The Social Determinants of Health in the planning of Covid-19 testing in Amazonas, Brazil

Datos Bibliográficos

ID5334366
AutoresRaylson Nóbrega (0000-0001-9397-467X, Fundação Oswaldo Cruz), Steve Medeiro (0000-0003-3039-6272, Universidade Federal de Pernambuco), Kate Zinszer (0000-0003-1388-1145, Universidade de Montreal, Canadá), Lara Gautier (0000-0002-9515-295X, Universidade de Montreal, Canadá), Valery Ridde (0000-0001-9299-8266, Université Paris Cité), Sydia Rosana De Araujo Oliveira (0000-0002-6349-2917, Fundação Oswaldo Cruz)
Año2024
Volumen48
Número141
Fecha de publicación2024-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSaúde em Debate (JOURNAL)
Identificadores de la revistaISSN: 0103-1104 • E-ISSN: 2358-2898
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/2358-289820241418947i
OpenAlexW4400855408
SCIELO_PIDS0103-11042024000200222
IdiomaEN
Referencias citadas41

The COVID-19 syndemic has disproportionately affected socially vulnerable populations, such as low-income individuals, Indigenous peoples, and riverine communities. Social Determinants of Health (SDH) have played a crucial role in the state of Amazonas, where unique geography and social disparities pose significant challenges to health access and equity. This article examines whether and how SDH were considered during COVID-19 testing planning in Amazonas. For this analysis, we conducted a qualitative case study through document analysis and semi-structured interviews with key stakeholders involved in testing planning and implementation. Official documents were systematized using TIDieR-PHP, and data were analyzed using the REFLEX-ISS tool. SDH were not considered in testing planning in Amazonas. The respondents could not all agree on the importance of considering SDH in intervention planning. Testing was limited to patients with severe symptoms and specific categories of essential workers. Health policymakers need to understand the relevance of considering SDH in planning population interventions to ensure equitable policy implementation

Biology · Coronavirus disease 2019 (COVID-19) · Economic growth · Economics · Environmental health · Equity (law) · Geography · Health equity · Indigenous · Political science · Population · Psychological intervention · Public health · Social determinants of health · Syndemic · Food Security and Health in Diverse Populations · Health, Nursing, Elderly Care · Indigenous Health and Education · Medicine · Nursing