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Objetivo: evaluar la presencia y extensión de los atributos esenciales de la Atención Primaria de Salud desde la perspectiva de los usuarios de la Estrategia Salud de la Familia. Método: estudio cuantitativo transversal, con 256 usuarios de 26 unidades de salud de la familia del estado de Santa Catarina, Brasil, realizado entre junio y diciembre de 2021. Se utilizó un cuestionario de caracterización y un Instrumento de Evaluación de Atención Primaria. Se realizó análisis estadístico descriptivo e inferencial. Resultados: los usuarios evaluaron que las unidades tenían un índice por debajo del nivel ideal de presencia y extensión de los atributos esenciales. Pero, los usuarios con un problema de salud evaluaron positivamente el puntaje esencial (p=0,001), el atributo longitudinalidad (p=0,024) y el atributo integralidad (p=0,001). Conclusión: evaluar periódicamente la presencia y extensión de los atributos permite orientar estrategias de fortalecimiento y contribuye a mejorar continuamente la Atención Primaria, en base a indicadores para una gestión de la salud calificada, y considerar la perspectiva de los usuarios marca la diferencia.

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To report the experience of data collection for the multicenter study "Analysis of nurses' practices in primary health care - national mixed methods study" in the Amazonian context. Methods: This is an experience report from the stages of planning and data collection in the midst of numerous challenges that encompass the realization of studies in the state of Amazonas, added to the Covid-19 pandemic. Results: 100% of the interviews were conducted contemplating all the investigated dimensions. The online questionnaire of the survey was distributed to the 62 municipal health secretaries. The team attended all the national live events and participated effectively in the live event in the northern region, where they had the opportunity to share their experiences in the state. At the end of the data survey, the material produced was sent to the national and regional coordinators. Conclusion: The remote interview pointed to the reality of the context in which nurses develop their practices, showing the richness of the alternatives built to meet the health needs of the population. The experience added knowledge to the formation of undergraduate and graduate students in the participation of a multicenter study. [ABSTRACT FROM AUTHOR]

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Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Apply the Social Vulnerability Index for the Federal District and compare it with the spatial distribution of coverage of the Extended Family Health and Primary Care Centers. Methods: This is an ecological study based on data from the demographic census, from the State Department of Health of the Federal District, as well as others made available by the Family Health Support Management. Results: It was found that 31.4% of the census sectors in the Federal District were classified as having a low level of social vulnerability, 47.8% medium, 12.2% high and 8.3% very high. Only 37.17% of the territory in the study scenario had coverage of the Extended Family Health and Primary Care coverage. When comparing the spatial distribution of these outcomes, a high extent of care gaps in the coverage of this service was observed, both in rural and urban sectors, and these are often classified into a greater stratum of vulnerability. Conclusion: It is recommended to use public policy management tools, such as the Social Vulnerability Index, for the redesign of the Health Care Network, with a view to tackling social inequities. [ABSTRACT FROM AUTHOR]

Objective: to evaluate the rate of premature mortality due to chronic noncommunicable diseases (CNCD) and its association with population Coverage of Primary Care teams in Santa Catarina municipalities. Method: cross-sectional study that used secondary data from the official state database. The indicators premature Mortality due to CNCD and population Coverage of Primary Care teams in the years 2017 and 2018 were collected in 2019. The data were analyzed in the Statistical Package for the Social Sciences version 25.0, for descriptive statistics and presented by mean and standard deviation. Spearman correlation test was used for the variables under study. Results: there was an increase in the rates of premature Mortality due to CNCD and a reduction in population Coverage of Primary Care teams, with no significant association between these indicators. Conclusion: the increase in premature mortality due to CNCD and the non-compliance with the agreed goals require evaluation of the actions performed in Primary Care. [ABSTRACT FROM AUTHOR]

Objective: to understand the organization of the production of health care in Primary Care. Method: qualitative study, carried out with 23 participants of the family health team by means of interview and systematic observation in seven Family Health Units of the central northern region of Bahia, between May and July 2017; data analysis oriented by Gadamerian hermeneutics. Results: the entrance door is selective; service flows are regulated by offering focused on some services, with long waiting and difficulties in scheduling appointments, besides being disjointed and insufficient for continuity of care. A lack of materials and precarious working conditions was observed. The evaluation is invisible, with insufficient actions to corroborate user satisfaction. Conclusion: there is an evident need for improvement in the organization of primary care and composition of primary care as an organizer of integral and resolute practices in the attention network. [ABSTRACT FROM AUTHOR]

