Contribution of community health workers to primary health care performance in Brazil

OBJECTIVE: To associate the strength of community health workers interventions with primary health care strategies for women’s and children’s health, diabetes, and hypertension. METHODS: This is a cross-sectional study assessing 29,778 family health teams working in primary health care in Brazil in...

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Detalhes bibliográficos
Autores: Santos, Alaneir de Fátima dos, Rocha, Hugo André da, Lima, Ângela Maria de Lourdes Dayrell de, Abreu, Daisy Maria Xavier de, Silva, Érica Araújo, Araújo, Lucas Henrique Lobato de, Cavalcante, Isabela Cristina Carreiro, Matta-Machado, Antônio Thomaz Gonzaga da
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Recursos:Universidade de São Paulo (USP)
Repositorio:Revista de Saúde Pública
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/180569
Acesso em linha:https://www.revistas.usp.br/rsp/article/view/180569
Access Level:acceso abierto
Palavra-chave:Primary Health Care
Community Health Workers
Health Services Research
Brazil
Descrição
Resumo:OBJECTIVE: To associate the strength of community health workers interventions with primary health care strategies for women’s and children’s health, diabetes, and hypertension. METHODS: This is a cross-sectional study assessing 29,778 family health teams working in primary health care in Brazil in 2014. The association between community health workers activity levels and primary health care facilities was analyzed using multiple logistic regression. RESULTS: We found higher levels of community health workers activities strongly associated with primary health care practices (OR = 6.88) for those activities targeting hypertension management, followed by children’s health (OR = 6.56), and women’s health (OR = 6.21). CONCLUSIONS: At a time when Brazil discusses whether community health workers should or should not remain in the same scale-up and skill level as they currently are, our results reinforce the importance of these workers for the care model advocated by the Brazilian Unified Health System.