Análise das diferentes manifestações de cultura quanto aos cuidados em saúde bucal em moradores de região rural ribeirinha em Rondônia, Brasil

Silva, Ricardo Henrique Alves da; Castro, Roberta Francisca Martins de; Bastos, José Roberto de Magalhães; Camargo, Luis Marcelo de Aranha

doi:10.1590/s1413-81232010000700059

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The effects of poor health coverage are more critical due to social inequalities and the lack of public policies geared to meet local needs, negatively influencing the quality and effectiveness of services available to this population who heavily depend on the public health system [2,3]. Health care provision is limited in this region and a great number of people have never had access to dental care (16.6% of the population) [4,5]. Among the geographic regions of Brazil, the North has the lowest number of doctors (1/1000 inhabitants) and the greatest disparity between availability of these professionals in large and medium cities (2.5/1000) compared to rural areas (0.4/1000).…”

Section: Introductionmentioning

confidence: 99%

Barriers to access and organization of primary health care services for rural riverside populations in the Amazon

Garnelo

Parente

Puchiarelli

et al. 2020

Int J Equity Health

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Background: The ways of life in the Amazon are diverse and not widely known. In addition, social inequities, large geographic distances and inadequate health care network noticeably limit access to health services in rural areas. Over the last decades, Brazilian health authorities have implemented fluvial mobile units (FMU) as an alternative to increase access and healthcare coverage. The aim of the study was to identify the strategies of access and utilization of primary health care (PHC) services by assessing the strengths and limitations of the healthcare model offered by the FMU to reduce barriers to services and ensure the right to healthcare. Methods: Qualitative and ethnographic research involving participant observation and semi-structured interviews. Data collection consisted of interviews with users and health professionals and the observation of service organization and healthcare delivered by the FMU, in addition to the therapeutic itineraries that determine demand, access and interaction of users with healthcare services. Results: Primary care is offered by the monthly locomotion of the FMU that serves approximately 20 rural riverside communities. The effectiveness of the actions of the FMU proved to be adequate for conditions such as antenatal care for low-risk pregnancy, which require periodic consultations. However, conditions that require continued attention are not adequately met through the organization of care established in the FMU. The underutilization of the workforce of community health workers and disarrangement between their tasks and those of the rest of the multi-professional team are some of the reasons pointed out, making the healthcare continuity unfeasible within the intervals between the trips of the FMU. From the users' perspective, although the presence of the FMU provides healthcare coverage, the financial burden generated by the pursuit for services persists, since the dispersed housing pattern requires the locomotion of users to reach the mobile unit services as well as for specialized care in the urban centers.

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Section: Introductionmentioning

confidence: 99%

Barriers to access and organization of primary health care services for rural riverside populations in the Amazon

Garnelo

Parente

Puchiarelli

et al. 2020

Int J Equity Health

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“…The guarantee of access to health care integrates the principle of universality of the Unified Health System (SUS) that has not yet been implemented for a significant part of brazilians, in particular, the population in a situation of vulnerability and residing in rural areas. The persistence of strong regional inequalities in living conditions and the provision of health services, associated with the high concentration of professionals and health actions in urban areas, penalizes the residents of the Northern and Northeast regions more intensely [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

Acesso e cobertura da Atenção Primária à Saúde para populações rurais e urbanas na região norte do Brasil

et al. 2018

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RESUMO Iniquidades de acesso ao Sistema Único de Saúde comprometem a garantia de cuidados primários de saúde para populações rurais e para outros grupos em situação de vulnerabilidade. Estudo transversal que avaliou acesso de usuários e cobertura assistencial de Equipes de Saúde da Família (EqSF) dos sete estados da região norte do Brasil e que aderiram à avaliação externa do segundo ciclo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Os dados do PMAQ-AB foram relacionados a indicadores demográficos, socioeconômicos e de saúde, por meio do coeficiente de correlação de Spearman. Para o conjunto da região, a cobertura assistencial de equipes sediadas em área rural, urbana e urbana que declararam atender a populações rurais foi de 83,3%. Coberturas entre 90-100% foram encontradas para o Acre, o Amapá, Roraima e o Tocantins. Menores percentuais foram encontrados no Pará (50,5%) e no Amazonas (60,5%). A extensão de cobertura encobre barreiras de acesso geográfico ligadas à concentração de equipes da Estratégia Saúde da Família nos espaços urbanos, situação que se estende a 451 (25,3%) unidades e a 494 (22,9%) equipes encarregadas do atendimento de populações rurais, mas que atuam em espaço urbano, adicionando barreiras à chegada dos usuários às unidades. Dificuldades no acolhimento à demanda espontânea, agendamento de consulta e disponibilidade de transporte para o atendimento também foram reportadas.

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“…This change in the mucosa can progress to cell desquamation resulting in symptomatic ulcer, hindering the speech power and alimentation [20]. For most researchers, is mucositis caused by chemotherapy and occurs due to a dynamic process resulting in the destruction of basal cells and its prevalence is among 40% and 76% of 29 patients undergoing chemotherapy [21].…”

Section: Discussionmentioning

confidence: 99%

Oral Manifestations and Salivary pH Changes in Children undergoing Antineoplastic Therapy

Hanna¹,

Botti²,

Araújo

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To identify the oral manifestations and salivary pH before and after chemotherapy in pediatric patients. Material and Methods: The sample consisted of 46 children. It was included children from 2 to 12 years, diagnosed with Acute Lymphoblastic Leukemia (ALL) and they would be subjected to chemotherapy. The first evaluation was performed before chemotherapy and consisted of anamnesis, oral clinical examination and saliva collection to measure the pH. The second evaluation was performed among 10 to 15 days after the start of chemotherapy treatment and consisted of new saliva collection and clinical examination. Results: The results showed that the gender most affected by childhood cancer was male. The predominant age group were children aged 8-12 years. The most frequent oral manifestations were mucositis (35%), xerostomia (26%), toothache and dysphagia (22%). There was also a significant reduction in salivary pH after chemotherapy, p <0.0001, indicating that the average pre and post chemotherapy are different (Δ = 10.6) with statistical significance at the 5% level. Conclusion: Patients with ALL can present any lesion in the oral cavity during or after the start of chemotherapy and undergo changes in the amount of salivary pH. The dentist needs and know the oral manifestations and intervene in the oral health of patients with ALL, contributing and assisting in their treatment.

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Análise das diferentes manifestações de cultura quanto aos cuidados em saúde bucal em moradores de região rural ribeirinha em Rondônia, Brasil

Cited by 3 publications

References 6 publications

Barriers to access and organization of primary health care services for rural riverside populations in the Amazon

Barriers to access and organization of primary health care services for rural riverside populations in the Amazon

Acesso e cobertura da Atenção Primária à Saúde para populações rurais e urbanas na região norte do Brasil

Oral Manifestations and Salivary pH Changes in Children undergoing Antineoplastic Therapy

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