Organization of primary health care and surveillance in response to Covid-19 in municipalities in the Northeast of Brazil

Bibliographic Data

ID16828828
AuthorsNília Maria De Brito Lima Prado (0000-0001-8243-5662, Universidade Federal da Bahia), Ana Luiza Queiroz Vilasbôas (0000-0002-5566-8337, Universidade Federal da Bahia), Cristiane Abdon Nunes (0000-0001-6352-9858, Universidade Federal da Bahia), Ítalo Ricardo Santos Aleluia (0000-0001-9499-6360, Universidade Federal do Recôncavo da Bahia), Redford Aquino (0000-0003-3906-5170, Universidade Federal da Bahia)
Year2023
Volume28
Issue5
Pages1325-1339
Publication date2023-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-81232023285.18052022en
OpenAlexW4382766736
LanguageEN
References cited25

The aim of this study was to analyze the organization and development of primary health care and surveillance, including normative frameworks and the implementation of local health actions. Qualitative descriptive multiple-case study involving three municipalities in the state of Bahia. We conducted 75 interviews and a document analysis. The results were categorized into the following two dimensions: approach to the organization of the pandemic response; and development of care and surveillance actions at local level. Municipality 1 was found to have a well-defined concept of the integration of health and surveillance with a view to organizing team work processes. However, the municipality did not strengthen the technical capacity of health districts to support surveillance actions. In M2 and M3, delays in defining PHC as the entry point for the health system and the prioritization of a central telemonitoring service run by the municipal health surveillance department compounded the fragmentation of actions and meant that PHC services played only a limited role in the pandemic response. Clear policy and technical guidelines and adequate structural conditions are vital to ensure the effective reorganization of work processes and foster the development of permanent arrangements that strengthen intersectoral collaboration

Business · Environmental health · Health care · Health Surveillance · Normative · Pandemic · Political science · Population · Primary health care · Qualitative research · Sociology · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare · Medicine · Public Health in Brazil