Appraising Brazilian Deprived Communities’ Capitals for Planning an Action Research Project1

Zanchetta, Margareth Santos; Salami, Bukola; Garcia, Wilson Galhego; Belita, Emily; Souza, Thiago de Oliveira; Caldas, Rodrigo S.; Costa, Edwaldo

doi:10.1007/978-94-6209-803-9_18

Cited by 1 publication

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Zanchetta et al. (2014) concluded that the ability to create sustained and meaningful change in local communities depends on the local meaning of health, active engagement of the community and perceived feasibility of the intended changes.…”

Section: Community Change Agentsmentioning

confidence: 99%

“…The CHA model has been scaled up across Brazil with impressive results (Rocha and Soares, 2010;Giugliani et al, 2011). Zanchetta et al (2014) concluded that the ability to create sustained and meaningful change in local communities depends on the local meaning of health, active engagement of the community and perceived feasibility of the intended changes. CHAs had a pivotal role in engaging the community in a system strengthening project in four municipalities in a remote coastal region of São Paulo.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Are community health agents the link to integrating care? Lesson from Brazil

Veríssimo,

Rainey,

Lindemann

et al. 2024

JICA

View full text Add to dashboard Cite

Purpose This viewpoint piece will highlight the contribution of trained lay community health workers to the integrated workforce in rural, remote and island settings, drawing on experience from a system strengthening project involving community health agents (CHAs) in four municipalities in Litoral Norte, a remote coastal and island region in the state of São Paulo, Brazil.Design/methodology/approach This viewpoint reflects on experiential learning from a unique north–south collaboration that spanned the period of a global pandemic. It adds to the international literature on the value of community health workers in public health and chronic disease management and highlights their potential pivotal role as integrators at point of care.Findings CHAs took forward actions that touched the lives of thousands of vulnerable families with low income and complex needs in communities with high levels of social and health inequalities. They acted as a bridge between patients and families at home, primary healthcare professionals and wider community partners and services. Their valuable insight into the healthcare issues and social challenges experienced by the community informed and supported family centred practice and population health goals. The CHAs rapidly pivoted to became an essential public health workforce during the Covid-19 pandemic.Practical implications As the authors establish integrated care systems and embrace proactive care and population health, the conditions are favourable for introducing a similar role in the UK. For psychological safety and avoidance of burnout people in such new roles will require training, supervision and full integration within community teams.Originality/value This viewpoint reflects experiential learning from a unique north–south collaboration that spanned the period of a global pandemic. It adds to the international literature on the value of community health workers in public health and chronic disease management and highlights their potential pivotal role as integrators at point of care.

show abstract

Section: Community Change Agentsmentioning

confidence: 99%