As práticas corporais e atividades físicas na gestão tripartite do SUS: estrutura organizacional, financiamento e oferta

Carvalho, Fabio Fortunato Brasil de; Almeida, Érika Rodrigues de; Loch, Mathias Roberto; Knuth, Alan Goularte

doi:10.1590/1413-81232022276.15242021

Cited by 8 publications

(9 citation statements)

References 18 publications

(24 reference statements)

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“…The PCAF gained space in health promotion actions in the PHC in the investigated period, which seems to be associated with the creation of public policies, especially the inaugural publication of the PNPS in 2006 that demarcated the axis of the PCAF as a priority and, thus, enabled the expanded offer of these activities as a care form in the SUS (3,7). Moreover, several movements and actions occurred mainly from 2005 to 2018 at the three levels of SUS management to strengthen PHC and health promotion, expand the PCAF axis in the Health Care Network, and include physical education professionals, especially in multidisciplinary teams (3,6,7).…”

Section: Discussionmentioning

confidence: 99%

“…Given the alarming epidemiological situation imposed by the pandemic and following the World Health Organization (WHO) recommendations, health services suspended group activities and directed their efforts towards preventive actions against COVID-19 and care for patients with respiratory symptoms (11). This troubling setting is concurrent with changes in the PHC policy, with the Previne Brasil model, and contributed to the signi cant drop in PCAF actions developed in the PHC (7,8).…”

Section: Discussionmentioning

confidence: 99%

“…The PCAF trajectory in the health eld places it as a form of care within the SUS, especially in PHC (3,6). However, scal austerity measures such as Constitutional Amendment N° 95/2016, the Previne Brasil Program, which covers the new PHC nancing, and the disquali cation of the Expanded Family Health Center (NASF) teams caused by the change in the transfer of resources at the federal level, can considerably affect the provision of such services, which needs to be monitored and analyzed (7,8).…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity and Body Practices developed in Primary Health Care in Brazil from 2013-2021

Dutra

Knuth

2023

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Background: Physical activity and body practices (PCAF) are important strategies for health promotion, and widely recognized as a form of care within the Brazilian Unified Health System (SUS). The aim of the study was to map records of PCAF developed in Primary Health Care in Brazil, from 2013 to 2021. Method: This cross-sectional and descriptive study used the Primary Care Health Information System (SISAB) data. Year-by-year PCAF records were presented in absolute and relative values in states, regions, and the country by team type and target audience. Results: In total, 2,664,288 PCAF actions were recorded nationally throughout the period. A growth of 19,977.5% was observed in records from 2013 to 2019, but they dropped by 75.5% from 2020 and the COVID-19 pandemic. The regions that most recorded PCAF were the Southeast and Northeast, and the states of Minas Gerais, São Paulo, Rio de Janeiro, Bahia, Ceará, Goiás, and Santa Catarina. PCAF actions were directed mainly at the general community, women, older adults, and people with chronic diseases. The Expanded Family Health Center and Family Health were the health teams with the most records. Conclusions: A significant increase in PCAF records was observed from 2013 to 2019. However, a substantial decrease was identified from 2020, linked to the pandemic. The distribution of actions is still unequal at the state and regional levels, which makes intersectoral strategies necessary to promote public policies and strengthen the PCAF and health promotion in the SUS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical Activity and Body Practices developed in Primary Health Care in Brazil from 2013-2021

Dutra

Knuth

2023

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“…Todavia, apesar do avanço na implementação do programa no país, ainda há alguns desafios como a limitação de recursos (federais, estaduais e municipais) para construção e custeio de novas unidades, o que pode acarretar na falta de continuidade e sustentabilidade do programa em longo prazo, além de potencializar o aumento das desigualdades sociais e piorar os indicadores de saúde. Tais desafios evidenciam um contraste entre o amplo reconhecimento discursivo que a AF possui e a baixa institucionalização na gestão tripartite do SUS [25][26][27][28][29][30][31] . Diante desse cenário, a cobertura dos programas comunitários de AF ainda é pequena 16,27 , com participação de apenas 2,7% da população brasileira 16 , o que reforça a necessidade de fortalecimento dessa ação.…”

