Pandemia nas favelas: entre carências e potências

Fleury, Sônia; Menezes, Palloma

doi:10.1590/0103-11042020e418

Cited by 20 publications

(14 citation statements)

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“…Second, it might have some concurring interventions occurring in the three control favelas in this ecological design. However, Brazil did not implement a coordinated national policy for contact tracing or community case management during the study period,47 but other social actions and support might have occurred 48. Hence, the results found in this design may be underestimated if the concurrent interventions did not have unintended consequences.…”

Section: Discussionmentioning

confidence: 93%

Effectiveness of a multicomponent intervention to face the COVID-19 pandemic in Rio de Janeiro’s favelas: difference-in-differences analysis

Batista-da-Silva

Moraes²,

Bozza

et al. 2023

BMJ Glob Health

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IntroductionFew community-based interventions addressing the transmission control and clinical management of COVID-19 cases have been reported, especially in poor urban communities from low-income and middle-income countries. Here, we analyse the impact of a multicomponent intervention that combines community engagement, mobile surveillance, massive testing and telehealth on COVID-19 cases detection and mortality rates in a large vulnerable community (Complexo da Maré) in Rio de Janeiro, Brazil.MethodsWe performed a difference-in-differences (DID) analysis to estimate the impact of the multicomponent intervention inMaré,before (March–August 2020) and after the intervention (September 2020 to April 2021), compared with equivalent local vulnerable communities. We applied a negative binomial regression model to estimate the intervention effect in weekly cases and mortality rates inMaré.ResultsBefore the intervention,Marépresented lower rates of reported COVID-19 cases compared with the control group (1373 vs 1579 cases/100 000 population), comparable mortality rates (309 vs 287 deaths/100 000 population) and higher case fatality rates (13.7% vs 12.2%). After the intervention,Marédisplayed a 154% (95% CI 138.6% to 170.4%) relative increase in reported case rates. Relative changes in reported death rates were −60% (95% CI −69.0% to −47.9%) in Maré and −28% (95% CI −42.0% to −9.8%) in the control group. The case fatality rate was reduced by 77% (95% CI −93.1% to −21.1%) inMaréand 52% (95% CI −81.8% to −29.4%) in the control group. The DID showed a reduction of 46% (95% CI 17% to 65%) of weekly reported deaths and an increased 23% (95% CI 5% to 44%) of reported cases inMaréafter intervention onset.ConclusionAn integrated intervention combining communication, surveillance and telehealth, with a strong community engagement component, could reduce COVID-19 mortality and increase case detection in a large vulnerable community in Rio de Janeiro. These findings show that investment in community-based interventions may reduce mortality and improve pandemic control in poor communities from low-income and middle-income countries.

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Section: Discussionmentioning

confidence: 93%

Effectiveness of a multicomponent intervention to face the COVID-19 pandemic in Rio de Janeiro’s favelas: difference-in-differences analysis

Batista-da-Silva

Moraes²,

Bozza

et al. 2023

BMJ Glob Health

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“…Ainda nessa direção, lembramos um estudo 46 que fez o mapeamento de algumas atividades desenvolvidas em territórios vulnerabilizados da cidade do Rio de Janeiro/RJ durante a pandemia, a exemplo do Complexo da Maré, que realizou um amplo trabalho de educação em saúde, difundindo informações sobre o coronavírus, além de construir estratégias de geração de renda e distribuição de cestas básicas. Todavia, apesar das autoras destacarem a presença da interação entre moradores e trabalhadores da saúde, em poucos dos relatos os trabalhadores da APS são de fato citados como parceiros nas atividades.…”

Section: Interações Entre Atores Locais E Trabalhadores Da Apsunclassified

Interações envolvendo movimentos locais e trabalhadores da atenção básica no enfrentamento à pandemia da Covid-19

Farias

Melo

2023

Saúde debate

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RESUMO A chegada da pandemia da Covid-19 no Brasil trouxe consigo a necessidade de refletir sobre as medidas de prevenção que foram recomendadas e divulgadas para mitigação do vírus a partir das dificuldades de sua implementação em um país marcado por desigualdades sociais. Diante da grande capilaridade da Atenção Primária à Saúde brasileira, buscou-se analisar, neste estudo, a interação entre trabalhadores da atenção básica e moradores/movimentos locais de um bairro vulnerabilizado do Recife/ PE no contexto da pandemia da Covid-19. Trata-se de um estudo de caso com abordagem qualitativa, que contou com entrevistas de 6 trabalhadoras da saúde e 4 de moradores locais. Foi possível perceber diferentes iniciativas e atividades, ambas importantes, realizadas de forma simultânea por tais atores territoriais, mas evidencia-se uma interação fraca entre eles, possivelmente devido às singularidades desta pandemia com demandas novas e mais urgentes, bem como ao padrão de interação anterior à pandemia. Os resultados evidenciam a necessidade de refletir sobre as barreiras presentes na interface ‘Atenção Primária à Saúde-comunidade’ e abrem espaço para construção de novos caminhos que não desperdicem o potencial que existe nessa relação.

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“…It is also a space of resistance, where the territoriality tailored by solidarity motivates collective solutions (Souza and Cassab, 2020). The motto coined by movements that emerged in favelas in response to the COVID-19 pandemic – ‘us for ourselves’ – reflects this social potency (Fleury and Menezes, 2021). These territories engender intense social relations, and it is in such a context that dozens of vibrant organisations emerge.…”

Section: Favelas As Fragmented and Unequal Territoriesmentioning

confidence: 99%

Investigating the political economy of the territory: The contradictory responses of organisations to spatial inequality

Lacerda

2021

Organization

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The spatial imaginations of organisations can be particularly insightful for examining power relations. However, only recently they have gone beyond the limits of the workplace, demonstrating the role of the territory for organised action, particularly in mobilising solidarity for resistance. In this article, I investigate power relations revealed by the political economy of the territory to explain contradictory actions undertaken by organisations. Specifically, I adopt the theoretical framework of the noted Brazilian geographer Milton Santos, who recognises spatial multiplicity and fragmentation while maintaining an appreciation of the structural conditions of the political economy. This perspective is particularly useful for the analysis of civil society organisations (CSOs) in a Brazilian favela (slum), given the context of high inequality perpetuated by the selective flows of urban development. First, I show that the history of favelas and their role in the territorial division of labour explain the profiles of existing organisations. Then, I examine how the political engagement of CSOs with distinct solidarities results in a dialectical tension that leads to both resistance based on local shared interests and the active reproduction of central spaces even if the ends are not shared. The article contributes to the literature of space and organisations by explaining how territorial dynamics mediate power relations within and across organisations, not only as resistance but also as the active reproduction of economic and political regimes.

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Pandemia nas favelas: entre carências e potências

Cited by 20 publications

References 1 publication

Effectiveness of a multicomponent intervention to face the COVID-19 pandemic in Rio de Janeiro’s favelas: difference-in-differences analysis

Effectiveness of a multicomponent intervention to face the COVID-19 pandemic in Rio de Janeiro’s favelas: difference-in-differences analysis

Interações envolvendo movimentos locais e trabalhadores da atenção básica no enfrentamento à pandemia da Covid-19

Investigating the political economy of the territory: The contradictory responses of organisations to spatial inequality

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