scholarly journals Social policies, neoliberalism and individualization in the periphery of São Paulo

2019 ◽  
Vol 34 (2) ◽  
pp. 34
Author(s):  
Ricardo De Lima Jurca ◽  
Aurea Maira Zöllner Ianni
Keyword(s):  
Family Health ◽  
Sao Paulo ◽  
Social Policies ◽  
São Paulo ◽  
Current Crisis ◽  
Public And Private ◽  
The Public ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Healthcare Program

The present article explores the expansion of the public and private health segment in response to the needs of the population of a peripheral sector of the South Zone of São Paulo, Brazil. Management of the sector is led from the margins of the capitalist peripheral State in the context of the current crisis of democracy which is driving a gradual individualization of social policies. As such, this management is both social and structural in nature. In addition to those users of the system who were interviewed, participants in the research included social leaders, Basic Health Unit (UBS) professionals, and agents of the Family Health Strategy (ESF) primary healthcare program. We focus on the continuities and discontinuities of public policies and highlight the important role that strategies of containment and reproduction of poverty have played in the process of legitimizing the democratic regime in Brazil.

scholarly journals Humanization of Care from the Perspective of the Family Health Strategy Teams in a City in the Interior of São Paulo, Brazil

2010 ◽  
Vol 18 (4) ◽  
pp. 763-769 ◽  
Author(s):  
Maria José Sanches Marin ◽  
Luana Vergian Storniolo ◽  
Maria Yvette Moravcik
Keyword(s):  
Data Analysis ◽  
Family Health ◽  
Sao Paulo ◽  
Service Organization ◽  
São Paulo ◽  
Analysis Method ◽  
Qualitative Survey ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization. The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties.

scholarly journals Professional profile of dentists who are members of the Family Health Strategy city of Marília, São Paulo: the challenge of interprofessional work

2014 ◽  
Vol 43 (1) ◽  
pp. 52-60 ◽  
Author(s):  
Mirella Gonçalves Caldeira Padula ◽  
Rinaldo Henrique Aguilar-da-Silva
Keyword(s):  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Graduate Study ◽  
Significance Level ◽  
Health Strategy ◽  
The Family ◽  
Post Test ◽  
Family Health Strategy ◽  
The City

INTRODUCTION: The inclusion of oral health professionals within the Family Health Strategy was legislated in December, 2000, by the Ministery of Health. These professionals are included in a new context which challenges the traditional education of fragmented knowledge and presents the challenge of interprofessional work. OBJECTIVE: To analyze the profile and the interprofessional practice of dentists working in the FHS in the city of Marília, São Paulo. MATERIAL AND METHOD: In 2012, a structured questionnaire and an adaptation of the Readiness Interprofissional Learning Scale (RIPLS), given to 34 dentists working in the FHS in the city of Marília, São Paulo, were used to collect data. Descriptive statistics and the nonparametric Kruskal-Wallis analysis of variance with SNK multiple comparisons post-test, at a significance level of p < 0.05, were used for data analysis. RESULT: The dentists are in the 31 to 40 year age range (70.6%), are mostly women (82.4%) and 79.41% hold a specialization in Public and Family Health. Comparisons of the differences of the mean scores of the responses among professionals, with and without graduate study in this area, were statistically significant in the statements regarding the amount of human resources and interprofessional work. CONCLUSION: Graduate study in Public and Family Health provides dentists with background on the integration of teamwork, the understanding about the process of interprofessional work, the enhancement of common and collaborative professional skills and thus minimizes the effects of an incomplete health team. It is considered that professionals without graduate study are restricted to their traditional and reductionist preparation.

scholarly journals Evolution of post-deployment indicators of oral health on the Family Health Strategy

2014 ◽  
Vol 12 (3) ◽  
pp. 274-281 ◽  
Author(s):  
Danielle da Costa Palacio ◽  
Fabiana de Lima Vazquez ◽  
Danielle Viana Ribeiro Ramos ◽  
Stela Verzinhasse Peres ◽  
Antonio Carlos Pereira ◽  
...  
Keyword(s):  
Oral Health ◽  
Family Health ◽  
Albert Einstein ◽  
Sao Paulo ◽  
São Paulo ◽  
Healthcare Teams ◽  
Health Strategy ◽  
Significant Difference ◽  
The Family ◽  
Family Health Strategy

