scholarly journals The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data

2017 ◽  
Vol 40 (3) ◽  
pp. e359-e366 ◽  
Author(s):  
Betina Durovni ◽  
Valeria Saraceni ◽  
Mariana Soares Puppin ◽  
Wagner Tassinari ◽  
Oswaldo G Cruz ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Family Health ◽  
Secondary Data ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Individual Level ◽  
Health Strategy ◽  
Family Health Strategy ◽  
The Impact ◽  
Level Analysis

Governmental programmes associated with food insecurity among communities of descendants of enslaved blacks in Brazil

2020 ◽  
pp. 1-11
Author(s):  
Camilla Christine de Souza Cherol ◽  
Aline Alves Ferreira ◽  
Rosana Salles-Costa
Keyword(s):  
Rural Development ◽  
Food Insecurity ◽  
Family Health ◽  
Secondary Data ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Measurement Scale ◽  
Logistic Regression Models ◽  
Bolsa Familia ◽  
Food And Nutritional Security

Abstract Objective: To assess the access to government programmes and their association with food insecurity (FI) in families from quilombolas communities in Brazil. Design: An analysis of secondary data from the 2011 Quilombolas Census was performed in Brazilian territories. The Brazilian Household Food Insecurity Measurement Scale (Escala Brasileira de Insegurança Alimentar, EBIA) was used to assess the household FI status. The relationships of governmental programmes with the levels of FI were estimated using logistic regression models. Setting: Greater national survey census of food and nutritional security of the recognised Quilombolas Brazilian territories. Participants: Totally, 8743 quilombolas families. Results: The prevalence of household FI was 86·1 % (moderate/severe FI: 55·9 %, 95 % CI 54·8, 56·9). After adjustment for socio-demographic variables, access to rural development programmes (Food Acquisition Program: OR: 0·6, 95 % CI 0·4, 0·8, P-value < 0·01) and health programmes (Center for Family Health Support: OR: 0·5, 95 % CI 0·5, 0·7, P-value < 0·001) is inversely and significantly associated with moderate/severe FI. The Brazilian conditional cash transfer programme (Bolsa Família) was associated with quilombolas families with moderate/severe levels of FI (OR: 3·3, 95 % CI 2·8, 4·0, P-value < 0·001). Conclusions: The prevalence of FI was high among quilombolas families. Despite reduced participation in governmental programmes, rural development, agriculture and conditional cash transfer programmes are fundamental to the autonomy of quilombolas communities. In spite of the low participation, when families are able to access these programmes, the study revealed the importance of these initiatives in reducing the likelihood of severe levels of FI.

scholarly journals Attitudes towards interprofessional collaboration of Primary Care teams participating in the ‘More Doctors’ (Mais Médicos) program

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
José Rodrigues Freire Filho ◽  
Marcelo Viana da Costa ◽  
Carinne Magnago ◽  
Aldaísa Cassanho Forster
Keyword(s):  
Health Professionals ◽  
Interprofessional Collaboration ◽  
Family Health ◽  
Professional Collaboration ◽  
Professional Category ◽  
Primary Care Teams ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

ABSTRACT Objectives: to compare the attitudes regarding interprofessional collaboration of health professionals that make up the Family Health Strategy teams participating in the ‘More Doctors’ (Mais Médicos) program; and to identify factors associated with attitudes of interprofessional collaboration. Method: a descriptive, transversal and comparative study developed with 63 health professionals who responded to the Jefferson Scale of Attitudes Toward Interprofessional Collaboration. The data were statistically analyzed. Results: the sum of the scale items ranged from 88 to 139 points. The analysis of all the Family Health teams indicated statistically significant differences between the scores of the scale and the professional category and between the scores and the education level, suggesting that nurses and professionals with higher education are more inclined towards collaborative practice. The analysis according to the profile of the doctor - Brazilian, Cuban or foreign exchange doctor - found no statistical differences regarding the physicians’ scores, nor in the scores of the components of teams with different profiles. Conclusion: the profile did not suggest a statistically significant greater or lesser inclination of the doctors or teams toward interprofessional work. This study can support new studies which will contribute to the analysis of inter-professional collaboration and the impact of the Mais Médicos program.

