Author:

• Anya Pimentel Gomes Ferreira Vieira-Meyer - Vieira-Meyer, A.P.G.F - <anyavieira10@gmail.com>
ORCID: http://orcid.org/0000-0003-4237-8995

Co-author(s):

• Grayce Alencar Albuquerque - Albuquerque, GA - <grayce.alencar@urca.br>
ORCID: https://orcid.org/0000-0002-8726-0619
• José Maria Ximenes Guimarães - Guimarães, J.M.X - <jm_ximenes@hotmail.com>
ORCID: https://orcid.org/0000-0002-5682-6106
• Regina Glaucia Lucena Aguiar Ferreira - Ferreira, RGLA - <reginalucenaa@ufc.br>
ORCID: https://orcid.org/0000-0003-4225-7958
• Andréa Sílvia Walter de Aguiar - Aguiar, ASW - <andrea.aguiar@ufc.br>
ORCID: https://orcid.org/0000-0002-4316-9020
• Alice Maria Correia Pequeno - Pequeno, Alice Maria Correia - <alicepequeno@gmail.com>
ORCID: https://orcid.org/0000-0002-4248-1610
• Ana Patrícia Pereira Morais - Morais, A.P.P - <anapatricia.morais@uece.br>
ORCID: https://orcid.org/0000-0001-6188-7897
• Franklin Delano Soares Forte - Forte, F.D.S - <franklinufpb@gmail.com>
ORCID: https://orcid.org/0000-0003-4237-0184
• Sidney Feitoza Farias - Farias, S.F - <sidneyffarias@gmail.com>
ORCID: http://orcid.org/0000-0002-3650-154X
• NEIVA FRANCENELY CUNHA VIEIRA - Vieira, N.F.C - <nvieira@ufc.br>
ORCID: https://orcid.org/0000-0002-9622-2462
• Fernando José Guedes da Silva Júnior - Silva Júnior, F.J.G - <fernandoguedes@ufpi.edu.br>
ORCID: https://orcid.org/0000-0001-5731-632X
• Aisha Khizar Yousafzai - Yousafzai, A.K - <ayousafzai@hsph.harvard.edu>
ORCID: http://orcid.org/0000-0002-1592-8923

Abstract:

Tem aim of this study was to analyze the influence of urban violence and Covid-19 on the work process of Community Health Workers (CHWs). We conducted a multi Center, cross-sectional, quantitative study in eight cities in the Northeast of Brazil. The survey covered sociodemographic data, work process, exposure to violence in the territory, self-efficacy and anxiety related to Covid-19. Logistic regression analysis was carried out, taking the variable \"Do you consider that your teamwork process has been affected during the pandemic?\". Of a total of 1944 CHWs, 56.60% reported that violence interfered with their work activities. Almost 75% reported that the service had been adapted to deal with Covid-19 patients. The CHW’s better understanding of teamwork during the pandemic was positively associated with the service not having been adapted to care for Covid-19 patients (OR=1.60; 95%CI 1.22-2.10) and being exposed to violence in the territory (OR=2.73; 95%CI 1. 72, 4.34). Urban violence and Covid-19 affect the work process of CHWs. Understanding these relationships can help develop interventions in favor of a strengthened and resilient Primary Health Care, better prepared for future stressors.

Keywords:

Community Health Agent. Primary Health Care. Exposure to violence. Covid-19.

Content:

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