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São Paulo / Brazil · CITY × MARKET

Health & care
in São Paulo.

Support continuity through the UBS primary-care system. Municipal guidance identifies UBS services as an entry point to SUS, including chronic-condition follow-up and preventive care.

Joshua ArmahFounder · Pheonix Startups
PUBLIC DESK RESEARCH
14 October 2026 · Edition 01
PHEONIX
RESEARCH

THE IMPACT ATLAS · EDITION 01

A closer look.
A copy to keep.

YOUR FULL REPORTHealth & care in São PauloJoshua Armah · Founder, Pheonix Startups

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THE PLACE BEHIND THE OPPORTUNITY

Our editorial thesis: practical impact opportunities lie in coordinating existing institutions and informal-to-formal economic activity. Define a municipal territory and buyer; prove reliability and income benefits before scaling.

São Paulo's current PlanClima portal distinguishes a municipal 2030 emissions reduction of 20% against 2017 from a 50% ambition requiring joint action with other city sectors. It seeks net-zero municipal-territory emissions by 2050. Those are different commitments, not interchangeable claims. Its summary of average 2010–2022 emissions assigns 60% to transport, 31% to stationary energy, and 9% to waste. Historical shares inform discovery, not present-day valuations.

Prefeitura de São PauloPrefeitura de São PauloSão Paulo Municipal Health SecretariatBanco Central do BrasilSão Paulo Economic Development and Labour SecretariatSP Regula / Prefeitura de São PauloUniversity of São Paulo / AUSPINSão Paulo Research Foundation (FAPESP)
01 / THE EVIDENCE, DRAWN TO SCALE

One place. A wider context.

São Paulo context sits beside the global signal. Different geographies and units remain separate.

REPORTED OBSERVATION
60%SHARE WITHIN THE SOURCE DEFINITION

Highlighted share · 100 units = the defined whole

Transport share in the portal's historical average emissions breakdown

2010–2022 average
São Paulo municipality; not the state or metro region

Transport share in the municipality's 2010–2022 average emissions breakdown.

Prefeitura de São PauloUndated current portal; accessed 2026-10-14
SOURCE ESTIMATE
4.6bnSCALE OF THE REPORTED QUANTITY

Each block = 200 million people

people lacking essential health-service access

2023 data; 2025 report
Global; coverage estimate

Essential health-service access estimate for 2023, reported in 2025. This is not a count of Pheonix users or a city population estimate.

WHO / World Bank6 December 2025; coverage data 2023

Visuals reproduce the cited signal, including its original scope. Rounded unit graphics are reading aids; the displayed figure and source definition govern the claim.

03 / FOLLOW THE SYSTEM

Where São Paulo can begin.

A proposed operating map for health & care. Read the handoffs before choosing a product to build.

Health
system
  1. 01

    Find & afford care

  2. 02

    Navigate & schedule

  3. 03

    Treat safely

  4. 04

    Coordinate follow-up

  5. 05

    Reimburse & evaluate

THE BUYER QUESTION

Authorised primary-care operators and care-management teams working within the municipality's governance and purchasing arrangements.

THE EXPERIMENT

Agree one non-diagnostic follow-up pathway with an authorised clinic, and compare appointment completion before and during a supervised trial.

Read the complete value chain
  1. Find and afford care
  2. Navigate and schedule
  3. Deliver safe treatment
  4. Coordinate follow-up
  5. Reimburse and evaluate

Editorial system map derived from the research brief. The sequence is a framework for discovery, with no claim that a Pheonix programme, customer or pilot is operating.

Health & careSDG 3 · 10

Support continuity through the UBS primary-care system. Municipal guidance identifies UBS services as an entry point to SUS, including chronic-condition follow-up and preventive care.

RESEARCH HYPOTHESIS · TO VALIDATE LOCALLY

The opportunity

A proposed clinic workflow could reconcile scheduled follow-ups, contact preferences, and community-worker handoffs, helping staff identify missed care without adding another disconnected patient record.