scholarly journals The Impact of a Conditional Cash Transfer on Multidimensional Deprivation of Young Women: Evidence from South Africa’s HTPN 068

2020 ◽  
Vol 151 (3) ◽  
pp. 865-895
Author(s):  
Kelly Kilburn ◽  
Lucia Ferrone ◽  
Audrey Pettifor ◽  
Ryan Wagner ◽  
F. Xavier Gómez-Olivé ◽  
...  
Keyword(s):  
Young Women ◽  
Social Protection ◽  
Multidimensional Poverty ◽  
Conditional Cash Transfer ◽  
Poverty Measurement ◽  
Cash Transfer ◽  
Primary Data ◽  
Individual Level ◽  
Multidimensional Deprivation ◽  
The Impact

Abstract Despite the growing popularity of multidimensional poverty measurement and analysis, its use to measure the impact of social protection programs remains scarce. Using primary data collected for the evaluation of HIV Prevention Trials Network (HPTN) 068, a randomized, conditional cash transfer intervention for young girls in South Africa that ran from 2011 to 2015, we construct an individual-level measure of multidimensional poverty, a major departure from standard indices that use the household as the unit of analysis. We construct our measure by aggregating multiple deprivation indicators across six dimensions and using a system of nested weights where each domain is weighted equally. Our findings show that the cash transfer consistently reduces deprivations among girls, in particular through the domains of economic agency, violence, and relationships. These results show how social protection interventions can improve the lives of young women beyond single domains and demonstrate the potential for social protection to simultaneously address multiple targets of the SDGs.

scholarly journals Impactos da ação educativa nos indicadores de saúde: potencialidade e fragilidades

2018 ◽  
Vol 12 (6) ◽  
pp. 1640 ◽  
Author(s):  
Vanusa Thaine Lubini ◽  
Janaina Quinzen Willrich ◽  
Guilherme Emanuel Weiss Pinheiro ◽  
Luciane Prado Kantorski ◽  
Mirela Farias Pickersgill
Keyword(s):  
Health Education ◽  
Family Health ◽  
Health Indicators ◽  
Structured Interview ◽  
Educational Process ◽  
Observation Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

RESUMOObjetivo: discutir as potencialidades e fragilidades identificadas por enfermeiros da Estratégia de Saúde da Família no desenvolvimento de ações de educação em saúde e o impacto nos indicadores de saúde. Método: estudo qualitativo, descritivo, exploratório, com enfermeiros de uma Unidade de Saúde da Família. A coleta de dados ocorreu a partir de entrevista semiestruturada e observação participante. A análise dos dados foi pela técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: apresentam as potencialidades e as fragilidades vivenciadas pelos enfermeiros, além da percepção acerca das transformações nos indicadores de saúde como melhoria da cobertura vacinal, dos exames citopatológicos e na atenção ao pré-natal. Conclusão: o conhecimento acerca das potencialidades e fragilidades do processo educativo facilita o trabalho em saúde e, por consequência, favorece a melhoria dos indicadores de saúde que são reflexos da dedicação das equipes de saúde da família, pautados na educação em saúde. Descritores: Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Indicadores de Saúde; Estratégia Saúde da Família. ABSTRACT Objective: to discuss the potentialities and fragilities identified by nurses of the Family Health Strategy in the development of health education actions and the impact on health indicators. Method: this is a qualitative, descriptive, exploratory study with nurses from a Family Health Unit. Data collection was done through a semi-structured interview and participant observation. Data analysis was based on the Content Analysis technique in the Thematic Analysis modality. Results: there are potentialities and fragilities experienced by nurses, as well as the perception about changes in health indicators such as improved vaccination coverage, cytopathological exams, and prenatal care. Conclusion: knowledge about the potentialities and fragilities of the educational process facilitates health work and, consequently, favors the improvement of health indicators that are a reflection of the dedication of the family health teams, based on health education. Descriptors: Health Education; Nursing; Primary Health Care; Health Status Indicators; Family Health Strategy. RESUMEN Objetivo: discutir las potencialidades y fragilidades identificadas por enfermeros de la Estrategia de Salud de la Familia en el desarrollo de acciones de educación en salud y el impacto en los indicadores de salud. Método: estudio cualitativo, descriptivo, exploratorio, con enfermeros de una Unidad de Salud de la Familia, La recolección de datos ocurrió a partir de entrevista semi-estructurada y observación participante, el análisis de los datos fue por la técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: presentan las potencialidades y las fragilidades vividas por los enfermeros, además de la percepción acerca de las transformaciones en los indicadores de salud como mejoría de la cobertura de vacunas, de los exámenes de citopatología y en la atención al prenatal. Conclusión: el conocimiento acerca de las potencialidades y fragilidades del proceso educativo facilita el trabajo en salud y, por consecuencia, favorece la mejoría de los indicadores de salud que son reflejos de la dedicación de los equipos de salud de la familia, pautado en la educación en salud. Descriptores: Educación en Salud; Enfermería; Atención Primaria de Salud; Indicadores de Salud; Estrategia de Salud Familiar.

