0154/2023 - Iniciativas da sociedade e comunidades no apoio social a grupos vulneráveis no território: papel da ESF na pandemia Society and community initiatives in social support for vulnerable groups in the territory: the role of the ESF in the pandemic
A pandemia ressaltou novos e antigos riscos à saúde que demandam ações sanitárias e formas de apoio social. Este artigo analisou o conhecimento dos profissionais de saúde de UBSs sobre iniciativas da sociedade e dos serviços de saúde, articulados ou separadamente na promoção de saúde e apoio social a grupos vulneráveis. Partiu-se da revisão teórica sobre o conceito e sua aplicação e da análise de dados empíricos do estudo multidimensional “Desafios à APS no enfrentamento da Covid-19”, de desenho transversal, com amostra representativa das UBSs brasileiras, em nível nacional e regional. Gerou-se escore a partir de variáveis selecionadas e agregadas e estimou-se proporções de ações selecionadas e IC (95%), no Brasil e suas regiões. Ações a partir das UBSs e da população mostraram-se heterogêneas entre as regiões, sendo significativamente mais frequentes na região NE e em municípios não urbanos e de menor IDH, associando-se às ações desenvolvidas no território pelos ACS. Identificaram-se desafios, lacunas e necessidade de novas investigações; amplificação da magnitude e escopo de ações intra/intersetoriais; fortalecimento de laços entre diferentes atores e reversão dos efeitos da pandemia que aprofundaram desigualdades e iniquidades em saúde.
Palavras-chave:
Apoio social; Atenção Primária à Saúde; Intersetorialidade; COVID-19; Pandemia.
Abstract:
The pandemic highlighted new and old health risks that require health actions and social support. This article analyzed knowledge of UBS’s health professionals of the society and health services health promotion initiatives and social support to vulnerable groups, jointly or separately. It started with a theoretical review of the concept and its application and the analysis of empirical datathe multidimensional study “Challenges to PHC in coping with Covid-19”, cross-sectionally designed, with a representative sample of Brazilian UBS, at national and regional levels. A score was generateded and aggregated variables and proportions of ed initiatives and CI (95%) were estimated for Brazil and its regions. Population and UBS’s initiatives proved to be heterogeneous among regions, being significantly more frequent in the NE region and in urban/non-urban municipalities and with lower HDI. Challenges, gaps and the need for further investigations still remain; increasing the magnitude and scope of intra/intersectoral actions; strengthening ties between different actors and reversing the effects of the pandemic that deepened health inequalities and inequities.
Keywords:
Social Support; Primary health care; Intersectorality; COVID-19; Pandemic
Society and community initiatives in social support for vulnerable groups in the territory: the role of the ESF in the pandemic
Resumo (abstract):
The pandemic highlighted new and old health risks that require health actions and social support. This article analyzed knowledge of UBS’s health professionals of the society and health services health promotion initiatives and social support to vulnerable groups, jointly or separately. It started with a theoretical review of the concept and its application and the analysis of empirical datathe multidimensional study “Challenges to PHC in coping with Covid-19”, cross-sectionally designed, with a representative sample of Brazilian UBS, at national and regional levels. A score was generateded and aggregated variables and proportions of ed initiatives and CI (95%) were estimated for Brazil and its regions. Population and UBS’s initiatives proved to be heterogeneous among regions, being significantly more frequent in the NE region and in urban/non-urban municipalities and with lower HDI. Challenges, gaps and the need for further investigations still remain; increasing the magnitude and scope of intra/intersectoral actions; strengthening ties between different actors and reversing the effects of the pandemic that deepened health inequalities and inequities.
Palavras-chave (keywords):
Social Support; Primary health care; Intersectorality; COVID-19; Pandemic
Mendonça, M.H.M., Soares, M.U, Spadacio,Cristiane, Alves, M.G. de M., Schenkman, S., Bousquat, A.E.M., Giovanella, L.. Iniciativas da sociedade e comunidades no apoio social a grupos vulneráveis no território: papel da ESF na pandemia. Cien Saude Colet [periódico na internet] (2023/Jun). [Citado em 08/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/iniciativas-da-sociedade-e-comunidades-no-apoio-social-a-grupos-vulneraveis-no-territorio-papel-da-esf-na-pandemia/18780?id=18780
