0378/2020 - Cobertura da Estratégia Saúde da Família no Brasil: o que nos mostram as Pesquisas Nacionais de Saúde 2013 e 2019 Cobertura da Estratégia Saúde da Família no Brasil: o que nos mostram as Pesquisas Nacionais de Saúde 2013 e 2019
O artigo analisa a evolução da cobertura da Estratégia de Saúde da Família (ESF), a partir dos resultados dos inquéritos populacionais das Pesquisas Nacionais de Saúde (PNS) de 2013 e 2019. Foram calculados indicadores de cobertura de moradores e domicílios por unidade de saúde da família (USF), frequência da visita de Agente Comunitário de Saúde (ACS), serviço de procura regular e tipo de serviço buscado; estratificados por área rural e urbana, grandes regiões, unidades da federação, escolaridade do responsável pelo domicílio e quintis de renda. Em 2019, 60,0% dos domicílios estavam cadastrados em USF e a cobertura de moradores era 62,6% (131,2 milhões de pessoas). A cobertura é superior na área rural e nas regiões Nordeste e Sul. Entre 2013 e 2019, observa-se aumento de cobertura em 11,6% (mais acelerado que no período anterior) e redução na visita mensal do ACS. A cobertura é mais elevada entre a população mais vulnerável, considerada escolaridade do responsável pelo domicílio ou renda familiar. A disponibilidade de serviço de procura regular é maior entre cadastrados na USF, e a UBS o serviço mais procurado. Os resultados da PNS 2019 reiteram que a ESF permaneceu como política equitativa e principal modelo de APS no SUS. No entanto, as recentes mudanças na condução da política nacional, que enfraquecem o enfoque comunitário e a prioridade da ESF, podem ameaçar tais avanços.
Palavras-chave:
atenção primária à saúde, estratégia de saúde da família, inquéritos epidemiológicos, cobertura de serviços de saúde, acesso
Abstract:
This paper examines the evolution of coverage by Brazil’s Family Health Strategythe findings of the 2013 and 2019 National Health Survey censuses. The indicators calculated included Family Health Clinic coverage of residents and households, frequency of visits by Community Health Workers, and usual source of care, all stratified by rural or urban area, Brazilian region, state, education of head of household and income quintile. In 2019, 60.0% households were registered with a Family Health Clinic and population coverage was 62.6% (131.2 million people). Coverage was higher in rural than in urban areas, and in the Northeast and South regions. Between 2013 and 2019, coverage increased by 11.6% and monthly health worker visits decreased. Coverage was highest among the most vulnerable population, as defined by education of head of household or family income. Availability of usual source of care was highest among those registered with a Family Health Clinic, most often a PHC clinic. The findings of the 2019 National Health Survey confirm that Brazil’s Family Health Strategy continues to be an equitable policy and the main model of PHC in the SUS National Health Service. However, recent changes in national policy, which are weakening the community approach and the priority given to the Family Health Strategy, may jeopardise these gains.
Keywords:
primary health care, family health strategy, health surveys, health services coverage, access
Cobertura da Estratégia Saúde da Família no Brasil: o que nos mostram as Pesquisas Nacionais de Saúde 2013 e 2019
Resumo (abstract):
This paper examines the evolution of coverage by Brazil’s Family Health Strategythe findings of the 2013 and 2019 National Health Survey censuses. The indicators calculated included Family Health Clinic coverage of residents and households, frequency of visits by Community Health Workers, and usual source of care, all stratified by rural or urban area, Brazilian region, state, education of head of household and income quintile. In 2019, 60.0% households were registered with a Family Health Clinic and population coverage was 62.6% (131.2 million people). Coverage was higher in rural than in urban areas, and in the Northeast and South regions. Between 2013 and 2019, coverage increased by 11.6% and monthly health worker visits decreased. Coverage was highest among the most vulnerable population, as defined by education of head of household or family income. Availability of usual source of care was highest among those registered with a Family Health Clinic, most often a PHC clinic. The findings of the 2019 National Health Survey confirm that Brazil’s Family Health Strategy continues to be an equitable policy and the main model of PHC in the SUS National Health Service. However, recent changes in national policy, which are weakening the community approach and the priority given to the Family Health Strategy, may jeopardise these gains.
Palavras-chave (keywords):
primary health care, family health strategy, health surveys, health services coverage, access
Giovanella, L., Bousquat, A.E.M., Schenkman, S., Almeida, P. F., Sardinha, L.M.V, Vieira, M. L. F. P.. Cobertura da Estratégia Saúde da Família no Brasil: o que nos mostram as Pesquisas Nacionais de Saúde 2013 e 2019. Cien Saude Colet [periódico na internet] (2020/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/cobertura-da-estrategia-saude-da-familia-no-brasil-o-que-nos-mostram-as-pesquisas-nacionais-de-saude-2013-e-2019/17860?id=17860