scholarly journals 215Impact of Brazilian Family Health Strategy on Reproductive Health: Analysis at Individual and Population Levels

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Franciele Hellwig ◽  
Rafael Parfitt ◽  
Gabriel Weber
Keyword(s):  
Reproductive Health ◽  
Negative Impact ◽  
Family Health ◽  
National Health Survey ◽  
Individual Level ◽  
Positive Effects ◽  
Percentage Points ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Using Data

Abstract Background Family Health Strategy (FHS) is the largest community-based health program in Brazil. There is limited evidence about its effectiveness, especially about adolescents. We aimed to access its effects on adolescents’ reproductive health. Methods We estimate its effects on contraception at individual level using data from a national health survey carried out in 2013 and applying propensity score matching combined with complex survey weights. We employed a differences-in-differences approach for evaluate its effects on adolescent maternity rate at municipal level between 1996 and 2016. Results FHS has positive effects on the probability of using contraceptives. The highest effect was over the concomitant use of pills and male condom (increase of 12 percentage points). For households with female adolescents, it was even higher (26 percentage points). We found a monotonous decrease on adolescent maternity rate following exposure time to FHS, especially in the poorest regions. Conclusions Even not being focused on reproductive health, FHS has positive effects on it. We interpret the negative impact on adolescent maternity rates to be linked to an increased use of contraceptive methods. Key messages Programs such as FHS can be extremely important in promoting knowledge about family planning, especially for adolescents living in social vulnerability. We believe our findings to be important inputs for the discussion in countries where early childbearing is more prevalent, and inequalities are particularly striking..

scholarly journals Tele-odontology in Brazil: Strategies and Challenges for the Training of the Healthcare Network

2019 ◽  
Vol 7 ◽  
Author(s):  
Caren Serra Bavaresco ◽  
Ana Estela Haddad
Keyword(s):  
User Satisfaction ◽  
Clinical Training ◽  
Family Health ◽  
Health Indicators ◽  
Management Planning ◽  
Health Strategy ◽  
The Family ◽  
Assessment Skills ◽  
Family Health Strategy ◽  
The Impact

Different initiatives have been undertaken to guide the telehealth process in the Brazil. The Ministry of Health structured and implemented the Telehealth Brazil Programme initially to cover nine state centres. Later, it expanded the programme to take in the whole country, at which time it became known as the Telehealth Brazil Network. Among the goals of the Telehealth Brazil Network is the development of strategies for clinical training, health education, and training for management, planning and assessment skills, designed for the Family Health Strategy teams. In this context, this paper aims to presents the potential of and difficulties in implementing tele-odontology in Brazil, focusing on teleconsulting, tele-education and telediagnostic experiences developed to date. It will also present the legal and financial support aspects established in the country, as well as the results found so far in relation to the impacts of strategies and user satisfaction. Finally, suggestions for future perspectives are presented. Related to the strategies implemented in Brazil, it is necessary to analyse the data obtained regarding the successes and failures observed over the years. The positive results obtained with tele-education showed that the Telehealth Programme presents as an efficient tool for the training of the health care network. However, points like the limited use by professionals, some technical limitations and the impact on health indicators should still be better studied.

scholarly journals Efetividade da estratégia saúde da família no Distrito Federal

2021 ◽  
Vol 5 (9) ◽  
pp. 68-78
Author(s):  
Marcela Barros Bomfim ◽  
Thiago Da Silva Ribeiro ◽  
Conrado Carvalho Horta Barbosa
Keyword(s):  
Health Care ◽  
Pearson Correlation ◽  
Family Health ◽  
Secondary Data ◽  
Federal District ◽  
Percentage Increase ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Family

