Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2934 |
Resumo: | Objective: This study sought to evaluate the information regarding the characteristics of households and coverage of the Family Health Strategy (FHS), produced in the National Health Survey (NHS) and describe the changes that occurred in the period between 2013 and 2019. Methods: Information on households and FHS coverage from the two editions of the NHS (2013 and 2019) was used. Differences between the proportions found were assessed, related to the availability of basic supply and sanitation services, as well as the adequacy of the materials used in the construction of the home, and the distribution of the adequacy of the households and the coverage of the FHS according to regions and census situation. For the analysis, the complex sampling design was considered, and the t-test for independent samples was used to assess the statistical significance of the difference between the proportions found in 2013 and 2019. Results: Increases were observed in the percentage of households with adequate finishing, as well as in the percentage of households with piped water in at least one room, and with adequate basic sanitation (sewage and garbage). The FHS coverage also showed an increase in the period. Regional differences prevail and according to urban or rural situation of households. Conclusion: Despite the increases observed both in the adequacy of households, in the availability of basic services and water and sanitation supply and in access to primary health care, many challenges still persist, mainly to ensure that these services reach the most vulnerable places. |
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Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019Condições do domicílio e cobertura da Estratégia Saúde da Família no Brasil: uma comparação dos resultados da Pesquisa Nacional de Saúde 2013 e 2019Condições habitacionaisAbastecimento de águaSaneamento domiciliarEstratégia Saúde da FamíliaPesquisa Nacional de SaúdeBrasilHousing conditionsWater supplyHousehold sanitationFamily Health StrategyNational Health SurveyBrazilObjective: This study sought to evaluate the information regarding the characteristics of households and coverage of the Family Health Strategy (FHS), produced in the National Health Survey (NHS) and describe the changes that occurred in the period between 2013 and 2019. Methods: Information on households and FHS coverage from the two editions of the NHS (2013 and 2019) was used. Differences between the proportions found were assessed, related to the availability of basic supply and sanitation services, as well as the adequacy of the materials used in the construction of the home, and the distribution of the adequacy of the households and the coverage of the FHS according to regions and census situation. For the analysis, the complex sampling design was considered, and the t-test for independent samples was used to assess the statistical significance of the difference between the proportions found in 2013 and 2019. Results: Increases were observed in the percentage of households with adequate finishing, as well as in the percentage of households with piped water in at least one room, and with adequate basic sanitation (sewage and garbage). The FHS coverage also showed an increase in the period. Regional differences prevail and according to urban or rural situation of households. Conclusion: Despite the increases observed both in the adequacy of households, in the availability of basic services and water and sanitation supply and in access to primary health care, many challenges still persist, mainly to ensure that these services reach the most vulnerable places.Objetivo: Este estudo buscou avaliar as informações referentes às características dos domicílios e de cobertura da Estratégia Saúde da Família (ESF), produzidas na Pesquisa Nacional de Saúde e descrever as mudanças ocorridas no período entre 2013 e 2019. Métodos: Utilizou-se as informações sobre domicílios e sobre cobertura da ESF das duas edições da Pesquisa Nacional de Saúde (2013 e 2019). Avaliaram-se as diferenças entre as proporções encontradas nas duas edições, relacionadas à disponibilidade de serviços básicos de abastecimento e saneamento, bem como à adequação dos materiais utilizados na construção do domicílio, e a distribuição da adequação dos domicílios e da cobertura da ESF segundo regiões e situação censitária. Para a análise foi considerado o desenho complexo de amostragem, e utilizado o teste-t para amostras independentes para avaliar a significância estatística da diferença entre as proporções encontradas em 2013 e 2019. Resultados: Foram observados aumentos no percentual de domicílios com acabamento adequado, bem como no percentual de domicílios com água canalizada em pelo menos um cômodo, e com saneamento básico (esgoto e lixo) adequado. A cobertura da ESF também mostrou aumento no período. Prevalecem as diferenças regionais e segundo situação urbana ou rural dos domicílios. Conclusão: Apesar dos incrementos observados tanto na adequação do domicílios, quanto na disponibilidade de serviços básicos e abastecimento de água e saneamento e no acesso à assistência primária de saúde, muitos desafios ainda persistem, principalmente para garantir que estes serviços cheguem nos locais mais vulneráveis.