropriate place,

several information related to the projects

managed by IABAS. Therefore, analysis can

be conducted,as for example to assess the

health conditions in a particular region, to

others.

The objective of this tool is to ensure the

actions to improve the quality of health

care and assist managers in their decision

making.

nites



Innovations

ELETRONIC PANEL

The electronic panel enables managers from each unit to

monitor the location, attendance and non-attendance of staff

members in all projects and units administered by IABAS.

BENEFITS

n

case of non-attendance of a worker in a certain division, ensuring

being served. It allows the routine of each unit to be monitored

more closely, enabling relocation of staff, amongst other measures,

in case of shortage of staff in a particular unit and/or in emergency

situations, for instance.

HOW IT WORKS

ger

of each unit sends these records to the electronic panel system,

which has a database that is updated several times a day.

The Health Information and Technology

Centre (NITES – Núcleo de Informação

e Tecnologia em Saúde) is an alternative

tool to gather, in an appropriate place,

several information related to the projects

managed by IABAS. Therefore, analysis can

be conducted,as for example to assess the

health conditions in a particular region, to

others.

The objective of this tool is to ensure the

actions to improve the quality of health

care and assist managers in their decision

making.

nites


The Sustainability Program promotes the rational use of natural resources, improving population’s quality of life, and

ecosystem protection, according to the new ANVISA (Brazilian Health Surveillance Agency) guidelines. This initiative is aligned

with the current restructuring process of the public health in Rio de Janeiro.

reduced energy use withthe aid of a sustainable technology.

Environmental Education with practical sessions, workshops and talks, aiming at changing the population’s and staff`s behaviour towards the environment.

Supply Chain sustainability through evaluation and

Solid Waste Management,

promoting responsible

waste reduction, reutilisation and

recycling.

SUSTAINABILITY

WASTE MANAGEMENT

Medical unit namesalgado filho

Medical unit address

Programmatic area 4.0

CMS Cecília Donnangelo Estr. dos Bandeirantes, nº 21.136 - Vargem GrandeCF Maury Alves Pinho Estr. dos Bandeirantes, nº 11.227 - Vargem PequenaCMS Canal do Anil Av. Canal do Anil - Rua Melo, nº 2 - Anil CF Padre José de Azevedo Tiuba Praça Ludovia - JacarepaguáCF Otto Alves de Carvalho Rua Eng. Souza Filho - Rio das Pedras - Jacarepaguá


CF Olímpia Esteves Rua Francisco Brício, s/nº - Padre MiguelCF Fiorello Raimundo Rua Açafrão, s/nº - Bangu CF Kelly Cristina Av. Carlos Sampaio Correia, s/nº


CF Hans Dohmann Estr. do Piai, s/nº - Pedra de GuaratibaCF Dalmir de Abreu Salgado Estr. do Magarça, nº 1.831 - GuaratibaCF José Lopes Pontes Rua Jaburu, s/nº - Jardim MaravilhaCF David Capistrano Av. Cesário de Mello, s/nº - Campo GrandeCF Rogério Rocco Estr. do Encantamento, s/nº - Santa MargaridaCF Alkindar Soares Filho Estr. da Pedra, s/nº - Pedra de GuaratibaCF Agenor (Cazuza) Estr. do Mato Alto, s/nº (ao lado da Michelin) - Guaratiba

Medical units using waste managementIn 2013, actions were taken to

comply with the National Policy

on Solid Waste Management, that

regulates the handling of waste

within medical centres.

The implementation of the Solid

Waste Management Plan allows

for a reduction of up to 50% of

the waste produced, reducing

by half the costs associated

economy.


Av. Luiz Carlos Prestes, 350, loja C - salas 111 a 115 Barra da Tijuca/RJ - Cep: 22775-055

Tel: (21) 3550-3300 [email protected]

Rua Diogo de Farias, 66 - 6º andar - Vila Mariana São Paulo - SP - CEP: 04037-000

Telefone: (11) [email protected]

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