Continuing Education for Digital Transformation in Primary Health Care: The Educa e-SUS PHC Iniciative

Abstract

This study presents the results achieved by the National Program for Continuing Education in Digital Health for Primary Health Care (PHC), delivered through a massive open online course (MOOC) platform. Collected data are used to monitor participants’ progress towards goal achievement for certification purposes and to evaluate course quality. Prolonged inactivity, defined as more than 90 days without progress, triggers an AI-generated moti-vational message tailored to the participant. Between November 2023 and November 2025, the program registered 236,309 enrollments by 84,408 participants, reaching 5,111 municipalities across all Brazilian states. A total of 15,292 (18.1%) people dropped out of their selected course, of whom 4,498 (11.7%) later returned to it. Content relevance and educational resources received high approval ratings: 57,259 (94.9%) and 56,230 (93.2%), respectively. The results demonstrate the broad reach of this educational strategy in supporting digital acceleration in PHC. It is expected that digital literacy focused on the effective use of e-SUS PHC software will enable digital systems to advance their role as catalysts of social transformation.