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-09-10info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/293410.1590/1980-549720210005.supl.2porhttps://preprints.scielo.org/index.php/scielo/article/view/2934/5188Copyright (c) 2021 Wanessa da Silva de Almeida , Célia Landmann Szwarcwald, Paulo Roberto Borges de Souza Júniorhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAlmeida , Wanessa da Silva deSzwarcwald, Célia LandmannSouza Júnior, Paulo Roberto Borges dereponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-09-10T17:15:59Zoai:ops.preprints.scielo.org:preprint/2934Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-09-10T17:15:59SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 Condições do domicílio e cobertura da Estratégia Saúde da Família no Brasil: uma comparação dos resultados da Pesquisa Nacional de Saúde 2013 e 2019 |
title |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
spellingShingle |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 Almeida , Wanessa da Silva de Condições habitacionais Abastecimento de água Saneamento domiciliar Estratégia Saúde da Família Pesquisa Nacional de Saúde Brasil Housing conditions Water supply Household sanitation Family Health Strategy National Health Survey Brazil |
title_short |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
title_full |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
title_fullStr |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
title_full_unstemmed |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
title_sort |
Home conditions and coverage of the Family Health Strategy in Brazil: a comparison of the results of the National Health Survey 2013 and 2019 |
author |
Almeida , Wanessa da Silva de |
author_facet |
Almeida , Wanessa da Silva de Szwarcwald, Célia Landmann Souza Júnior, Paulo Roberto Borges de |
author_role |
author |
author2 |
Szwarcwald, Célia Landmann Souza Júnior, Paulo Roberto Borges de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Almeida , Wanessa da Silva de Szwarcwald, Célia Landmann Souza Júnior, Paulo Roberto Borges de |
dc.subject.por.fl_str_mv |
Condições habitacionais Abastecimento de água Saneamento domiciliar Estratégia Saúde da Família Pesquisa Nacional de Saúde Brasil Housing conditions Water supply Household sanitation Family Health Strategy National Health Survey Brazil |
topic |
Condições habitacionais Abastecimento de água Saneamento domiciliar Estratégia Saúde da Família Pesquisa Nacional de Saúde Brasil Housing conditions Water supply Household sanitation Family Health Strategy National Health Survey Brazil |
description |
Objective: This study sought to evaluate the information regarding the characteristics of households and coverage of the Family Health Strategy (FHS), produced in the National Health Survey (NHS) and describe the changes that occurred in the period between 2013 and 2019. Methods: Information on households and FHS coverage from the two editions of the NHS (2013 and 2019) was used. Differences between the proportions found were assessed, related to the availability of basic supply and sanitation services, as well as the adequacy of the materials used in the construction of the home, and the distribution of the adequacy of the households and the coverage of the FHS according to regions and census situation. For the analysis, the complex sampling design was considered, and the t-test for independent samples was used to assess the statistical significance of the difference between the proportions found in 2013 and 2019. Results: Increases were observed in the percentage of households with adequate finishing, as well as in the percentage of households with piped water in at least one room, and with adequate basic sanitation (sewage and garbage). The FHS coverage also showed an increase in the period. Regional differences prevail and according to urban or rural situation of households. Conclusion: Despite the increases observed both in the adequacy of households, in the availability of basic services and water and sanitation supply and in access to primary health care, many challenges still persist, mainly to ensure that these services reach the most vulnerable places. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2934 10.1590/1980-549720210005.supl.2 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/2934 |
identifier_str_mv |
10.1590/1980-549720210005.supl.2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/2934/5188 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints - SciELO |
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