Objective: to evaluate Pentavalent vaccination coverage in children under one year old in the Brazilian regions and capitals and the coverage of the Family Health Strategy (FHS). Method: a study of a historical series with secondary data from national vaccine management systems and the FHS, from 2014 to 2018, analyzed by descriptive statistics. Results: the Brazilian regions have maintained Pentavalent vaccination coverage below 95% since 2017. The scope of the FHS did not significantly impact on the achievement of the recommended vaccination target. Conclusion: low vaccination coverage increases the risk for the reintroduction of controlled diseases. Access to the health services needs to be facilitated and vaccination prioritized when planning the actions of the FHS team. Nursing is able to create local actions to reverse this scenario, with the support of the managers to intensify campaigns and combat the causes that have hindered the achievement of the goals. [ABSTRACT FROM AUTHOR]

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to know the community health workers' perception of reproductive life planning carried out with adolescents. Method: a qualitative study with ten agents from a Family Health Basic Unit. The Focal Group was used for data collection. Content Analysis was used. Results: the agents believed in the importance of reproductive life planning with adolescents, considering the little intra-family dialogue and the difficulty in approaching the subject during home visits. They recognized the need to approach reproductive planning in a broader way, meeting self-knowledge, respecting others, and preventing violence. Conclusion: the agents' perception can be favored or impaired by a close relationship with health professionals. The theme should be discussed with adolescents, as many have no communication with their parents, representing a taboo in many homes, either for cultural reasons or because they believe it is an incentive to sexual practice. [ABSTRACT FROM AUTHOR]

The article discusses home visits as a health care strategy within the scope of Primary Health Care in Brazil, based on the organization of health practices by the teams of the Extended Family Health and Primary Care Support Centers (NASF-AB). Based on the systematization of collective experiences and the problematization of daily practice, in a space of Permanent Health Education developed with inspiration from the techniques of the Operative Group, the reflections undertaken derive from a workshop held with professionals from NASF-AB, in the city of Recife, Pernambuco, as well as the experience accumulated by its authors in the development of home visits to users and families under their care. From the narrated experience, results are revealed as practical notes translated into issues to be considered by health teams in the planning, operationalization and evaluation processes of home visits, taking their productive power to achieve health acts focused on care and improving the situation health of the assisted population. The article concludes that when guided by the relationships established and the diverse exchanges of knowledge that emerge from them, the visits are configured as powerful technical-assistance and pedagogical strategies for the health care process, revealing positive effects in the monitoring of users and families. [ABSTRACT FROM AUTHOR]

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: Avaliar a qualidade da Estratégia Saúde da Família (ESF) através dos atributos da Atenção Primária na perspectiva dos profissionais de saúde e verificar associação entre esses atributos e as características sociodemográficas e profissionais da equipe. Métodos: Estudo seccional, realizado nas unidades de saúde da família do município de Serra, Espírito Santo. Para coleta de dados utilizou-se questionário denominado de Instrumento de Avaliação da Atenção Primária (PCATool). O instrumento foi aplicado a 205 profissionais atuantes nas equipes de saúde da família. Para verificar associações realizaram-se os testes Exato de Fisher e Qui-quadrado de Pearson. Resultado: As dimensões melhor avaliadas foram: a orientação familiar e a longitudinalidade. A associação entre o atributo essencial e o nível de instrução e experiência anterior na ESF foi significativa. Conclusão: Os profissionais percebem a atenção ofertada de maneira positiva, contribuindo para o fortalecimento e humanização da atenção básica.

