Even though 16.2 million people still live under the conditions of extreme poverty in Brazil the poverty index fell from 42,7% to 28,8% within 2003-2008 and extreme poverty fell from 12% to 4,8%. Furthermore, inequality was reduced between 2001-2009 the income of the bottom 10% grew six times faster than the top 10% (Kleiman, 2011). Taking the case of São Paulo there was done a study on socioeconomic inequalities from 1970-1991, where there was a decrease in inequality in under five mortality by household wealth and furthermore an increase in the mother's education, which was due to better infrastructure and equality among men and women (Sastry, 2004). Until the mid-20th century, Brazil didn’t have a health care system, only after 1970 with a healthcare was a right for the whole population (The Unified Health System was created), but only after 1988 was established in a Constitutional change and was legally declared as a right. After this, infant mortality decreased in the last three decades about 6.3% per year. Despite some achievements, insufficient investment and poor management, have stopped the progress and made some damage to the UHS (Almeida-Filho,