Objective To evaluate the evolution of indicators after the implementation of 21 Oral Healthcare Teams in the Family Health Strategy. Methods We used data from outpatient services of Oral Healthcare Teams to evaluate efficiency, access, percentage of absences and emergencies of oral healthcare professionals who worked in the partnership between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo, during the period 2009-2011. Results Percentages of emergencies, income, and access showed a significant difference during the period analyzed, but no difference for percentage of absences was found. When monthly analysis was made, it is noteworthy that at the beginning of service implementation a fluctuation occurred, which may indicate that the work was consolidated over the months, becoming capable of receiving new professionals and increasing the population served. Comparison of the indicators in that period with the goals agreed upon between the Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein and the Secretaria Municipal de Saúde de São Paulo made it possible to notice that the Oral Health Teams had a good performance. Conclusion The results showed that the goals were achieved reflecting the increasing number of professionals, the maturing of work processes in the Oral Health Teams, and optimization of the manpower available to perform the activities. Understanding these results will be important to guide the actions of Oral Health Teams for the following years and to assess the achievement of goals.

scholarly journals Effectiveness of Family Health Strategy on child's health indicators in São Paulo State

2016 ◽  
Vol 16 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Sonia Isoyama Venancio ◽  
Tereza Etsuko da Costa Rosa ◽  
Maria Teresa Cera Sanches ◽  
Elza Yoshie Shigeno ◽  
José Maria Pacheco Souza
Keyword(s):  
Fixed Effects ◽  
Negative Binomial ◽  
Family Health ◽  
Health Indicators ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
Health Strategy ◽  
Family Health Strategy ◽  
São Paulo State

Abstract Objectives: to evaluate the effectiveness of Family Health Strategy (FHS) on child's health indicators in São Paulo State. Methods: longitudinal ecological study involving all the towns in São Paulo State from 1998 to 2009. The outcomes were the coefficients of infant mortality and its components and the rate for pneumonia and diarrhea hospitalizations. The main independent variable was "FHS coverage"; the covariates considered the context of sociodemographic and the health system. Negative binomial regression models of fixed effects and STRATA 11.1 statistical program were used. Results: FHS coverage above 50% showed a protective effect in relation to the postneonatal mortality (RR: 0.93; CI 95%: 0.87-1.00) and coverage up to 50% (RR 0.88 CI95% 0.82-0.99) or above 50% (RR: 0.87; CI95%: 0.82-0.92) were protective factors for pneumonia hospitalizations. Conclusions: the effectiveness of FHS on the outcomes related to child's health may vary according to local and regional contexts.

scholarly journals Rollout of community-based family health strategy (programa de saude de familia) is associated with large reductions in neonatal mortality in São Paulo, Brazil

2016 ◽  
Vol 2 ◽  
pp. 55-61 ◽  
Author(s):  
Alexandra Brentani ◽  
Sandra Josefina Ferraz Ellero Grisi ◽  
Mauro T. Taniguchi ◽  
Ana Paula Scoleze Ferrer ◽  
Maria Lúcia de Moraes Bourroul ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Community Based ◽  
Health Strategy ◽  
Family Health Strategy

scholarly journals Estratégia saúde da família - a ótica dos cuidadores de crianças

2018 ◽  
Vol 12 (3) ◽  
pp. 607
Author(s):  
Adriano Trigolo Pahim ◽  
Maria Fernanda Pereira Gomes ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

RESUMOObjetivo: avaliar sob a ótica dos cuidadores de crianças menores de dois anos e usuários adultos se os atributos essenciais e derivados da atenção primária à saúde estavam presentes e como estavam sendo operacionalizados na Estratégia Saúde da Família. Método: estudo quantitativo, descritivo e transversal realizado em três municípios da região de Presidente Prudente, Estado de São Paulo, Brasil. Utilizou-se o instrumento de avaliação da atenção primária à saúde (PCATool) na versão criança e adulto, em que 176 cuidadores de crianças menores de dois anos e 181 adultos usuários participaram da pesquisa. Resultados: os atributos da atenção primária à saúde estavam presentes na Estratégia Saúde da Família da região; porém, alguns atributos como Coordenação – Integração de Cuidados, Acesso de Primeiro Contato – Acessibilidade e Orientação Familiar precisavam melhorar sua operacionalização. Conclusão: os atributos da atenção primária à saúde devem estar adequadamente incorporados à prática dos profissionais da saúde por meio da capacitação e valorização das ações que caracterizam a Estratégia Saúde da Família como modelo com foco na família. Descritores: Avaliação em Saúde; Estratégia Saúde da Família; Atenção Primária à Saúde; Saúde Pública; Saúde da Criança; Saúde do Adulto. ABSTRACT Objective: to assess whether the essential attributes and derivatives of primary health care were present and how they were being implemented in the Family Health Strategy from the point of view of caregivers of children under two years of age and adult users. Method: quantitative, descriptive and cross-sectional study conducted in three municipalities of the region of Presidente Prudente, State of São Paulo, Brazil. We used the child and adult versions of the Primary Care Assessment Tool (PCATool), and 176 caregivers of children under two years of age and 181 adult users participated in the research. Results: the attributes of primary health care were present in the Family Health Strategy in the region; however, some attributes, such as healthcare coordination-integration, access to initial contact–accessibility, and family guidance needed to have their implementation improved. Conclusion: the attributes of primary health care should be properly incorporated into the practice of health professionals through training and actions that characterize the Family Health Strategy as a model with a focus on the family. Descritoprs: Health Assessment; Family Health Strategy; Primary Health Care; Public Health; Child Health; Adult Health.                                                            RESUMEN Objetivo: evaluar bajo la óptica de los cuidadores de niños menores de dos años y adultos usuarios si los atributos esenciales y derivados de la atención primaria de salud estaban presentes y cómo estaban siendo puestos en marcha en la Estrategia Salud de la Familia. Método: estudio cuantitativo, descriptivo y transversal realizado en tres municipios de la región de Presidente Prudente, Estado de São Paulo, Brasil. Se usaron las versiones niño y adulto del Instrumento de Evaluación de la Atención Primaria (PCATool) y 176 cuidadores de niños menores de dos años y 181 adultos participaron en la investigación. Resultados: los atributos de la atención primaria de salud estaban presentes en la Estrategia Salud de la Familia en la región; sin embargo, algunos atributos tales como coordinación-integración de los cuidados, acceso a primer contacto–accesibilidad y asesoramiento familiar necesitaban mejorar su puesta en marcha. Conclusión: los atributos de la atención primaria de salud deben ser debidamente incorporados a la práctica de profesionales de la salud a través de capacitación y desarrollo de acciones que caracterizan la Estrategia Salud de la Familia como un modelo con enfoque en la familia. Descriptores: Evaluación De La Salud; Estrategia Salud de la Familia; Atención Primaria de Salud; Salud Pública; Salud Del Niño; Salud del Adulto.