Resumo Objetivo: Descrever a organização do trabalho do enfermeiro na atenção primária à saúde nas regiões brasileiras. Métodos: Estudo transversal de dados secundários oriundos da avaliação externa do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ) que englobou 17482 ESF e outros modelos de atenção básica, aderidos ao programa, em 3.972 municípios participantes, abrangendo todos os estados da Federação. Resultados: Destacam uma posição diferenciada do profissional enfermeiro na equipe da Atenção Primária à Saúde, apontando para a ampliação dos limites de atuação profissional, agregando as atividades administrativas às práticas da assistência direta ao usuário. Conclusões: A inserção do enfermeiro em equipes da atenção primária à saúde tem suscitado novas modelagens na produção do cuidado com um novo padrão de produção de cuidados, que alteram não apenas o modo de organização do processo produtivo, conforme os interesses do capital, mas inverte o núcleo tecnológico do cuidado.

Resumo Objetivo: analisar a tendência temporal da cobertura da Estratégia Saúde da Família (ESF) no Brasil, suas regiões e Unidades da Federação (UFs), em 2006-2016. Métodos: estudo ecológico de séries temporais com dados do Departamento de Atenção Básica do Ministério da Saúde; utilizou-se regressão de Prais-Winsten. Resultados: no Brasil, as coberturas da ESF em 2006 e 2016 foram de 45,3% e 64,0%, respectivamente, com tendência crescente (variação anual = 8,4%: IC95% 7,4;9,3); as cinco regiões nacionais mostraram tendência crescente na cobertura, assim como a maioria das UFs, exceto Roraima, Amapá, Piauí, Rio Grande do Norte e Paraíba, que apresentaram estabilidade; em 2016, 14 UFs apresentaram coberturas entre 75 e 100%, e 11 entre 50 e 74,9%; São Paulo e o Distrito Federal mostraram coberturas menores que 50%. Conclusão: embora, em geral, a cobertura da ESF tenha aumentado, em 2016, 13 UFs apresentaram coberturas inferiores a 75%; necessitam-se mais esforços pela universalização da ESF.

O objetivo do trabalho foi avaliar o desempenho da atenção primária à saúde (APS) em Belo Horizonte, Minas Gerais, Brasil, utilizando o questionário PCATool entre enfermeiros das equipes de saúde da família e gerentes. O escore total da APS foi 0,75 (bom); o primeiro contato (0,95), a longitudinalidade (0,83), a integralidade (0,83) e a coordenação (0,78) apresentaram melhor desempenho. O enfoque familiar, a orientação comunitária e o acesso receberam as piores pontuações (0,68, 0,56 e 0,45). Os fatores associados (p < 0,05) à melhor performance da APS foram: disponibilidade de equipamentos e outros insumos (RP ajustada = 1,57), formação dos profissionais em saúde da família (RP = 1,44), presença do médico por mais de 30 horas semanais (RP = 1,42) e quatro ou mais equipes por unidade básica de saúde (RP = 1,09). Os resultados revelaram a importância de fatores estruturais (sistemas logísticos adequados, formação da equipe em saúde da família) e organizacionais (médico em tempo integral, número de equipes da Estratégia Saúde da Família por unidades básicas de saúde) na performance da APS e na melhoria da qualidade.

OBJECTIVE: this study sought to assess the quality of the Family Health Strategy (FHS) and investigated the association between primary care attributes (PCAs) and the sociodemographic characteristics of users.METHOD: a total of 215 female FHS users were interviewed for this descriptive and cross-sectional study. The Primary Care Assessment Tool (PCATool), Adult Edition was used, and the results were analyzed using Fisher's exact tests, Pearson's chi-square tests and logistic regressions.RESULTS: the lowest average score corresponded to the dimension "accessibility" (1.80), and the highest score corresponded to "access" (8.76). The results corresponding to the attributes "longitudinality", "coordination", "comprehensiveness", and "orientation" were not significant. No association was found between the participants' sociodemographic characteristics and the essential, derivative, and general attributes (p>0.05).CONCLUSION: several attributes must be improved across all the investigated services from the perspective of female FHS users.

