Contribution of community health workers to primary health care performance in Brazil

Detalhes bibliográficos
Autor(a) principal: Santos, Alaneir de Fátima dos
Data de Publicação: 2020
Outros Autores: Rocha, Hugo André da, Lima, Ângela Maria de Lourdes Dayrell de, Abreu, Daisy Maria Xavier de, Silva, Érica Araújo, Araújo, Lucas Henrique Lobato de, Cavalcante, Isabela Cristina Carreiro, Matta-Machado, Antônio Thomaz Gonzaga da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/180569
Resumo: OBJECTIVE: To associate the strength of community health workers interventions with primary health care strategies for women’s and children’s health, diabetes, and hypertension. METHODS: This is a cross-sectional study assessing 29,778 family health teams working in primary health care in Brazil in 2014. The association between community health workers activity levels and primary health care facilities was analyzed using multiple logistic regression. RESULTS: We found higher levels of community health workers activities strongly associated with primary health care practices (OR = 6.88) for those activities targeting hypertension management, followed by children’s health (OR = 6.56), and women’s health (OR = 6.21). CONCLUSIONS: At a time when Brazil discusses whether community health workers should or should not remain in the same scale-up and skill level as they currently are, our results reinforce the importance of these workers for the care model advocated by the Brazilian Unified Health System.
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spelling Contribution of community health workers to primary health care performance in BrazilPrimary Health CareCommunity Health WorkersHealth Services ResearchBrazilOBJECTIVE: To associate the strength of community health workers interventions with primary health care strategies for women’s and children’s health, diabetes, and hypertension. METHODS: This is a cross-sectional study assessing 29,778 family health teams working in primary health care in Brazil in 2014. The association between community health workers activity levels and primary health care facilities was analyzed using multiple logistic regression. RESULTS: We found higher levels of community health workers activities strongly associated with primary health care practices (OR = 6.88) for those activities targeting hypertension management, followed by children’s health (OR = 6.56), and women’s health (OR = 6.21). CONCLUSIONS: At a time when Brazil discusses whether community health workers should or should not remain in the same scale-up and skill level as they currently are, our results reinforce the importance of these workers for the care model advocated by the Brazilian Unified Health System.Universidade de São Paulo. Faculdade de Saúde Pública2020-12-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/18056910.11606/s1518-8787.2020054002327Revista de Saúde Pública; Vol. 54 (2020); 143Revista de Saúde Pública; Vol. 54 (2020); 143Revista de Saúde Pública; v. 54 (2020); 1431518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/180569/167717https://www.revistas.usp.br/rsp/article/view/180569/167718Copyright (c) 2020 Revista de Saúde Públicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Alaneir de Fátima dosRocha, Hugo André daLima, Ângela Maria de Lourdes Dayrell deAbreu, Daisy Maria Xavier deSilva, Érica AraújoAraújo, Lucas Henrique Lobato deCavalcante, Isabela Cristina CarreiroMatta-Machado, Antônio Thomaz Gonzaga da2021-01-04T19:15:16Zoai:revistas.usp.br:article/180569Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-01-04T19:15:16Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Contribution of community health workers to primary health care performance in Brazil
title Contribution of community health workers to primary health care performance in Brazil
spellingShingle Contribution of community health workers to primary health care performance in Brazil
Santos, Alaneir de Fátima dos
Primary Health Care
Community Health Workers
Health Services Research
Brazil
title_short Contribution of community health workers to primary health care performance in Brazil
title_full Contribution of community health workers to primary health care performance in Brazil
title_fullStr Contribution of community health workers to primary health care performance in Brazil
title_full_unstemmed Contribution of community health workers to primary health care performance in Brazil
title_sort Contribution of community health workers to primary health care performance in Brazil
author Santos, Alaneir de Fátima dos
author_facet Santos, Alaneir de Fátima dos
Rocha, Hugo André da
Lima, Ângela Maria de Lourdes Dayrell de
Abreu, Daisy Maria Xavier de
Silva, Érica Araújo
Araújo, Lucas Henrique Lobato de
Cavalcante, Isabela Cristina Carreiro
Matta-Machado, Antônio Thomaz Gonzaga da
author_role author
author2 Rocha, Hugo André da
Lima, Ângela Maria de Lourdes Dayrell de
Abreu, Daisy Maria Xavier de
Silva, Érica Araújo
Araújo, Lucas Henrique Lobato de
Cavalcante, Isabela Cristina Carreiro
Matta-Machado, Antônio Thomaz Gonzaga da
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Santos, Alaneir de Fátima dos
Rocha, Hugo André da
Lima, Ângela Maria de Lourdes Dayrell de
Abreu, Daisy Maria Xavier de
Silva, Érica Araújo
Araújo, Lucas Henrique Lobato de
Cavalcante, Isabela Cristina Carreiro
Matta-Machado, Antônio Thomaz Gonzaga da
dc.subject.por.fl_str_mv Primary Health Care
Community Health Workers
Health Services Research
Brazil
topic Primary Health Care
Community Health Workers
Health Services Research
Brazil
description OBJECTIVE: To associate the strength of community health workers interventions with primary health care strategies for women’s and children’s health, diabetes, and hypertension. METHODS: This is a cross-sectional study assessing 29,778 family health teams working in primary health care in Brazil in 2014. The association between community health workers activity levels and primary health care facilities was analyzed using multiple logistic regression. RESULTS: We found higher levels of community health workers activities strongly associated with primary health care practices (OR = 6.88) for those activities targeting hypertension management, followed by children’s health (OR = 6.56), and women’s health (OR = 6.21). CONCLUSIONS: At a time when Brazil discusses whether community health workers should or should not remain in the same scale-up and skill level as they currently are, our results reinforce the importance of these workers for the care model advocated by the Brazilian Unified Health System.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/180569
10.11606/s1518-8787.2020054002327
url https://www.revistas.usp.br/rsp/article/view/180569
identifier_str_mv 10.11606/s1518-8787.2020054002327
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/180569/167717
https://www.revistas.usp.br/rsp/article/view/180569/167718
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista de Saúde Pública
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista de Saúde Pública
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 54 (2020); 143
Revista de Saúde Pública; Vol. 54 (2020); 143
Revista de Saúde Pública; v. 54 (2020); 143
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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