03 / PROPOSED IMPACT FRAMEWORK

Make the benefit testable.

An impact claim should survive a difficult question. Design the measurement before you design the success story.

  1. 01

    Establish the baseline

    Start in São Paulo. Define the people, geography and existing service before measuring a change.

  2. 02

    Run a bounded pilot

    Use the proposed experiment above as a starting question. Agree the local scope, duration, comparison and safeguards before beginning.

  3. 03

    Compare the outcome

    Ask what would have happened otherwise. Compare like with like and record how much uncertainty remains.

WHAT TO MEASURE

The outcome ledger

  • LOCAL OUTCOME MEASURE

    Completed follow-ups, time to appointment, duplicate contacts, staff workload, and patient-reported accessibility.

Keep the counter-evidence.

Keep care decisions with clinicians; define lawful data access, retention, and patient communication with the responsible institution before collecting health information.

Proposed measurement pathway. No baseline, pilot result, participant count or achieved impact is being reported in this diagram.

PUT IT IN PERSPECTIVE

The global market context.

WHO and the World Bank’s 2025 monitoring report estimates that 4.6 billion people lacked essential health-service access in 2023. Financial hardship estimates refer to 2022; publication year does not make either indicator a 2025 observation.WHO / World Bank

WHO’s health-AI regulatory considerations emphasise safety, effectiveness, data quality and lifecycle oversight. A workflow improvement does not establish that an algorithm is clinically safe or approved for a diagnostic use.World Health Organization

Explore this market in all 12 cities
WHAT TO LEARN BEFORE BUILDING
  1. Where does the patient pathway fail today?
  2. Who has authority to change the workflow?
  3. Would the intervention still work without a smartphone?

Follow the evidence.

Publication dates and geographic scope are shown for each source. Linked institutions are references, with no affiliation or endorsement implied.

  1. 01
    PlanClima SP: targets, sectors, and implementation

    Prefeitura de São Paulo · Undated current portal; accessed 2026-10-14

    São Paulo municipality; 2010–2022 average emissions shares and 2030/2050 targets
  2. 02
    Ligue os Pontos connects agricultural production with the urban economy

    Prefeitura de São Paulo · 2020-03-02

    São Paulo municipality, especially its rural south; historical programme account
  3. 03
    Unidades Básicas de Saúde (UBS)

    São Paulo Municipal Health Secretariat · Updated 2026-09-22

    Municipal primary-care services within Brazil's SUS
  4. 04
    Relatório de Cidadania Financeira 2025

    Banco Central do Brasil · 2025 edition; accessed 2026-10-14

    Brazil nationally; cited Pix analysis uses December 2023 CadÚnico data, not city estimates
  5. 05
    O Cate: public employment and entrepreneurship services

    São Paulo Economic Development and Labour Secretariat · Undated; accessed 2026-10-14

    São Paulo municipal worker and microenterprise services
  6. 06
    Coleta Domiciliar Seletiva

    SP Regula / Prefeitura de São Paulo · Updated 2026-04-27

    São Paulo municipal selective-collection programme and accredited cooperatives
  7. 07
    Hub USPInovação

    University of São Paulo / AUSPIN · Undated; accessed 2026-10-14

    University innovation resources across USP campuses
  8. 08
    PIPE: Pesquisa Inovativa em Pequenas Empresas

    São Paulo Research Foundation (FAPESP) · Undated current programme page; accessed 2026-10-14

    Eligible companies in São Paulo state; competitive research support
  9. 09
    Most countries make progress towards universal health coverage, but major challenges remain

    WHO / World Bank · 6 December 2025; coverage data 2023

    Global
  10. 10
    Regulatory considerations on artificial intelligence for health

    World Health Organization · 19 October 2023

    Global regulatory considerations; non-binding overview; local law applies
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