Correlacionar a expansão da Estratégia Saúde da Família (ESF) com o índice de internações por condições sensíveis à atenção primária (ICSAP), no DF, entre 2004 a 2019. Estudo ecológico realizado a partir de dados secundários, com análise de correlação de Pearson entre o índice de ICSAP e a área de cobertura da ESF, bem como a regressão linear entre essas variáveis para quantificar a associação. No período de 2004 a 2019, a área de cobertura da ESF no DF aumentou de 5,99% para 40,94%, enquanto o índice de ICSAP reduziu de 183,7 para 122,4/10.000 habitantes. Essas duas variáveis apresentaram correlação negativa e significativa (r = - 0,662), com variação de -1,062 casos/10.000 habitantes para cada aumento percentual na área de cobertura da ESF no DF. A implementação e expansão da ESF refletiu-se em uma redução de 13 condições presentes nas ICSAP.Descritores: Atenção Primária à Saúde, Saúde da Família, Assistência à Saúde, Saúde Pública. Effectiveness of the family health strategy in the Federal DistrictAbstract: To correlate the expansion of the Family Health Strategy with the rate on hospitalizations, for ambulatory care sensitive conditions (ACSC), at DF (Federal District), between the years of 2004 up to 2019. Ecological survey carried out from comprehensive secondary data, with Pearson correlation analyses between the hospitalizations for ACSC index and the FHS coverage field, as well as the linear regression between these variables to quantify the association. In the period of 2004 up to 2019, FHS coverage field at DF (Federal District) increased from 5,99% to 40,94%, while the hospitalizations for ACSC index decreased from 183.7 to 122.4/10.0000 inhabitants. These two variables report negative and significant correlation (r = -0,662) within a variation of - 1062/10.000 inhabitants for each percentage increase at the FHS coverage field in DF (Federal District). The implementation and expansion of the FHS was reflected in a reduction of 13 conditions shown in the hospitalizations for ACSC.Descriptors: Primary Health Care, Family Health, Delivery of Health Care, Public Health. Efectividad de la estrategia de salud de la familia en el Distrito FederalResumen: Correlacionar la expansión de la Estrategia de Salud Familiar (ESF) con la tasa de hospitalizaciones por afecciones sensibles a la atención primária (ICSAP) en Ditrito Federal, entre 2004 a 2019. Estúdio ecológico realizado a partir de datos secundários, con análisi de correlación de Pearson entre el índice ICSAP y el área de cobertura de ESF, así como la regresión lineal entre estas variables para cuantificar lá asociacións. En el período de 2004 a 2019, el área de cobertura de ESF en DF aumento de 5,99% a 40,94%, mientras que el índice ICSAP disminuyó de 183,7 a 122,4/10.000 habitantes. Estas variables mostraron una correlación negativa y significativa (r = -0,662), con una variación de -1,062 casos/ 10.000 habitantes por cada aumento porcentual en el área de cobertura de ESF en DF. La implementacións y expansion del ESF reflejó en una reducción de 13 condiciones presentes en el ICSAP.Descriptores: Atencíon Primaria de Salud, Salud Familiar, Asistencia de Salud, Salud Pública.

Avaliação cognitiva, socioeconômica e demográfica de idosos cadastrados na estratégia saúde da família da cidade de Mossoró

2019 ◽  
Vol 20 (3) ◽  
pp. 40-46
Author(s):  
Edson Batista Dos Santos Júnior ◽  
Richardson Augusto Rosendo da Silva
Keyword(s):  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Cognitive, socioeconomic and demographic evaluation applied to elderly assisted by the family health strategy in Mossoró City, Brazil

Avaliação do Perfil Nutricional dos Funcionários das Equipes Estratégia Saúde da Família e Núcleo de Apoio a Saúde da Família do Município de Pedralva – MG/ Evaluation of the Nutritional Profile of Workers from the Family Health Strategy Team and the Supp

1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob
Keyword(s):  
High Risk ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Family Health ◽  
Abdominal Circumference ◽  
Nutritional Profile ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 

Sign in / Sign up

Export Citation Format

Share Document