Primary Healthcare of black immigrants during the COVID-19 pandemic

Abstract

Objective: To analyze how the healthcare of black immigrants was conducted during the COVID-19 pandemic in Primary Healthcare. Method: An exploratory-descriptive study with a qualitative approach, carried out through semi-structured interviews with professionals who worked in 10 Health Units in the city of Curitiba, Brazil, from October 2020 to January 2021. Structural racism was the conceptual framework. The statements were submitted to content analysis after using the MAXQDA program as support. Results: A total of 21 professionals from the multidisciplinary team participated and three categories emerged from the analyzes: Healthcare for black immigrants in PHC during the Covid-19 pandemic; Limits and potentialities of PHC for healthcare for black immigrants; Structural racism in PHC practices aimed at black immigrants. Conclusion: Action in the pandemic was guided by protocols that did not expand healthcare to vulnerable populations, including black immigrants. The main barrier was communication, as most black immigrants in the surveyed locations were Haitians. Structural racism was identified in professional practice.

Determinantes sociais e acesso aos serviços de saúde em pacientes com COVID-19: estudo seccional

“…Aspectos sociais, como renda, acesso à educação, condição de vida e de trabalho, podem ser formadoras de desigualdades em saúde, sendo estas fortemente evidenciadas durante a pandemia da COVID-19 (28) . Ao realizar discussão aprofundada sobre as relações existentes no período de acometimento da COVID-19, alguns pesquisadores a considerou como sindemia, devido à coexistência com outras doenças e potencialização dessa relação com os DSS, como contexto social, econômico e ambiental das populações (29,30) .…”

Social determinants and access to health services in patients with COVID-19: a cross-sectional study

“…Social aspects such as income, access to education, living and working conditions can shape health inequalities, which have been strongly evident during the COVID-19 pandemic (28) . When conducting an in-depth discussion on the relationships that existed during the COVID-19 pandemic, some researchers considered it a syndemic, due to its coexistence with other diseases and the potentialization of this relationship with SDH, such as the social, economic and environmental context of populations (29,30) .…”