The quality of alternative models of primary health care and morbidity and mortality in Brazil: a national longitudinal analysis

Socioeconomic and racial/ethnic inequalities in depression prevalence and the treatment gap in Brazil: A decomposition analysis

“…The Family Health Strategy (FHS), a community-based primary healthcare program, is the core of the health system and has been expanded since the mid-1990s. FHS currently covers over 60% of the population and expansion of FHS teams (FHTs) has been associated with improved population health ( Bhalotra et al, 2020 ; Hone et al, 2020 ; Mrejen et al, 2021 ) and reduced health inequalities ( Hone et al, 2021 ). In the 2000s efforts were made to increase services provision, including mental healthcare ( Athié et al, 2016 ), although access to specialized care remains a challenge with long waiting lines ( Castro et al, 2019 ).…”

What Primary Care mechanisms impact mortality in children under five?

“…In some studies, the adherence of professionals to prenatal care guidelines was shown to in uence neonatal health outcomes [69, 70,71]. However, we observed a need for more robust evidence regarding the effect of adherence to clinical guidelines and prenatal care protocols on neonatal outcomes [36,72,73]. Furthermore, there is a need for further production of knowledge that analyzes the mechanisms linking the use of clinical guidelines to MCH outcomes [74,75].…”

“…Programmatic offer during prenatal care in PHC is associated with better maternal and child health outcomes, as it enables identifying and clinically handling timely interventions on potential risk factors related to health complications of mothers and their newborns [74,75]. Some authors signaled its importance in HIV prevention, including reducing new infections, preventing mother-to-child transmission, improving infant feeding practices, and allowing intervals between births [72,123,124].…”

Inequalities in unmet need for health care services and medications in Brazil: a decomposition analysis

“…The system has achieved significant gains over the past 30 years; improvements in both coverage and access to health care services have resulted in better health outcomes overall. 8 Primary health care programming that covers over 60% of the population represents a central component of the national health service; it has improved the health of the Brazilian population 9 , 10 , 11 and reduced health inequalities. 12 However, while everyone is covered by the SUS, 28.5% of the population (primarily individuals with higher incomes who are formally employed and residing in urban centers) remains covered by one or more private health insurance schemes.…”