Section: Atividade Física Na Prevenção E Controle De Câncerunclassified

Contribuições de Documentos Orientadores para a Promoção da Atividade Física no Sistema Único de Saúde na Prevenção e no Controle de Câncer

Carvalho

Arguelhes

Moreira

et al. 2022

Rev. Bras. Cancerol.

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“…Undeniably, the Physical Activity Incentive will be important for municipalities with a management sensitive to the topic and may possibly increase the number of physical education professionals in PHC, however, the magnitude of the power inducing the hiring of physical education professionals need to be analyzed in the medium term. The highest possible value per health unit (BRL 2,000.00) may be far below the real cost of hiring for municipal managements, so if state managements do not co-fund body practices and physical activities actions in PHC 1 -thus characterizing the tripartite financing of SUS -the greater hiring of physical education professionals and reduction of "care gaps" may be compromised.…”

mentioning

confidence: 99%

Promotion of body practices and physical activities in the Brazilian Unified National Health System: changes in sight, but to which direction?

et al. 2022

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The National Health Promotion Policy is the major milestone in the promotion of body practices and physical activities in the Brazilian Unified National Health System (SUS). After it, different actions and strategies were created, such as the Health Academy Program, the Expanded Family Health and Basic Healthcare Centers (NASF-AB), and the School Health Program 1 .Nowadays, the strengthening of neoliberal policies and fiscal austerity measures are aggravating the underfunding of SUS, with a consequent repercussion on body practices and physical activities actions 2 . Despite this, the creation of a specific organizational structure in the Brazilian Ministry of Health 3 and the release of the Physical Activity Guidelines for the Brazilian Population 4 show that the topic remains on the agenda.Moreover, in May 2022, the Brazilian Ministry of Health released the Physical Activity Incentive, a program that aims to implement body practices and physical activities actions in primary health care (PHC) -by hiring physical education professionals, purchasing consumables, and qualifying body practices and physical activities environments -and improve the care of people with chronic noncommunicable diseases -by introducing body practices and physical activities in their routine 5 . This investment includes different values for each type of health unit and physical education professional hired, with two possibilities of workload (Table 1).Understanding that the Physical Activity Incentive may significantly change the body practices and physical activities promotion "model" in PHC, this text aims to present initial analyses on the Physical Activity Incentive, considering its acting in the SUS management, as well as in the teaching and research of the authors of this text.The technical criteria for prioritizing health units that will receive the Physical Activity Incentive are currently unavailable 5 , but they must aim at equity in the qualification process, so that no unequal access to the resource occur. Health indicators, structuring of the PHC network, size of municipalities, among others, must be part of this prioritization criteria.In case of qualification, municipal programs of corporal practices and physical activities consolidated in the SUS, municipalities that remained with physical education professionals after the extinction of specific funding for the NASF-AB 6 and other initiatives that have these professionals inserted in health units will receive greater amount of resources since they will be able to allocate this professional in qualified health units, except for those who already receive funding resources as similar to the Health Academy Program. However, only one code from the Brazilian Classification of

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As práticas corporais e atividades físicas na gestão tripartite do SUS: estrutura organizacional, financiamento e oferta

Cited by 8 publications

References 18 publications

Physical Activity and Body Practices developed in Primary Health Care in Brazil from 2013-2021

Physical Activity and Body Practices developed in Primary Health Care in Brazil from 2013-2021

Contribuições de Documentos Orientadores para a Promoção da Atividade Física no Sistema Único de Saúde na Prevenção e no Controle de Câncer

Promotion of body practices and physical activities in the Brazilian Unified National Health System: changes in sight, but to which direction?

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