Local implementation of the Family Health Program in Brazil

Magalhães, Rosana; Senna, Mônica de Castro Maia

doi:10.1590/s0102-311x2006001200005

Cited by 10 publications

(13 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14 The ESF was designed to deliver primary healthcare services through multidisciplinary health teams comprised of a physician, a nurse, a nurse assistant, and several community health workers (CHWs). 13 The teams provide health promotion, disease prevention, treatment and rehabilitation at ESF health units at the municipality level and extend these services to the household level via regular household visits.…”

Section: Introductionmentioning

confidence: 99%

Professional and community satisfaction with the Brazilian family health strategy

et al. 2013

View full text Add to dashboard Cite

Objective To analyze the strengths and limitations of the Family Health Strategy (ESF) from the perceptions of healthcare professionals and community. Methods Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was applied to evaluate the ESF with 77 healthcare professionals and 293 caretakers of children under five. Health professional ESF training, community access to care, patient communication, and delivery of health education and pediatric care were of main interest in the evaluation. Logistic regression analysis was used to obtain odds ratios (OR) and 95% confidence intervals (CI). Results The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caretakers and professionals identified similar weaknesses (services not accessible to the caretakers, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caretaker satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caretakers reported being generally satisfied with the ESF services. Conclusions Identifying the limitations and strengths of the ESF from the healthcare professional and caretaker perspective may serve to advance primary community healthcare in Brazil.

show abstract

Section: Introductionmentioning

confidence: 99%

Professional and community satisfaction with the Brazilian family health strategy

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Para Magalhães & Senna 22 , os modelos assistenciais não são apenas técnicos, constroem-se nas relações políticas, à medida que o poder público incorpora diferentemente as demandas, mediante escolhas e decisões.…”

Section: Resultsunclassified

A implementação do Programa Saúde da Família em municípios do Estado de Mato Grosso, Brasil

Canesqui

Spinelli

2008

Cad. Saúde Pública

View full text Add to dashboard Cite

show abstract

“…There is no 'one-size-fits-all' solution to this daunting challenge worldwide. When general practice has managed to emerge as an increasingly important specialty, it has been as a result of deliberate increased resourcing and policy initiatives from national governments 30,31 and international bodies (such as the World Health Organization). 25 Based on the current evidence on the contribution that health care systems with strong physician primary care provision improve population health outcomes and that values of general practice are well matched to the health challenges of the 21st century, it is not surprising that primary care and in particular general practice has gained increasing prominence on the world stage as a favoured policy device.…”

Section: Building Recognition and Capacitymentioning

confidence: 99%