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Epidemiologia e Serviços de Saúde
versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622
Resumo
SANTOS, Danilo Marcelo Araujo dos et al. Structure and work process regarding child care in Primary Health Care in Brazil: an ecological study with data from the Program for Primary Health Care Access and Quality Improvement 2012-2018. Epidemiol. Serv. Saúde [online]. 2021, vol.30, n.1, e2020425. Epub 17-Mar-2021. ISSN 1679-4974. http://dx.doi.org/10.1590/s1679-49742021000100012.
Objective
To assess the structure of primary health care centers (PHCCs) and the work process of primary care teams in child care in Brazil.
Methods
This was an ecological study with data from the three cycles of the Program for Primary Health Care Access and Quality Improvement 2012-2018, by states and regions. Seven structural and thirteen procedural indicators were analyzed. Student’s t-test was used to compare indicator averages between regions.
Results
85,845 teams participated in the three cycles of the program, grouped into 68,320 PHCCs. In the last evaluation cycle (2017-2018), mean percentage adequacy rates were higher among the structure indicators: health center operation (99%), equipment/materials (82%), vaccine availability (74%) and medication dispensing (70%). Population without coverage (68%) and making appointments with specialists (52%) corresponded to the lowest percentages of adequacy of process indicators.
Conclusion
Process indicators had higher levels of adequacy than structure indicators.
Palavras-chave : Primary Health Care; Health Evaluation; Indicators of Health Services; Child Health; Ecological Studies.
