Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?

Detalhes bibliográficos
Autor(a) principal: Giovanella, Ligia
Data de Publicação: 2021
Outros Autores: Vega, Román, Tejerina-Silva, Herland, Acosta-Ramirez, Naydú, Parada-Lezcano, Mario, Ríos, Gilberto, Iturrieta, Daisy, Almeida, Patty Fidelis de, Feo, Oscar
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515
Resumo: Latin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health.
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spelling Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?¿Es la atención primaria de salud integral parte de la respuesta a la pandemia de Covid-19 en Latinoamérica?A atenção primária à saúde integral é parte da resposta à pandemia de Covid-19 na América Latina?atenção primária à saúdeCovid-19sistemas de saúdevigilância em saúdeprimary health careCOVID-19health systemshealth surveillanceatenção primária à saúdeCovid-19sistemas de saúdevigilância em saúdeLatin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health.América Latina se ha convertido en uno de los epicentros de la pandemia de Covid-19, con una crisis sanitaria y humanitaria. El objetivo del artículo es analizar las medidas para enfrentar la pandemia en países de la Región y el rol de la Atención Primaria de Salud, discutiendo obstáculos y potencialidades. Son analizados los casos de Bolivia, Brasil, Chile, Colombia, Cuba, Uruguay y Venezuela. Los siete países adoptaran medidas de aislamiento social de diferentes alcances, con grados distintos de sostenibilidad. El énfasis de las respuestas estuvo más en la atención hospitalaria que en la vigilancia de la salud, identificación de casos y contactos y disposición de condiciones adecuadas para el confinamiento. En casi todos los países, se subestimó la capacidad de los servicios de atención primária en el territorio. No obstante, iniciativas de enfoque territorial y comunitario buscaron integrar la vigilancia de la salud con actividades de promoción, prevención y cuidado, aunque con alcance parcial. En este contexto la Atención Primaria Integral e integrada toma nuevo sentido y reclama desarrollos que contribuyan a recobrar el equilibrio entre sociedad y medio ambiente. Es necesario repensar los sistemas de salud y la importancia de la atención primaria de salud integrada e integral.A América Latina tornou-se um dos epicentros da pandemia de Covid-19, com uma crise sanitária e humanitária. O objetivo do artigo é analisar as estratégias implementadas por países da Região para enfrentar a pandemia e o papel da Atenção Primária à Saúde, ponderando obstáculos e potencialidades. Foram analisados os casos de Bolívia, Brasil, Chile, Colômbia, Cuba, Uruguai e Venezuela. Os sete países adotaram estratégias de distanciamento social diversas com diferentes graus de sustentabilidade. As respostas enfatizaram mais a assistência hospitalar do que a vigilância, a identificação de casos, o rastreamento dos contatos e a viabilização de condições adequadas para isolamento. Em quase todos os casos estudados, foi subestimada a capacidade dos serviços de atenção primária no território. Ainda assim, iniciativas de atenção primária com enfoque territorial e comunitário buscaram integrar a vigilância à saúde com a promoção, prevenção e cuidado, apesar de implantação parcial. Nesse contexto, uma atenção primária integral e integrada adquire novo significado e requisita novos desenvolvimentos de forma a contribuir para a recuperação do equilíbrio entre a sociedade e o meio ambiente. A pandemia mostrou a necessidade de repensar os sistemas de atenção à saúde e a importância da atenção primária à saúde integral e integrada.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2021-10-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/51510.1590/1981-7746-sol00310Trabalho, Educação e Saúde; v. 19 (2021); 281981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515/15https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGiovanella, Ligia Vega, Román Tejerina-Silva, Herland Acosta-Ramirez, Naydú Parada-Lezcano, Mario Ríos, Gilberto Iturrieta, Daisy Almeida, Patty Fidelis deFeo, Oscar 2022-09-02T17:25:39Zoai:ojs.pkp.sfu.ca:article/515Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:45.923160Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
¿Es la atención primaria de salud integral parte de la respuesta a la pandemia de Covid-19 en Latinoamérica?
A atenção primária à saúde integral é parte da resposta à pandemia de Covid-19 na América Latina?
title Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
spellingShingle Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
Giovanella, Ligia
atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
primary health care
COVID-19
health systems
health surveillance
atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
title_short Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
title_full Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
title_fullStr Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
title_full_unstemmed Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
title_sort Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?
author Giovanella, Ligia
author_facet Giovanella, Ligia
Vega, Román
Tejerina-Silva, Herland
Acosta-Ramirez, Naydú
Parada-Lezcano, Mario
Ríos, Gilberto
Iturrieta, Daisy
Almeida, Patty Fidelis de
Feo, Oscar
author_role author
author2 Vega, Román
Tejerina-Silva, Herland
Acosta-Ramirez, Naydú
Parada-Lezcano, Mario
Ríos, Gilberto
Iturrieta, Daisy
Almeida, Patty Fidelis de
Feo, Oscar
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Giovanella, Ligia
Vega, Román
Tejerina-Silva, Herland
Acosta-Ramirez, Naydú
Parada-Lezcano, Mario
Ríos, Gilberto
Iturrieta, Daisy
Almeida, Patty Fidelis de
Feo, Oscar
dc.subject.por.fl_str_mv atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
primary health care
COVID-19
health systems
health surveillance
atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
topic atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
primary health care
COVID-19
health systems
health surveillance
atenção primária à saúde
Covid-19
sistemas de saúde
vigilância em saúde
description Latin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515
10.1590/1981-7746-sol00310
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515
identifier_str_mv 10.1590/1981-7746-sol00310
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/515/15
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 19 (2021); 28
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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