scholarly journals Accident prevention in early childhood in a family health strategy: parent's perspectives /Prevenção de acidentes na primeira infância na estratégia saúde da família: perspectiva dos pais / Prevención de accidentes en la primera infancia en la estrategia de salud familiar: perspectiva de los padres

2018 ◽  
Vol 7 (2) ◽  
pp. 28
Author(s):  
Karina Maiara dos Santos Roma ◽  
Maria Fernanda Pereira Gomes ◽  
Kesley De Oliveira Reticena ◽  
Verusca Kelly Capellini ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Early Childhood ◽  
Family Health ◽  
Sao Paulo ◽  
Accident Prevention ◽  
São Paulo ◽  
Health Strategy ◽  
Family Health Strategy

Objetivo: o presente estudo buscou descrever as ações de prevenção de acidentes na infância realizadas pelos profissionais que trabalham na Estratégia Saúde da Família na perspectiva dos responsáveis de crianças de até 6 anos de idade. Metodologia: trata-se de uma pesquisa transversal, exploratória e quantitativa, realizada no mês de outubro do ano de 2016, com 55 pais de crianças atendidas pela Estratégia Saúde da Família de um município no interior do Estado de São Paulo, por meio de questionário contendo questões sobre ações de prevenção de acidentes na infância. Resultados: observou-se que a maioria dos pais entrevistados receberam orientações da equipe de saúde, porém, algumas orientações foram pouco realizadas, como: não tenha armas; uso de colete salva-vidas e nunca deixe crianças sozinhas no carro. Conclusão: as orientações sobre a prevenção de acidentes na infância devem ser ampliadas e fortalecidas na Estratégia Saúde da Família por meio da capacitação dos profissionais, para que as atividades de educação no âmbito da prevenção de acidentes domésticos e cuidados na primeira infância sejam intensificadas, diminuindo, assim, os índices de morbidade e mortalidade infantil.Descritores: Saúde da Criança. Prevenção de Acidentes. Estratégia Saúde da Família.

scholarly journals The complexity of TB/HIV coinfection: an analysis of the social and health services context in the state of São Paulo, Brazil

2020 ◽  
Vol 14 (10) ◽  
pp. 1185-1190
Author(s):  
Laura Terenciani Campoy ◽  
Luiz Henrique Arroyo ◽  
Antônio Vieira Ramos ◽  
Thais Zamboni Berra ◽  
Juliane Almeida Crispim ◽  
...  
Keyword(s):  
Social Context ◽  
Health Services ◽  
Family Health ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Hiv Coinfection ◽  
Health Strategy ◽  
The Social ◽  
Family Health Strategy

