Primary Health Care from the perception of women living in a rural area

Pitilin, Érica de Brito; Lentsck, Maicon Henrique

doi:10.1590/s0080-623420150000500003

Cited by 14 publications

(20 citation statements)

References 21 publications

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“…Therefore, it is common for professionals to find difficulties in performing care, with a view to reducing service shifts by location, generating care gaps, and compromising the comprehensiveness of health care. Some studies show that there is little possibility of a change in care model in rural areas, where access to basic health services is low, with a high population that seeks specialized and hospital care (16)(17)(18) .…”

Section: Discussionmentioning

confidence: 99%

“…Considering the accessibility of the service, a study evaluated the satisfaction of FHS users in the rural area of two small municipalities of Rio Grande do Norte, which revealed as a negative point the daily non-permanence of professionals in the units of their localities (17) . Another research carried out in the rural area of the city of Prudentópolis, Paraná State, showed that health professionals worked in a fragmented way, serving more than one locality in a short space of time, which influenced the quality of care (16) .…”

Section: Discussionmentioning

confidence: 99%

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The daily routine of nurses in rural areas in the Family Health Strategy

et al. 2019

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Objective: to analyze the daily work of rural Family Health Strategy (FHS) nurses. Method: a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semistructured interviews, between January and March of 2017, using Content Analysis. Results: rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management. Final considerations: conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS. RESUMOObjetivo: analisar o cotidiano de trabalho de enfermeiros da Estratégia Saúde da Família (ESF) que atuam em áreas rurais. Método: pesquisa qualitativa, descritiva-exploratória. Os dados foram coletados com onze enfermeiros da área rural do município de Campina Grande-PB, por meio de entrevistas semiestruturadas, entre janeiro e março de 2017, com análise a partir da técnica de Análise de Conteúdo. Resultados: os enfermeiros das áreas rurais têm relação de vínculo intensa com a população, no entanto, revelam um cotidiano de trabalho com várias barreiras organizacionais que vão desde o deslocamento da equipe ao local de trabalho à operacionalização das ações de saúde, sendo essas mediadas pelas características da ruralidade. Algumas dessas barreiras podem ser sanadas pela ação mais propositiva da gestão. Considerações finais: a dinâmica de trabalho diferenciada, condicionada pelas características próprias da ruralidade, revelam fragilidades na qualidade da assistência de enfermagem e menor efetividade da ESF. RESUMENObjetivo: analizar el cotidiano de trabajo de enfermeros de la Estrategia Salud de la Familia (ESF) que actúan en áreas rurales. Método: investigación cualitativa, descriptivaexploratoria. Los datos fueron recolectados con once enfermeros del área rural del municipio de Campina Grande-PB, a través de entrevistas semiestructuradas, entre enero y marzo de 2017, con análisis a partir del Análisis de Contenido. Resultados: los enfermeros de las áreas rurales tienen relación de vínculo intensa con la población. Sin embargo, revelan un cotidiano de trabajo con varias barreras organizacionales que van desde el desplazamiento del equipo al lugar de trabajo a la operacionalización de las acciones de salud, siendo estas mediadas por las características de la ruralidad. Algunas de esas barreras pueden ser sanadas por la acción más propositiva de la gestión. Consideraciones finales: la dinámica de trabajo diferenciada, condicionada por las características propias de la ruralidad, revelan fragilidades en la calidad de la asistencia de enfermería y menor efectividad de la ESF. Descriptores:O cotidiano de enfermeiros em áreas...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The daily routine of nurses in rural areas in the Family Health Strategy

et al. 2019

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“…In rural areas of Brazil, health services have lower supply and quality, as well as greater difficulty in accessing the Primary Health Units, resulting in an inequality between supply and demand in urban and rural areas 5 . In the latter, the demand for care is almost always motivated by acute diseases 6 . Thus, the population receives services based on demand and not on organized supply according to its supposed or perceived needs [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

“…In the latter, the demand for care is almost always motivated by acute diseases 6 . Thus, the population receives services based on demand and not on organized supply according to its supposed or perceived needs [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of Primary Health Care for rural workers exposed to pesticides

et al. 2020

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OBJECTIVE: To evaluate the attributes of Primary Health Care (PHC) for rural workers; to analyze sociodemographic conditions, history of poisoning and hospitalizations for pesticides and use of personal protective equipment; and to verify exposure to pesticides by determining bioindicators. METHODS: Cross-sectional, descriptive-analytical study with a sample of 1,027 rural workers living in municipalities belonging to a regional health department in Southern Minas Gerais, whose PHC is governed by the Family Health Strategy model. We used the adult version of the Primary Care Assessment Tool (PCATool Brazil) and a structured questionnaire to collect socioeconomic data, history of poisoning and hospitalization for pesticides and use of personal protective equipment. Blood samples were collected to measure biomarkers of pesticide exposure and signs of renal and hepatic sequelae. RESULTS: Low education was prevalent, as well as the intense contact of workers with pesticides. Frequent use of personal protective equipment was higher among men, as was the history of poisoning and hospitalizations for pesticides. Rates of 20% poisoning, 15% liver disease and 2% nephropathy were detected. Signs of hepatotoxicity were more frequent in men. Gender differences were all statistically significant. Regarding PHC, only the attribute “degree of affiliation” had a high score. None of the poisoning cases detected in the study were previously diagnosed. CONCLUSIONS: Despite the high coverage of the Family Health Strategy, occupational risk and its consequences have not been detected by health services, which do not seem oriented to primary care, even lacking their essential attributes. There is a need for immediate and effective adaptation of public policies regarding the health of rural workers, with adequate training of teams and review of the portfolio of PHC services offered.

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“…Furthermore, in rural settings, the situation of families is more complex, since they face other difficulties that are not noticed in urban areas, such as insufficient public transportation, lack of health services and, in many regions, lack of infrastructure, like electricity and means of communication (11)(12) . These deficiencies create greater obstacles for the work of rural FHS teams.…”

Section: Introductionmentioning

confidence: 99%

Avaliação do Índice de Responsividade da Estratégia Saúde da Família da zona rural

Shimizu

Trindade

Mesquita

et al. 2018

Rev. esc. enferm. USP

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Objective To evaluate the responsiveness of Family Health Strategy units in the rural area of the Federal District registered in the National Program for Improvement of Access and Quality of Basic Care. Method Descriptive study, which used a questionnaire to evaluate the following dimensions: a) respect for people: dignity, confidentiality of information, autonomy, communication; b) customer orientation: facilities, choice of the professional, agile service and social support. Results The users' assessment of responsiveness was 0.755. The dimensions related to respect for people received an index of 0.814 and customer orientation was 0.599. Conclusion Care is given that shows respect for human dignity, but progress needs to be made in building confidentiality and the autonomy of users. Infrastructure is poor and care is not agile, highlighting the need for greater investments in rural areas.

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Primary Health Care from the perception of women living in a rural area

Cited by 14 publications

References 21 publications

The daily routine of nurses in rural areas in the Family Health Strategy

The daily routine of nurses in rural areas in the Family Health Strategy

Assessment of Primary Health Care for rural workers exposed to pesticides

Avaliação do Índice de Responsividade da Estratégia Saúde da Família da zona rural

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