Public Policies and Chronic Diseases: Pathways Toward Comprehensiveness and Equity in Care — A Narrative Review

Chronic non-communicable diseases (NCDs) represent one of the main challenges for global public health due to their high prevalence, burden of morbidity and mortality, and impact on quality of life. In Brazil, these conditions disproportionately affect socially vulnerable populations, placing complex demands on the Unified Health System (SUS). In this context, the principles of comprehensiveness and equity guide the development of fairer and more effective public policies. This narrative review aimed to critically analyze the strategies and challenges of Brazilian public policies targeting the care of people with NCDs, with an emphasis on promoting comprehensive and equitable care. Key strategies identified include the implementation of Health Care Networks, the strengthening of Primary Health Care through the Family Health Strategy, the creation of specific care pathways, and the adoption of intersectoral programs. The review concludes that effectively addressing NCDs requires more than regulations: it demands the implementation of structural actions, integrated planning, sustained investment, and the strengthening of social participation. Only through this collective effort will it be possible to guarantee the right to health with quality, equity, and comprehensiveness for the entire population.