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

Bibliographic Data

ID16825204
AuthorsMarciane Kessler (0000-0002-4778-8224, Universidade Regional Integrada do Alto Uruguai e das Missões, Brazil; UFPel, Brazil), Elaine Thumé (0000-0002-1169-8884, Universidade Federal de Pelotas), Luiz Augusto Facchini (0000-0002-5746-5170, Universidade Federal de Pelotas), Elaine Tomasi (0000-0001-7328-6044, UFPel, Brazil)
Year2022
Volume27
Issue11
Pages4253-4263
Publication date2022-11-01
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-812320222711.17072021en
OpenAlexW4306408563
SciELOS1413-81232022001104253
LanguageEN
References cited24

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

Confidence interval · Environmental health · Health care · Health equity · Population · Portuguese · Public health · Global Maternal and Child Health · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare · Medicine · Nursing · Psychology · Gerontology