Learning from the Brazilian Community Health Worker Model in North Wales

Johnson, Christopher D.; Noyes, Jane; Haines, Andy; Thomas, Kathrin; Stockport, Chris; Ribas, Antonio Neves; Harris, Matthew

doi:10.1186/1744-8603-9-25

Cited by 62 publications

(58 citation statements)

References 12 publications

(13 reference statements)

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“…1,10,[19][20][21] Community health workers play a central role in Brazil's universal primary health care system, and other countries have used Brazil's Family Health Strategy (FHS) as a model for community-based primary care. 22,23 In 1994, Brazil implemented the FHS to increase access to primary care. Under the FHS, basic health units (BHUs) were established in which community-based teams of 1 physician, 1 nurse, 2 nurse assistants, and 6 CHWs provide primary care to approximately 3500 residents who live in a specified geographic area.…”

Section: Discussionmentioning

confidence: 99%

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Challenges facing community health workers inBrazil's Family Health Strategy:Aqualitative study

Grossman-Kahn

Schoen

Mallett

et al. 2017

Health Planning & Management

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Community health worker (CHW) programs are implemented in many low- and middle-income countries such as Brazil to increase access to and quality of care for underserved populations; CHW programs have been found to improve certain indicators of health, but few studies have investigated the daily work of CHWs, their perspectives on what both helps and hinders them from fulfilling their roles, and ways that their effectiveness and job satisfaction could be increased. To examine these questions, we observed clinic visits, CHW home visits, and conducted semistructured interviews with CHWs in 7 primary care centers in Brazil-2 in Salvador, Bahia, and 5 in São Paulo, SP-in which CHWs are incorporated into the work of all primary care health teams. In addition to enhancing communication between the medical system and the community, CHWs consider their key roles to be helping persuade community members to seek medical care and increasing health professionals' awareness of the social conditions affecting their patients' health. Key obstacles that CHWs face include failure to be fully integrated into the primary care team, inability to follow-up on identified health needs due to limited resources, as well as community members' lack of understanding of their work and undervaluing of preventative medicine. Increased training, better incorporation of CHWs into clinic flow and decision making, and establishing a clear community awareness of the roles and value of CHWs will help increase the motivation and effectiveness of CHWs in Brazil.

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Section: Discussionmentioning

confidence: 99%

“…Community health workers play a central role in Brazil's universal primary health care system, and other countries have used Brazil's Family Health Strategy (FHS) as a model for community‐based primary care . In 1994, Brazil implemented the FHS to increase access to primary care.…”

Section: Introductionmentioning

confidence: 99%

Challenges facing community health workers inBrazil's Family Health Strategy:Aqualitative study

Grossman-Kahn

Schoen

Mallett

et al. 2017

Health Planning & Management

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“…Contudo, ela é uma estratégia que precisa ser priorizada pelas políticas públicas sociais e de saúde, pois seu desenvolvimento pode impactar positivamente nos indicadores de saúde e desenvolvimento do poder sociopolítico das famílias, diminuindo as iniquidades existentes 13 . Tendo em vista as características de inserção do ACS no serviço de saúde e sua identidade sociocultural que permite uma relação de vínculo e de confiança com as famílias, esse profissional pode ser capacitado a viabilizar ações que desenvolvam as capacidades da comunidade 14 .…”

Section: Resultsunclassified

Avaliação das ações de promoção da saúde desenvolvidas pelos agentes comunitários de saúde

Fracolli¹,

Gomes²,

Pinheiro³

et al. 2013

Mundo Saúde

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ResumoCom base nas análises que sistematicamente foram realizadas sobre o trabalho do Agente Comunitário de Saúde (ACS), o Ministério da Saúde construiu um programa de formação para esse profissional, no qual foram definidas as competências que deveriam compor seu perfil, sendo uma delas a promoção da saúde. O objetivo desta pesquisa foi descrever e representar quantitativamente as ações de promoção da saúde propostas pelo Ministério da Saúde. Trata-se de uma pesquisa quantitativa, que teve como cenário de estudo o Colegiado Gestor Regional (CGR) Alto Capivari, da região de Presidente Prudente-SP. Foram sujeitos desta pesquisa os 97 ACS que trabalhavam nas dezessete equipes de Saúde da Família do CGR. Os dados foram coletados por meio de um formulário tipo Likert, que permitia verificar a ocorrência da realização das ações de promoção da saúde. As ações de promoção da saúde mais realizadas foram as que visam ao desenvolvimento do autocuidado, prevenção de agravos e a identificação de problemas; e as ações menos desenvolvidas foram as de participação social e intersetorialidade, contudo, dentre os desafios para a operacionalização das ações de promoção da saúde mais emancipatórias pelos ACS, verificou-se a atribuição de ações diferentes das propostas pelo Ministério da Saú-de; número de famílias além do preconizado e pouca oferta de capacitação para os ACS. O ACS tem potencial e realiza ações importantes de promoção da saúde, contudo essa estratégia deve ser priorizada pelas políticas públicas sociais e de saúde, pois seu desenvolvimento pode impactar positivamente nos indicadores de saúde. Palavras-chave: AbstractBased on the analyzes that were systematically performed on the work of Community Health Agents (ACS), the Ministry of Health constructed a training program for these professionals in which the skills that should compose their profile were defined, health promotion was one of them. The objective of this research was to describe and quantitatively represent health promotion actions proposed by the Ministry of Health. This is a quantitative research concerning the Collegiate Regional Manager (CGR) Alto Capivari in the Presidente Prudente-SP region. The subjects of this study were 97 ACS working in the 17 teams of Family Health of the CGR. Data were collected through a Likert form that allows verifying the occurrence of health promotion actions. The more frequently performed health promotion actions were the ones aimed at the development of self-care, injury prevention, and problems identification, and the less frequently performed actions were the ones of social participation and intersectoral approach. However, among the operationalization challenges of health promotion actions which were more emancipatory by ACS, the attribution of actions different from those proposed by the Ministry of Health, a number of families beyond the recommended and little offer of training for ACS were verified. ACS have potential and perform important actions to promote health, yet this strategy should be prioritized by soc...

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“…The present finding could reflect the role of CHAs in the Brazilian public health Family Health Strategy. These healthcare professionals are members of the community who receive brief training to provide essential primary care support, such as chronic‐disease management, immunization support, and medical referrals to the health post, among others . In this context, CHAs represent operationalization of the natural helper model of health promotion .…”

Section: Discussionmentioning

confidence: 99%

Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

Figueroa-Downing

Baggio

Baker

et al. 2016

Intl J Gynecology & Obste

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Learning from the Brazilian Community Health Worker Model in North Wales

Cited by 62 publications

References 12 publications

Challenges facing community health workers inBrazil's Family Health Strategy:Aqualitative study

Challenges facing community health workers inBrazil's Family Health Strategy:Aqualitative study

Avaliação das ações de promoção da saúde desenvolvidas pelos agentes comunitários de saúde

Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

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