The contribution of primary health care in the SUS network to face Covid-19

Detalhes bibliográficos
Autor(a) principal: Giovanella, Ligia
Data de Publicação: 2020
Outros Autores: Martufi, Valentina, Carolina Ruiz Mendoza, Diana, Helena Magalhães de Mendonça, Maria, Emilia Moraes Bousquat, Aylene, Aquino Guimarães Pereira, Rosana, Guadalupe Medina, Maria
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/1286
Resumo: The focus on individual care for severe cases neglected the community-centered approach required to cope with the Covid-19 pandemic in the Unified Health System (SUS) in Brazil. This essay argues that the Family Health Strategy (ESF), by means of its multi-professional teams and community and territorial orientation, is able to successfully develop the community approach required to deal with the pandemic. Inspired by local and international experiences, this essay analyzes four dimensions regarding SUS’ Primary Health Care (APS) work in the fighting against Covid-19: community-based health surveillance, individual care for confirmed and suspected cases of Covid-19, community mobilization to support vulnerable local groups due to their health or social condition, and continuity of APS care routine. Limitations are acknowledged due to recent changes in the national policy of primary health care impacting health surveillance care model. The conclusion if for the need to: strengthen the community attributes of APS and Family Health Support Center (NASF) multi-professional teams; collaborate with community organizations in initiatives of solidarity and articulate in an intersectoral way to back the population in its various weaknesses; guarantee the ongoing promotion, prevention and care actions by creating new working processes for health surveillance, social and health support for vulnerable groups, and for the continuity of the routine care for those in need.
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spelling The contribution of primary health care in the SUS network to face Covid-19A contribuição da atenção primária à saúde na rede SUS de enfrentamento à Covid-19Atenção Primária à SaúdeVigilância em saúdeContinuidadeAção comunitáriaPrimary Health CareHealth surveillanceCare continuityCommunity participationThe focus on individual care for severe cases neglected the community-centered approach required to cope with the Covid-19 pandemic in the Unified Health System (SUS) in Brazil. This essay argues that the Family Health Strategy (ESF), by means of its multi-professional teams and community and territorial orientation, is able to successfully develop the community approach required to deal with the pandemic. Inspired by local and international experiences, this essay analyzes four dimensions regarding SUS’ Primary Health Care (APS) work in the fighting against Covid-19: community-based health surveillance, individual care for confirmed and suspected cases of Covid-19, community mobilization to support vulnerable local groups due to their health or social condition, and continuity of APS care routine. Limitations are acknowledged due to recent changes in the national policy of primary health care impacting health surveillance care model. The conclusion if for the need to: strengthen the community attributes of APS and Family Health Support Center (NASF) multi-professional teams; collaborate with community organizations in initiatives of solidarity and articulate in an intersectoral way to back the population in its various weaknesses; guarantee the ongoing promotion, prevention and care actions by creating new working processes for health surveillance, social and health support for vulnerable groups, and for the continuity of the routine care for those in need.A centralidade no cuidado individual a casos graves descurou a abordagem populacional comunitária necessária ao enfrentamento da pandemia de Covid-19 no Sistema Único de Saúde (SUS). Neste ensaio, argumenta-se que a Estratégia Saúde da Família (ESF), com suas equipes multiprofissionais e enfoque comunitário e territorial, tem potencial para atuar na abordagem comunitária necessária ao enfrentamento da epidemia. A partir de experiências locais e internacionais, analisa quatro campos de atuação da Atenção Primária à Saúde (APS) no SUS no enfrentamento da Covid-19: vigilância em saúde nos territórios; cuidado individual dos casos confirmados e suspeitos de Covid-19; ação comunitária de apoio aos grupos vulneráveis no território por sua situação de saúde ou social; e continuidade dos cuidados rotineiros da APS. Reconhecem-se limites dessa atuação decorrentes de mudanças recentes na política nacional de atenção básica que afetam o modelo assistencial da vigilância em saúde. Conclui-se ser necessário ativar os atributos comunitários das equipes multiprofissionais da ESF e do Núcleo de Apoio à Saúde da Família (NASF); associar-se às iniciativas solidárias das organizações comunitárias e articular-se intersetorialmente para apoiar a população