A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?

Detalhes bibliográficos
Autor(a) principal: Pinto, Alexandro Rodrigues
Data de Publicação: 2021
Outros Autores: Köptcke, Luciana Sepúlveda, David, Renata Bernardes, Kuper, Hannah
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46657
Resumo: CONFAP-MRC
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spelling Pinto, Alexandro RodriguesKöptcke, Luciana SepúlvedaDavid, Renata BernardesKuper, Hannah2021-04-13T14:06:27Z2021-04-13T14:06:27Z2021PINTO, Alexandro et al. A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?. International Journal of Environmental Research and Public Health, [Bassel], v.18, n. 2953, p.1-11, 2021.1660-4601https://www.arca.fiocruz.br/handle/icict/4665710.3390/ijerph18062953CONFAP-MRCFundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.International Centre for Evidence in Disability. Department of Clinical Research. London School of Hygiene & Tropical Medicine. London, United Kingdom.Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.engMDPIHealth Services AccessibilityPrimary Health CareDisabled PersonsAccessibilityBarriersDisabilityBrazilPrimary careHealth facilitiesAcesso aos Serviços de SaúdeAtenção Primária à SaúdePessoas com DeficiênciaA national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
title A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
spellingShingle A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
Pinto, Alexandro Rodrigues
Health Services Accessibility
Primary Health Care
Disabled Persons
Accessibility
Barriers
Disability
Brazil
Primary care
Health facilities
Acesso aos Serviços de Saúde
Atenção Primária à Saúde
Pessoas com Deficiência
title_short A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
title_full A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
title_fullStr A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
title_full_unstemmed A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
title_sort A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?
author Pinto, Alexandro Rodrigues
author_facet Pinto, Alexandro Rodrigues
Köptcke, Luciana Sepúlveda
David, Renata Bernardes
Kuper, Hannah
author_role author
author2 Köptcke, Luciana Sepúlveda
David, Renata Bernardes
Kuper, Hannah
author2_role author
author
author
dc.contributor.author.fl_str_mv Pinto, Alexandro Rodrigues
Köptcke, Luciana Sepúlveda
David, Renata Bernardes
Kuper, Hannah
dc.subject.mesh.pt_BR.fl_str_mv Health Services Accessibility
Primary Health Care
Disabled Persons
topic Health Services Accessibility
Primary Health Care
Disabled Persons
Accessibility
Barriers
Disability
Brazil
Primary care
Health facilities
Acesso aos Serviços de Saúde
Atenção Primária à Saúde
Pessoas com Deficiência
dc.subject.en.pt_BR.fl_str_mv Accessibility
Barriers
Disability
Brazil
Primary care
Health facilities
dc.subject.decs.pt_BR.fl_str_mv Acesso aos Serviços de Saúde
Atenção Primária à Saúde
Pessoas com Deficiência
description CONFAP-MRC
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-04-13T14:06:27Z
dc.date.available.fl_str_mv 2021-04-13T14:06:27Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PINTO, Alexandro et al. A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?. International Journal of Environmental Research and Public Health, [Bassel], v.18, n. 2953, p.1-11, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46657
dc.identifier.issn.pt_BR.fl_str_mv 1660-4601
dc.identifier.doi.none.fl_str_mv 10.3390/ijerph18062953
identifier_str_mv PINTO, Alexandro et al. A national accessibility audit of primary health care facilities in Brazil: are people with disabilities being denied their right to health?. International Journal of Environmental Research and Public Health, [Bassel], v.18, n. 2953, p.1-11, 2021.
1660-4601
10.3390/ijerph18062953
url https://www.arca.fiocruz.br/handle/icict/46657
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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