Prevalence of not receiving a home visit by Community Health Agents in Brazil and associated factors

Ciencia e Saude Coletiva

article

Kessler, Marciane¹  Thumé, Elaine²  Facchini, Luiz Augusto²  Tomasi, Elaine³ 

[1] Universidade Regional Integrada do Alto Uruguai e das Missões;Universidade Federal de Pelotas;UFPel

关键词: Primary Health Care;    Strategic Family Health;    Community Health Agents;    Healthcare Equity;    Access to Health Services;   

DOI  :  10.1590/1413-812320222711.17072021EN

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article aimed to identify the prevalence of not receiving a home visit by a community health agent (CHA) and the factors associated with it. This was a cross-sectional study, conducted with 38,865 health teams and 140,444 users in the entire country, who participated in the external evaluation of the Program of Access and Quality Improvement in Primary Health (PMAQ-AB, in Portuguese) in 2017/2018. The association between not receiving a home visit by a CHA and the characteristics of the towns, teams, and individuals were estimated by the prevalence ratio (PR) with 95% confidence intervals. The prevalence of not receiving a home visit by a CHA was 18.6% and the main causes were: CHA did not visit the home, lack of knowledge of the existence of CHAs in the neighborhood or unit, and no one present at the home when the CHA visited. The probability of receiving a home visit was higher in poorer regions like the Northeast Region of the country; in towns with a smaller population; among older age users with a lower income, users with chronic health conditions, or users who have someone with a physical disability at home. The results showed that there is a need to increase the coverage of CHA visits in the country, considering that their home visits improve equity in health care.

【 授权许可】

CC BY