em suas diversas vulnerabilidades; e garantir a continuidade das ações de promoção, prevenção e cuidado, criando novos processos de trabalho na vigilância em saúde, no apoio social e sanitário aos grupos vulneráveis e na continuidade da atenção rotineira para quem dela precisa.SciELO PreprintsSciELO PreprintsSciELO Preprints2020-10-01info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/128610.1590/SciELOPreprints.1286porhttps://preprints.scielo.org/index.php/scielo/article/view/1286/2009Copyright (c) 2020 Ligia Giovanella, Valentina Martufi, Diana Carolina Ruiz Mendoza, Maria Helena Magalhães de Mendonça, Aylene Emilia Moraes Bousquat, Rosana Aquino Guimarães Pereira, Maria Guadalupe Medinahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGiovanella, LigiaMartufi, ValentinaCarolina Ruiz Mendoza, DianaHelena Magalhães de Mendonça, Maria Emilia Moraes Bousquat, AyleneAquino Guimarães Pereira, Rosana Guadalupe Medina, Maria reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2020-10-01T18:03:49Zoai:ops.preprints.scielo.org:preprint/1286Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2020-10-01T18:03:49SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv The contribution of primary health care in the SUS network to face Covid-19
A contribuição da atenção primária à saúde na rede SUS de enfrentamento à Covid-19
title The contribution of primary health care in the SUS network to face Covid-19
spellingShingle The contribution of primary health care in the SUS network to face Covid-19
Giovanella, Ligia
Atenção Primária à Saúde
Vigilância em saúde
Continuidade
Ação comunitária
Primary Health Care
Health surveillance
Care continuity
Community participation
title_short The contribution of primary health care in the SUS network to face Covid-19
title_full The contribution of primary health care in the SUS network to face Covid-19
title_fullStr The contribution of primary health care in the SUS network to face Covid-19
title_full_unstemmed The contribution of primary health care in the SUS network to face Covid-19
title_sort The contribution of primary health care in the SUS network to face Covid-19
author Giovanella, Ligia
author_facet Giovanella, Ligia
Martufi, Valentina
Carolina Ruiz Mendoza, Diana
Helena Magalhães de Mendonça, Maria
Emilia Moraes Bousquat, Aylene
Aquino Guimarães Pereira, Rosana
Guadalupe Medina, Maria
author_role author
author2 Martufi, Valentina
Carolina Ruiz Mendoza, Diana
Helena Magalhães de Mendonça, Maria
Emilia Moraes Bousquat, Aylene
Aquino Guimarães Pereira, Rosana
Guadalupe Medina, Maria
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Giovanella, Ligia
Martufi, Valentina
Carolina Ruiz Mendoza, Diana
Helena Magalhães de Mendonça, Maria
Emilia Moraes Bousquat, Aylene
Aquino Guimarães Pereira, Rosana
Guadalupe Medina, Maria
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Vigilância em saúde
Continuidade
Ação comunitária
Primary Health Care
Health surveillance
Care continuity
Community participation
topic Atenção Primária à Saúde
Vigilância em saúde
Continuidade
Ação comunitária
Primary Health Care
Health surveillance
Care continuity
Community participation
description The focus on individual care for severe cases neglected the community-centered approach required to cope with the Covid-19 pandemic in the Unified Health System (SUS) in Brazil. This essay argues that the Family Health Strategy (ESF), by means of its multi-professional teams and community and territorial orientation, is able to successfully develop the community approach required to deal with the pandemic. Inspired by local and international experiences, this essay analyzes four dimensions regarding SUS’ Primary Health Care (APS) work in the fighting against Covid-19: community-based health surveillance, individual care for confirmed and suspected cases of Covid-19, community mobilization to support vulnerable local groups due to their health or social condition, and continuity of APS care routine. Limitations are acknowledged due to recent changes in the national policy of primary health care impacting health surveillance care model. The conclusion if for the need to: strengthen the community attributes of APS and Family Health Support Center (NASF) multi-professional teams; collaborate with community organizations in initiatives of solidarity and articulate in an intersectoral way to back the population in its various weaknesses; guarantee the ongoing promotion, prevention and care actions by creating new working processes for health surveillance, social and health support for vulnerable groups, and for the continuity of the routine care for those in need.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-01
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identifier_str_mv 10.1590/SciELOPreprints.1286
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SciELO Preprints
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SciELO Preprints
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