Changes in social indicators of the northeastern region after the implementation of primary health care

• Main Author: Carvalho , Fátima Cristina Dias de
• Publication Date: 2022
• Other Authors: Vasconcelos , Thiago Brasileiro de, Arruda, Gisele Maria Melo Soares, Macena, Raimunda Hermelinda Maia
• Format: Article
• Language: por
• Source: Trabalho, Educação e Saúde (Online)
• Download full: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/894
• topic: Avaliação em saúde; Atenção Primária à Saúde; Estratégia Saúde da Família; Indicadores sociais; Saúde pública; evaluation in health; Primary Health Care; Family Health Strategy; social indicators; public health; evaluación en salud; Atención Primaria de la Salud; Estrategia de Salud de la Familia; indicadores sociales; salud pública

The goal of the present study was to describe the implementation of Primary Health Care in the Northeastern Region of Brazil and its correlation with socialindicators. It is an ecological study with data from the Primary Health Care Department (Departamento de Atenção Básica, in Portuguese) of the Brazilian Ministry of Health and from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, in Portuguese), and the variable of the study is the number of Community Health Workers, Health of the Family Teams and Health of the Family Support Centers. The calculation of the time trend of the Community Health Workers and of the Health of the Family Teams was performed using Poisson’s joinpoint regression. We observed a strong correlation (r ≥ 0.7) between the social indicators and the implementation of Primary Health Care and of the Health of the Family Center in the Northeastern Region, inadequate sanitary sewage systems, total fertility rate, houses with indoor plumbing, percentage of houses with garbage collection, life expectancy at birth, aging rate, and probability of living until the age of 60 years. The health and development variables presented a statistically significant (p< 0.05) change in the correlation and determination coefficient. There is a time trend regarding the increase in the implementation of Primary Health Care in theNortheast, and there is also a strong correlation between the social and health indicators.