Health problems and the rural area

Primary Health Care in remote rural municipalities: context, organization, and access to integral care in the Brazilian National Health System

“…Study findings reinforce what the literature has reported for decades on the absence of public policies in isolated and rarefied areas of Brazil, socio-spatial regions historically marked by care gaps (Castilho;Gonçalves, 2018;, at the same time that point out local strategies to face access difficulties. In fact, although rural health is an old topic, it is still current (Coimbra Jr., 2018), as it remains among the issues that occupy a marginal position in Brazilian development projects, being a challenge to be overcome (Wanderley;Favareto, 2013).…”

“…The historical concentration of goods and services in more economically developed urban centers poses enormous access difficulties for populations living in remote rural areas Sandroni, 2019;Castilho;Gonçalves, 2018;Garnelo et al, 2020;ILO, 2015). Making health services accessible and opportune in small communities dispersed over a vast territory implies facing difficulties in attracting and maintaining the workforce, high transportation costs, and lack of service provision, given the challenges of meeting the scale economy criteria (Almeida et al, 2021;Teixeira, 2017;ILO, 2015;Almeida;Carneiro, 2018;Savassi et al, 2018;Wakerman et al, 2008).…”

Atenção Primária à Saúde em municípios rurais remotos brasileiros: contexto, organização e acesso à atenção integral no Sistema Único de Saúde

“…Os achados do estudo reforçam o que a literatura há décadas reporta sobre a ausência de políticas públicas nas áreas isoladas e rarefeitas do Brasil, recortes socioespaciais historicamente marcados por vazios assistenciais (Castilho;Gonçalves, 2018;Leite;Bruno, 2019), ao mesmo tempo que apontam estratégias locais para enfrentar as dificuldades de acesso. De fato, ainda que a saúde rural seja um tema antigo, ainda é atual (Coimbra Jr., 2018), pois permanece entre as questões que ocupam posição marginal nos projetos de desenvolvimento brasileiro, sendo um desafio a ser superado (Wanderley;Favareto, 2013).…”

“…A histórica concentração de bens e serviços em centros urbanos economicamente mais desenvolvidos confere enormes dificuldades de acesso para populações que vivem em áreas rurais remotas Sandroni, 2019;Castilho;Gonçalves, 2018;Garnelo et al, 2020;ILO, 2015). Tornar os serviços de saúde acessíveis e oportunos em pequenas comunidades dispersas em vasto território implica enfrentar dificuldades para a atração e fixação da força de trabalho, alto custo com transportes e carência na oferta de serviços, dados os desafios para atender a critérios de economia de escala (Almeida et al, 2021;Teixeira, 2017;ILO, 2015;Almeida;Carneiro, 2018;Savassi et al, 2018;Wakerman et al, 2008).…”

Estado da arte da produção stricto sensu da enfermagem brasileira sobre saúde da população rural

“…1 The populations that (re)exist in rural areas face inequities related both to the difficult accessibility to services and the low availability of health professionals to meet their demands and to differentiated patterns of illness, with the persistence of endemic patterns and quality of life indices that are poorer than those of the general population. 2 The work of nursing in rural areas is marked by specificities, as it involves the development of a work process that professionals generally did not experience during their academic training, which is generalist, does not contemplate the rural reality and does not contribute to break the cycle of invisibility of this population. 3,4 From this perspective, rural health research emerges as a foundation capable of helping to understand rural health and has gradually gained space and solidity on a path that presents itself as an instrument of social justice.…”