The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil

Detalhes bibliográficos
Autor(a) principal: Farias, Hannah Shiva Ludgero
Data de Publicação: 2023
Outros Autores: Trott, Luna Cassel, Viola, Bárbara Magalhães
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2163
Resumo: In an attempt to create own mitigation strategies for COVID-19, municipal and state health systems organized independently, creating their own care flows, and often placing little emphasis on the work done by Primary Health Care and the community health worker. The objective of this study is to analyze the contingency plans available in the states and capitals that are signatories to the Northeast consortium, under the objectives of the Primary Health Care and the action of the community health worker. Twentyfour public and free-access documents were used as data source, referring to the year 2020, accessed between February and April 2021. These data were discussed based on three categories: care flows, assistance at the first level of care and the role of community health workers. The prioritization of high complexity services and an important limitation in the actions of primary care were observed. It is also noteworthy the restriction of the potential of the community health worker, a professional who, in most of the plans analyzed, had its actions directed toward the accomplishment of bureaucratic activities, such as the reorganization of labor flows, to the detriment of territorial actions and health education.
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spelling The community health worker in COVID-19: analysis of contingency plans in the Northeast region of BrazilEl agente comunitario de salud en Covid-19: análisis de planes de contingencia en la región Noreste de BrasilO agente comunitário de saúde na Covid-19: análise dos planos de contingência da região Nordeste do BrasilAtenção Primária à SaúdeAgentes Comunitários de SaúdeCOVID-19Primary Health CareCommunity Health WorkersCOVID-19Atención Primaria de SaludAgentes Comunitarios de SaludCOVID-19In an attempt to create own mitigation strategies for COVID-19, municipal and state health systems organized independently, creating their own care flows, and often placing little emphasis on the work done by Primary Health Care and the community health worker. The objective of this study is to analyze the contingency plans available in the states and capitals that are signatories to the Northeast consortium, under the objectives of the Primary Health Care and the action of the community health worker. Twentyfour public and free-access documents were used as data source, referring to the year 2020, accessed between February and April 2021. These data were discussed based on three categories: care flows, assistance at the first level of care and the role of community health workers. The prioritization of high complexity services and an important limitation in the actions of primary care were observed. It is also noteworthy the restriction of the potential of the community health worker, a professional who, in most of the plans analyzed, had its actions directed toward the accomplishment of bureaucratic activities, such as the reorganization of labor flows, to the detriment of territorial actions and health education.En un intento de crear estrategias propias de mitigación para el Covid-19, los sistemas de salud municipales y estatales se organizaron de manera independiente, creando sus propios flujos de atención y, a menudo, poniendo poco énfasis en el trabajo realizado por la Atención Primaria de Salud y el agente de salud comunitario. El objetivo de este estudio es analizar los planes de contingencia disponibles en los estados y capitales que son signatarios del consorcio Noreste, bajo los objetivos de la Atención Primaria de Salud y la acción del agente comunitario de salud. Se utilizaron como fuente de datos 24 documentos públicos y de libre acceso, referidos al año 2020, a los que se accedió entre febrero y abril de 2021. Estos datos se discutieron sobre la base de tres categorías: flujos de atención, asistencia en el primer nivel de atención y el papel de los agentes comunitarios de salud. Se observó la priorización de los servicios de alta complejidad y una importante limitación en las acciones de atención primaria. También cabe destacar la restricción del potencial del agente comunitario de salud, profesional que, en la mayoría de los planes analizados, tenía sus acciones dirigidas a la realización de actividades burocráticas, como la reorganización de los flujos de trabajo, en detrimento de las acciones territoriales y la educación en salud.Na tentativa de criar estratégias próprias de mitigação à Covid-19, os sistemas de saúde municipais e estaduais se organizaram de forma independente, criando fluxos assistenciais próprios e, frequentemente, dando pouca ênfase ao trabalho realizado pela Atenção Primária à Saúde e pelo agente comunitário de saúde. Este estudo tem como