“…Since the creation of SUS, there has been a process of increasing municipal spending on health and reducing the percentage of federal financing and, consequently, the need to increase resources for health at this level 5,[33][34][35][36] . In this sense, Teles et al 37 , when analyzing the allocation of federal resources in the state of Bahia, found a large concentration of resources allocated to a few municipalities with a large population and with the highest HDI, and a low amount to regions with greater health needs, that is, with greater vulnerability, which increases regional inequity, a cause that may arise from the quality of the service network found in smaller municipalities, similar to the case of Rio de Janeiro.…”