Longitudinal link of the Family Health Strategy at the frontline of the Covid-19 pandemic

ABSTRACT This paper analyzes the Family Health Strategy (ESF) work process in the Covid-19 pan- demic per the PHC longitudinal linkage attribute. This cross-sectional, descriptive, and analytical study collected primary data from a national electronic survey carried out from September to December 20...

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Published in:Saúde em debate (Londrina, Brazil) Brazil), 2022, Vol.46 (spe1), p.131-151
Main Authors: Frota, Amanda Cavalcante, Barreto, Ivana Cristina de Holanda Cunha, Carvalho, André Luís Bonifácio de, Ouverney, Assis Luiz Mafort, Andrade, Luiz Odorico Monteiro de, Machado, Nádia Maria da Silva
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Language:English
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Summary:ABSTRACT This paper analyzes the Family Health Strategy (ESF) work process in the Covid-19 pan- demic per the PHC longitudinal linkage attribute. This cross-sectional, descriptive, and analytical study collected primary data from a national electronic survey carried out from September to December 2020. Ceará and Paraíba, States of the Northeastern region with more than 84% ESF coverage, were included in this excerpt. The participation of female workers (962) prevailed, with Community Health Workers (ACS, 29%) and nurses (26.61%), women (81.19%), 18-39 years of age (61.85%), statutory public servants (48,75%), active in urban territories (58.63%). Approximately 92.54% of the participants worked in the period, with only 4.70% working remotely. A total of 51.53% stated that they were ‘carrying out routine activities, as before’, and 31.42% revealed they were ‘prioritizing activities related to Covid-19’. New SUS Card registrations were made according to 67.94% of the participants. The research confirms that the ESF is a very frequent gateway, if not the main one, for Covid-19 cases and that its effectiveness for the care of the registered users is weakened although it meets the dimensions of its attribute. RESUMO Este artigo analisa o processo de trabalho da Estratégia Saúde da Família (ESF) na pandemia da Covid-19 segundo o atributo do vínculo longitudinal da Atenção Primária à Saúde. Estudo transversal, de caráter descritivo e analítico, com levantamento de dados primários, coletados mediante inquérito nacional por meio de um survey eletrônico, de abrangência nacional, realizado no 2º semestre de convivência com a doença. No presente recorte, incluíram-se o Ceará e a Paraíba, estados do Nordeste com mais de 84% de cobertura da ESF. Prevaleceram as participações de trabalhadoras (962), sendo agentes comunitários de saúde (29%) e enfermeiras (26,61%), mulheres (81,19%), de 18 a 39 anos (61,85%), servidoras estatutárias (48,75%), atuantes em territórios urbanos (58,63%). Das participantes, 92,54% trabalhavam no período, sendo apenas 4,7% a distância. Em relação às atividades, 51,53% declararam estar ‘realizando atividades de rotina, como antes’; e 31,42% revelaram estar ‘priorizando atividades relacionadas a Covid-19’. Novos cadastros do Cartão SUS foram efetivados segundo 67,94% das participantes. A pesquisa confirma que a ESF é porta de entrada muito frequente, se não a principal, de casos de Covid-19 e que embora atenda às dimensões do atributo, está fragil
ISSN:0103-1104
2358-2898
DOI:10.1590/0103-11042022e109i