objetivo analisar os planos de contingência disponíveis nos estados e capitais signatários do consórcio do Nordeste, sob as lentes do protagonismo da Atenção Primária à Saúde e da atuação do agente comunitário de saúde. Utilizou-se como fonte de dados 24 documentos públicos e de acesso livre, referentes ao ano de 2020, acessados entre os meses de fevereiro e abril de 2021. Esses dados foram discutidos com base em três categorias: fluxos assistenciais, assistência no primeiro nível de atenção e protagonismo dos agentes comunitários em saúde. Percebeu-se a priorização de serviços de alta complexidade e uma limitação importante nas ações da atenção primária. Destaca-se também a restrição do potencial da atuação do agente comunitário de saúde, profissional que, em grande parte dos planos analisados, teve sua atuação direcionada para a realização de atividades burocráticas, como a reorganização dos fluxos de trabalho, em detrimento das ações territoriais e de educação em saúde. Foto: Odair LealEscola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2023-08-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/216310.1590/1981-7746-ojs02163Trabalho, Educação e Saúde; v. 21 (2023); 181981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2163/1061Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFarias, Hannah Shiva Ludgero Trott, Luna Cassel Viola, Bárbara Magalhães 2023-10-05T17:56:03Zoai:ojs.pkp.sfu.ca:article/2163Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:56.834745Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
El agente comunitario de salud en Covid-19: análisis de planes de contingencia en la región Noreste de Brasil
O agente comunitário de saúde na Covid-19: análise dos planos de contingência da região Nordeste do Brasil
title The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
spellingShingle The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
Farias, Hannah Shiva Ludgero
Atenção Primária à Saúde
Agentes Comunitários de Saúde
COVID-19
Primary Health Care
Community Health Workers
COVID-19
Atención Primaria de Salud
Agentes Comunitarios de Salud
COVID-19
title_short The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
title_full The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
title_fullStr The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
title_full_unstemmed The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
title_sort The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
author Farias, Hannah Shiva Ludgero
author_facet Farias, Hannah Shiva Ludgero
Trott, Luna Cassel
Viola, Bárbara Magalhães
author_role author
author2 Trott, Luna Cassel
Viola, Bárbara Magalhães
author2_role author
author
dc.contributor.author.fl_str_mv Farias, Hannah Shiva Ludgero
Trott, Luna Cassel
Viola, Bárbara Magalhães
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Agentes Comunitários de Saúde
COVID-19
Primary Health Care
Community Health Workers
COVID-19
Atención Primaria de Salud
Agentes Comunitarios de Salud
COVID-19
topic Atenção Primária à Saúde
Agentes Comunitários de Saúde
COVID-19
Primary Health Care
Community Health Workers
COVID-19
Atención Primaria de Salud
Agentes Comunitarios de Salud
COVID-19
description In an attempt to create own mitigation strategies for COVID-19, municipal and state health systems organized independently, creating their own care flows, and often placing little emphasis on the work done by Primary Health Care and the community health worker. The objective of this study is to analyze the contingency plans available in the states and capitals that are signatories to the Northeast consortium, under the objectives of the Primary Health Care and the action of the community health worker. Twentyfour public and free-access documents were used as data source, referring to the year 2020, accessed between February and April 2021. These data were discussed based on three categories: care flows, assistance at the first level of care and the role of community health workers. The prioritization of high complexity services and an important limitation in the actions of primary care were observed. It is also noteworthy the restriction of the potential of the community health worker, a professional who, in most of the plans analyzed, had its actions directed toward the accomplishment of bureaucratic activities, such as the reorganization of labor flows, to the detriment of territorial actions and health education.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2163
10.1590/1981-7746-ojs02163
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2163
identifier_str_mv 10.1590/1981-7746-ojs02163
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2163/1061
dc.rights.driver.fl_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
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. 21 (2023); 18
1981-7746
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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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