The community health worker in COVID-19: analysis of contingency plans in the Northeast region of Brazil
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
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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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 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 |
_version_ |
1798943474880348160 |