Introduction: Brazil is in the 19th position of priority countries for the control of TB/HIV coinfection, so we aimed to analyze the social and health services contexts that are associated with TB/HIV coinfection in São Paulo state. Methodology: Ecological study conducted in 645 cities of the state. The study population consisted of 10,389 new cases of TB/HIV coinfection in state residents between 2010 and 2015. The variables and indicators used in the study were collected from secondary sources. To identify the factors associated with the occurrence of TB/HIV coinfection cases, generalized additive models for location, scale and shape were used. The best distribution model was defined from the lowest Akaike information criterion value. Results: There was an association between the occurrence of coinfection and the diagnosis of TB after death and greater treatment default. There was also an association with greater coverage of nurses and Family Health Strategy, which comprises Primary Care settings focused on families. Regarding the social context, the Gini Coefficient of inequality was identified as a determinant of coinfection. Conclusions: The study presents the complexity of TB/HIV coinfection, proposing critical points in the health services and social context. Despite the high coverage of nurses and Family Health Strategy in some cities, this did not affect the reduction of the incidence of coinfection. These findings may be attributed to a fragmented care and focused on acute conditions. Furthermore, this model of care holds few prospects for care integration or prioritization of prevention and health promotion actions.

scholarly journals Prevalence and factors associated with low back pain in elderly registered in the Family Health Strategy

2017 ◽  
Vol 30 (2) ◽  
pp. 367-377 ◽  
Author(s):  
Natasha Mendonça Quintino ◽  
Marta Helena Souza De Conti ◽  
Roger Palma ◽  
Márcia Aparecida Nuevo Gatti ◽  
Sandra Fiorelli Almeida Penteado Simeão ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Family Health ◽  
The Elderly ◽  
Sao Paulo ◽  
Low Back ◽  
São Paulo ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Introduction: Low back pain has varied etiology and complex discussed and can be triggered by various factors. Objective: Was to assess the prevalence of low back pain in individuals 60 years or more of the areas of the Family Health Strategy “Vila Sao Paulo” in the city of Bauru, São Paulo, and its association with demographic and socioeconomic variables, relating to work, lifestyle and morbidity. Methods: We conducted a cross-sectional study with 363 elderly sampled by the technique of two-stage cluster, which were interviewed at home using a multidimensional instrument (demographic, socio-economic, featuring work; lifestyle; morbidity) and the Nordic questionnaire. Conducted descriptive analysis, bivariate and Poisson regression. Results: It was noted more frequently in the elderly age group between 60 and 69 years old, married, with low education and income from two to five. The prevalence of low back pain was 55.8% of elderly patients studied, 52.2% in men and 47.8% women and, the variables load and carry weight (p = 0.001) and the number of diseases referred to (p = 0.04) showed association with the presence of low back pain. Conclusion: The elderly respondents show a high prevalence of low back pain associated with the loading and transport weight and the number of diseases referred.

scholarly journals Tuberculosis control program in the municipal context: performance evaluation

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Tiemi Arakawa ◽  
Gabriela Tavares Magnabosco ◽  
Rubia Laine de Paula Andrade ◽  
Maria Eugenia Firmino Brunello ◽  
Aline Aparecida Monroe ◽  
...  
Keyword(s):  
Family Health ◽  
Control Program ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Tuberculosis Control ◽  
Health Strategy ◽  
Tuberculosis Control Program ◽  
Family Health Strategy ◽  
Directly Observed Treatment

ABSTRACT OBJECTIVE The objective of this study is to evaluate the performance of the Tuberculosis Control Program in municipalities of the State of São Paulo. METHODS This is a program evaluation research, with ecological design, which uses three non-hierarchical groups of the municipalities of the State of São Paulo according to their performance in relation to operational indicators. We have selected 195 municipalities with at least five new cases of tuberculosis notified in the Notification System of the State of São Paulo and with 20,000 inhabitants or more in 2010. The multiple correspondence analysis was used to identify the association between the groups of different performances, the epidemiological and demographic characteristics, and the characteristics of the health systems of the municipalities. RESULTS The group with the worst performance showed the highest rates of abandonment (average [avg] = 10.4, standard deviation [sd] = 9.4) and the lowest rates of supervision of Directly Observed Treatment (avg = 6.1, sd = 12.9), and it was associated with low incidence of tuberculosis, high tuberculosis and HIV, small population, high coverage of the Family Health Strategy/Program of Community Health Agents, and being located on the countryside. The group with the best performance presented the highest cure rate (avg = 83.7, sd = 10.5) and the highest rate of cases in Directly Observed Treatment (avg = 83.0, sd = 12.7); the group of regular performance showed regular results for outcome (avg cure = 79.8, sd = 13.2; abandonment avg = 9.5, sd = 8.3) and supervision of the Directly Observed Treatment (avg = 42.8, sd = 18.8). Large population, low coverage of the Family Health Strategy/Program of Community Health Agents, high incidence of tuberculosis and AIDS, and being located on the coast and in metropolitan areas were associated with these groups. CONCLUSIONS The findings highlight the importance of the Directly Observed Treatment in relation to the outcome for treatment and raise reflections on the structural and managerial capacity of municipalities in the implementation of the Tuberculosis Control Program.

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