Agentes Comunitárias de Saúde: o que dizem os estudos internacionais?

Ciencia e Saude Coletiva

article

Albuquerque, Paulette Cavalcanti de¹  Méllo, Lívia Milena Barbosa de Deus e²  Santos, Romário Correia dos³ 

[1] Fiocruz;Universidade Federal de Pernambuco;Universidade Federal da Bahia

关键词: Community health workers;    Primary Health Care;    Health policy;    Public health;    Workforce;   

DOI  :  10.1590/1413-81232023282.12222022EN

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 is a narrative review whose objective is to understand the state of the art of the literature on Community Health Worker (CHW) programs worldwide, identifying their nomenclatures, practices, training, and working conditions. The major concentration of CHW programs can still be found in low- and middle-income countries in Africa (18), Asia (12), and Latin America (05), with a few experiences in high-income countries in North America (02) and Oceania (01). In total, 38 experiences were cataloged, and the practices of care, surveillance, education, health communication, administrative practices, intersectoral articulation, and social mobilization were described. The levels and duration of CHW training were characterized, as were the different working conditions in each country. Much of the work is precarious, often voluntary and carried out by women. This review provided a comparative overview that can contribute to enrich the view of managers and decision-makers in contexts of the implementation, expansion, and reconfiguration of such programs.

【 授权许可】

CC BY