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This work aims to analyze the importance of the assistance of Nursing service in prenatal care in the Family health program (FHP) in the municipality of Rio de Janeiro in order to highlight the main successes, challenges and barriers which affects the practice and the program. Based on a qualitative study of empirical theoretical character containing bibliographical revision that was used from the databases of the SCIELO electronic Library and Google Scholar for obtaining scientific articles with clipping between the years 2006 to 2016, it was analyzed the assistance rendered to the prenatal care of pregnant women in the Family Health program. The strategies of decentralization of assistance to pregnant women through the FHP and the central role of the nurse in the team represent a breakthrough in the fight for a closer and more effective care for the population of the municipality of Rio de Janeiro and country. In the municipality of Rio de Janeiro, there are many challenges to the performance of the nursing professional. Problems related mainly to the lack of infrastructure for professional performance and the constant interruptions and delays of financial resources. [ABSTRACT FROM AUTHOR]

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An educational intervention in 60 relatives--selected by means of a non probabilistic sampling by convenience--of first grade diabetic patients, belonging to a people's council in the health area of "28 de Septiembre" Teaching Polycinic in Santiago de Cuba, was carried out from May, 2014 to the same month in 2015, aimed at qualifying them with knowledge on the disease. The investigation consisted of 3 stages: the diagnostic stage, in which the previous knowledge on the different topics were evaluated, that of intervention that had 6 sessions of classes, and that of evaluation, in which the same survey was repeated 6 months later; also, the percentage as summary measure and the McNemar test for the statistical validation were used. Finally, with the intervention it was possible to prepare the relatives with the necessary knowledge to support the patients and achieve a higher family life quality. [ABSTRACT FROM AUTHOR]

The aim of this study was to describe the characteristics of programs that promote physical activity in the public primary care system by region of Brazil, subject to the presence or absence of multidisciplinary primary care teams (NASF). We conducted a cross sectional and population-based telephone survey of the health unit coordinators from 1,251 health care units. Coordinators were asked about the presence and characteristics of physical activity programs. Four out of ten health units reported having a physical activity intervention program, the most common involving walking groups. Most of the activities were performed in the morning, once or twice a week, and in sessions of 30 minutes or more. Physical education professionals were primarily responsible for directing the activities. Interventions occurred in the health unit itself or in adjacent community spaces. In general, these characteristics were similar between units with or without NASF, but varied substantially across regions. These findings will guide future physical activity policies and programs within primary care in Brazil.

This cross-sectional study aimed to analyze the adherence to drug and non-drug treatments in 17 Family Health Strategy units. A total of 423 patients with type 2 diabetes mellitus were selected through stratified random sampling in Family Health Strategy units of a city in the state of Minas Gerais, Brazil, in 2010. The results showed that the prevalence rate of adherence to drug therapy was higher than 60% in the 17 units investigated; in relation to physical activity, adherence was higher than 60% in 58.8% units; and for the diet plan, there was no adherence in 52.9% units. Therefore, we concluded that adherence to drug therapy in most units was high and the practice of physical activity was heterogeneous, and in relation to diet adherence, it was low in all units. We recommend strengthening of institutional guidelines and educational strategies, in line with SUS guidelines, so that, professionals may face the challenges imposed by the lack of adherence.

O objetivo desta pesquisa qualitativa foi identificar motivos de satisfação e insatisfação dos profissionais de saúde em dois modelos assistenciais, na Estratégia de Saúde da Família (ESF) e na Atenção Básica Tradicional (ABT). Métodos: Amostra intencional com 22 profissionais de saúde do sul do Brasil e dados coletados por meio de entrevistas e grupo focal. Resultados: Principais motivos de satisfação: nos dois modelos - afinidade com a profissão/gostar do que faz, satisfação dos usuários com a assistência recebida, trabalho em equipe; na ESF - vínculo entre profissionais e usuários. Principais motivos de insatisfação: nos dois modelos - problemas nas relações com usuários/famílias; na ABT- salário insuficiente e dificuldades no trabalho em equipe; na ESF- déficit nos instrumentos e ambiente de trabalho, carga horária excessiva e falta de compreensão sobre o modelo. Conclusão: A dimensão subjetiva influencia a satisfação laboral, mas condições concretas para a realização do trabalho são fortemente significativas.

