0209/2023 - Primary health care and the assistance to users with covid-19 in the Brazilian regions A atenção primária à saúde e o cuidado aos usuários com covid-19 nas regiões brasileiras
The aim was to characterize the role of primary health care (PHC) in caring for users with COVID-19, identifying facilitators and constraints for the response of PHC teams in dealing with the pandemic. A cross-sectional study was conducted with a representative sample of Brazilian primary health care units (UBS) in the form of a survey. 907 UBSthe five regions of the country participated in the study. Data collection took place between July and November 2021, through an online survey. The results show that UBS in the South and Southeast regions had better conditions for dealing with the pandemic in terms of protective equipment and communication structure, while UBS in the North and Northeast regions had better performance in health surveillance actions, educational activities, active contact tracing, case monitoring, and notification in the influenza-like illness surveillance system. The COVID-19 vaccination process was taking place in 70% of UBS nationwide, 28% had to suspend first dose vaccination due to a lack of vaccine, and 25% had to suspend second dose vaccination. It is concluded that Brazilian PHC performed an important role in dealing with the pandemic despite the difficulties arisingthe absence of a national coordination.
Keywords:
Primary Health Care. SARS-CoV-2. COVID-19. Delivery of Health Care Working. Conditions.
A atenção primária à saúde e o cuidado aos usuários com covid-19 nas regiões brasileiras
Abstract(resumo):
O objetivo foi caracterizar a atuação da atenção primária à saúde (APS) no cuidado aos usuários com covid-19, identificando fatores facilitadores e os constrangimentos para a resposta das equipes de APS no enfrentamento à pandemia. Estudo transversal com amostra representativa das unidades básicas de saúde (UBS) brasileiras, na forma de inquérito. Participaram do estudo 907 UBS das cinco regiões do país. A coleta de dados foi entre julho e novembro de 2021, por meio de questionário online. Os resultados mostram que as UBS das regiões Sul e Sudeste tiveram melhores condições de enfrentamento da pandemia em termos de equipamentos de proteção e estrutura de comunicação e as UBS das regiões Norte e Nordeste tiveram melhor desempenho nas ações relacionadas à vigilância em saúde, atividades educativas, busca ativa de contatos, monitoramento de casos e notificação no sistema de vigilância de síndrome gripal. O processo de vacinação contra a covid-19 ocorria em 70% das UBS em nível nacional, 28% tiveram que suspender a vacinação da primeira dose por falta de do imunizante e 25% da segunda dose. Conclui-se que a APS brasileira realizou importante trabalho no enfrentamento à pandemia apesar das dificuldades decorrentes da ausência de uma coordenação nacional.
Palavras-chave: Atenção Primária à Saúde, SARS-CoV-2, covid-19, Atenção à saúde, Condições de Trabalho.
Abstract: The aim was to characterize the role of primary health care (PHC) in caring for users with COVID-19, identifying facilitators and constraints for the response of PHC teams in dealing with the pandemic. A cross-sectional study was conducted with a representative sample of Brazilian primary health care units (UBS) in the form of a survey. 907 UBSthe five regions of the country participated in the study. Data collection took place between July and November 2021, through an online survey. The results show that UBS in the South and Southeast regions had better conditions for dealing with the pandemic in terms of protective equipment and communication structure, while UBS in the North and Northeast regions had better performance in health surveillance actions, educational activities, active contact tracing, case monitoring, and notification in the influenza-like illness surveillance system. The COVID-19 vaccination process was taking place in 70% of UBS nationwide, 28% had to suspend first dose vaccination due to a lack of vaccine, and 25% had to suspend second dose vaccination. It is concluded that Brazilian PHC performed an important role in dealing with the pandemic despite the difficulties arisingthe absence of a national coordination.
Keywords(palavra-chave):
Primary Health Care. SARS-CoV-2. COVID-19. Delivery of Health Care Working. Conditions.
Mota, P.H.S, Santana, F.R., Rizzotto, M.L.F, Cury, G.C, Giovanella, L., Facchini, L.A., Bousquat, A.. Primary health care and the assistance to users with covid-19 in the Brazilian regions. Cien Saude Colet [periódico na internet] (2023/Aug). [Citado em 21/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/en/articles/primary-health-care-and-the-assistance-to-users-with-covid19-in-the-brazilian-regions/18835?id=18835
