Objective Evaluate how coverage and quality of primary health care (PHC) and a conditional cash transfer (CCT) program associate with child mortality in Brazil. Methods Multivariate linear regression models and least absolute shrinkage and selection estimator (LASSO) were utilized with the municipal level child mortality rate as the key dependent variable. PHC quality with PHC and CCT coverage were the independent variables. The quality of the Brazilian PHC was assessed using the Brazilian National Program for Access and Quality Improvement in PHC data. PHC and CCT coverage were calculated based on Brazilian official databases. Human developmental index (HDI), municipality size, and country region were used as control variables. A total of 3441 municipalities were evaluated. Results We found that ESF (Estratégia Saúde da Família) quality variables PLANNING [Family Health Team Planning activities], CITYSUPPORT [municipality support for Family Health Strategy activities], EXAMS [exams offered and priority groups seen by the family health team], and PRENATAL [prenatal care and exams provided by the family health team], as well as HDI, percentage of PHC coverage, percentage of CCT coverage, and population size have significant and negative relationships with 1-year-old child mortality. LASSO regression results confirmed these associations. Quality is an important element of effective social service provision. Conclusion This exploration represents one of the first investigations into the role of PHC system quality, and how it is related to health outcomes, while also considering PHC and conditional cash transfer program coverage. Quality of PHC, measured by work process variables, plays an important role in child mortality. Efforts on PHC quality and coverage, as well as on CCT program coverage, are important to child mortality reduction. Therefore, this is an important finding to other PHC public health services.
In view of the pandemic scenario caused by the new coronavirus, it is crucial to produce knowledge to understand the disease and its impacts on people's daily lives. In response to this demand, the present study aimed to identify the meanings attributed to the new coronavirus by Brazilians at the beginning of the COVID-19 pandemic. We had access to a non-probabilistic sample of 2400 Brazilians, who answered a biodemographic questionnaire, using the technique of free word association, with the induced stimulus "coronavirus," respectively interpreted through descriptive statistics using the SPSS software and textual analysis using IRaMuTeQ. The results were organized into three classes: (1) "characterization of the disease," evoking responses about the treatment, risks, prevention strategies, and expectations of cure;(2) "negative repercussions," reflecting harmful aspects of the disease on mental health, such as fear, uncertainty, and despair; and (3) "positive repercussions," revealing initiatives of solidarity, empathy, and collective care as coping strategies. Differences in evocations also arose depending on the region of the country, employment status, adherence to social isolation measures, agreement with social isolation, agreement with the current president, experience of infection, and level of stress. It was concluded that identifying the meanings that Brazilians attribute to the new coronavirus is important for the formulation of effective intervention strategies.
Inspiradas em intervenções lúdicas no campo da Educação, relatamos a construção de um jogo de tabuleiro com personagens que apresentam algumas características de privilégios e desigualdades econômicas, sociais e históricas. Trata-se de um relato de experiência que objetiva descrever uma estratégia pedagógica, visibilizando a diversidade humana com graduandos de cursos da Saúde de uma universidade no Nordeste brasileiro. Foram debatidos temas relativos a diversidade, interseccionalidade e relações de poder, dialogando com o racismo, o machismo, o capacitismo, a operacionalização das políticas de saúde e sua influência na prática profissional. Consideramos que a estratégia pedagógica demonstra que essas questões são invisíveis nas práticas de saúde e quão, muitas vezes, são sustentados discursos que legitimam as desigualdades tomando-as como naturais, o que demonstra a importância da problematização dos temas abordados para a formação do profissional de saúde.
Introduction: The COVID-19 pandemic has left a high number of infected and dead in the world, where several social measures have been imposed on the population, especially social isolation. Objective: Given this scenario, based on Vygotsky's socio-historical theory, this original article aimed to identify the meanings of social isolation in the COVID-19 pandemic for Brazilian youth. Method: A survey was carried out, with the participation of 571 young Brazilians, women and men aged between 18 and 25, who answered a sociodemographic questionnaire and the Free Word Association Method (FWAM), analyzed with the help of IRaMuTeQ. Results: The results showed that virtualized socialization is insufficient for the social demand of young people and that their routine was transformed with the insertion of obligations and leisure primarily in the home environment. Still, young people brought their resignifications in this period, in the face of collective responsibility. Conclusions: It is concluded that isolation brought negative consequences on relationships and mental health of young people, but also a greater social awareness.
Objetivo: compreender saberes de profissionais vinculados à residência multiprofissional sobre competências em promoção da saúde. Método: estudo qualitativo ancorado no referencial teórico Developing Competencies and Professional Standards for Health Promotion Capacity Building in Europe (CompHP), realizado a partir da entrevista semiestruturada com 16 resistentes de um Programa de Residência Multiprofissional. Os dados foram transcritos e organizados a partir da análise temática. Resultados: das falas emergiram duas categorias, a primeira, sinaliza que os residentes apresentam concepções sobre competências e competências em promoção da saúde ora enquanto articulação de conhecimentos, habilidades e atitudes, ora enquanto atribuições profissionais específicas do núcleo de formação, e a segunda, apresenta os domínios de competências em promoção da saúde do CompHP manifestados nas práticas informadas dos residentes. Conclusão: Evidencia-se um avanço na compreensão de competências e competências em promoção da saúde, embora ainda ocorra uma confusão quanto a aplicabilidade do termo, relacionada principalmente a sua polissemia.
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