OBJETIVO : Avaliar o desempenho do agente comunitário de saúde após incorporação do controle da dengue nas suas atribuições. MÉTODOS : Comparou-se a evolução de indicadores selecionados da Estratégia Saúde da Família e do Programa Nacional de Controle da Dengue do município São Gabriel do Oeste com o de Rio Verde de Mato Grosso, município vizinho com características populacionais, socioeconômicas e estrutura de serviços de saúde semelhantes de 2002 a 2008. Os dados foram coletados dos bancos de dados municipais do Sistema de Informação da Febre Amarela e Dengue e do Sistema de Informação da Atenção Básica da Secretaria Estadual de Saúde de Mato Grosso do Sul. As variáveis selecionadas para as atividades dos agentes na Estratégia Saúde da Família foram: visitas domiciliares mensais, gestantes com o pré-natal iniciado no primeiro trimestre, crianças menores de um ano com vacinas em dia e hipertensos. Para o Programa Nacional de Controle da Dengue foram: imóveis inspecionados com Aedes aegypti e imóveis existentes não inspecionados. RESULTADOS : Os dois municípios mantiveram evolução semelhante nos indicadores do controle da dengue no período. São Gabriel do Oeste apresentava melhor situação em relação à Estratégia Saúde da Família em 2002 em três dos quatro indicadores estudados. No entanto, esta situação se inverteu no final do período, quando o município foi superado por Rio Verde de Mato Grosso em três dos quatro indicadores analisados, entre os quais a média mensal de visitas de agente comunitário de saúde por família cadastrada, principal atividade de um agente da Estratégia Saúde da Família. CONCLUSÕES : A incorporação do Programa Nacional de Controle da Dengue na Estratégia Saúde da Família é viável e se desenvolveu sem prejuízo das atividades do controle da dengue, excetuando as atividades da saúde da família em São Gabriel do Oeste. A carga adicional de trabalho dos agentes comunitários de saúde pode ser a hipótese mais provável do declínio do desempenho desses agentes nas atividades da Estratégia Saúde da Família.

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Despite technological advances, many diseases are not amenable to curative therapy, becoming chronic and progressives, having death as his hopeless outcome. It is estimated that about 20 million people still die in the world without access and attention which could minimize his suffering and symptoms of the disease, chronic in the majority of the cases. Palliative Care (PC) is a growing area; however, the actual number of professionals trained to deal with the patient without expectation of curative therapy is insufficient. Through a narrative bibliographical review of the conceptual pillars of the Family Health Strategy, Primary Health Care and the principles of PC, this article aims to identify the points that make the intersection between the CP and the Family and Community Medicine (MFC), as they use similar attributes, which enable them to monitor patients whose specific symptoms of chronic diseases or those related to the end of life demand a need for differentiated training. This training allows for better management of patients and their families on issues related to the terminal illness, pain control and other symptoms involving care in many spheres (physical, social, cultural, psychological and spiritual) in an integrated and coordinated manner with the other health services. The Health Family Strategy has greater support capacity in terms of scope and continued monitoring of this population is what makes it a potential actor to ensure this health care. [ABSTRACT FROM AUTHOR]

In 2002 three disciplines were created by the Integral Medicine Service, a result of curriculum changes promoted by the Faculty of Medical Sciences (FCM), State University of Rio de Janeiro, driven by the National Curricular Guidelines (NCG) 2001. The purpose of this paper is to present an experience report of thirteen years of implementation of the disciplines, which focus is the family approach in the Family Practice. The processes for the inclusion of the subject in the curriculum were relatively fast, but the fact that there had not been a broad curriculum reform at the time made it impossible to include this subject in other disciplines in the FCM. There were many challenges over the years to improve the teaching and learning of family approach in medical schools, whose importance is confirmed by the emphasis that the subject receives in the new NCG 2014. It is necessary that the family approach is perceived as a value and a practice to be incorporated over the six years of graduation. For this, we should take advantage of the curriculum reform of FCM currently underway and encourage teachers and students on the subject. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A inserção do profissional de Educação Física no Núcleo de Apoio à Saúde da Família evidenciou a fragilidade de sua formação para a atenção primária. Objetivou-se analisar sua formação para a inserção neste campo, em Minas Gerais. Trata-se de pesquisa qualitativa e exploratória, do tipo estudo de caso. Os dados foram obtidos utilizando-se grupos focais. Os resultados apontaram essa inserção como positiva para a profissão e para os serviços de saúde, porém indicaram algumas dificuldades, dentre elas, a graduação foi mencionada como insuficiente para atuar na atenção primária. A pós-graduação foi identificada como uma das estratégias para minimizar essa insuficiência.