Avaliação do grau de implantação das ações da Atenção Primária à Saúde nas Comunidades Quilombolas do Rio Grande do Norte
Quilombola communities can be defined as ethnic-racial groups that carry cultural, historical and territorial characteristics arising from their ancestry. These communities are inserted in the rural context and suffer from difficulties in accessing essential public services, including health care...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/47128 |
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| Resumo: | Quilombola communities can be defined as ethnic-racial groups that carry cultural, historical
and territorial characteristics arising from their ancestry. These communities are inserted in the
rural context and suffer from difficulties in accessing essential public services, including health
care. Primary Health Care is the closest health service to this population and needs to ensure
that the actions carried out in the quilombola communities are able to solve their health
problems, guaranteeing the integrality of the care provided. Thus, studies that assess the quality
of care provided in quilombola communities become quite relevant. Given the above, the
general objective of the present study was to evaluate the degree of implementation of Primary
Health Care actions in quilombola communities in the State of Rio Grande do Norte. This is
evaluative research of the normative type, with a quantitative approach, in which the attributes
of Primary Health Care established by Barbara Starfield were used as a methodological
reference. The study scenario was the 33 quilombola communities in the State of Rio Grande
do Norte registered and recognized by the Palmares Cultural Foundation. The study population
consisted of 51 professionals, doctors, nurses and nursing technicians, who work in the Family
Health Strategies and Primary Health Care Teams. For data collection, the PCATool
2020/Brazil (Primary Health Care Assessment Instrument) was used. For data tabulation and
analysis, the SPSS software was adopted, using descriptive statistics. To analyze the degree of
implementation of Primary Health Care actions in quilombola communities, essential attributes
(capacity and performance) and derived attributes (first contact access, accessibility,
logitudinality, coordination - information systems, coordination - integration) were considered.
care, integrality, family orientation and community orientation). The percentage of responses
identified was distributed into four classifications: not implemented (from 0 to 25%); incipient
implanted (from 26% to 50%); partially implanted (from 51% to 75%); fully implemented
(from 76% to 100%). From the analyzes carried out, it was found that the actions were classified
as fully implemented (82.2%), considering the dimensions capacity (77.92%) and performance
(85.56%). By observing the derived attributes: longitudinality (92.94%), coordination -
information systems (80.88%), comprehensiveness - available services (85.91%), family
guidance (87.45%), and community guidance (92.16%), it is noted that these dimensions were
also fully implemented. Only the dimensions accessibility (74.51%) and coordination –
integration of care (56.86%) were considered to be partially implemented. Based on the present
study, it was possible to carry out a situational diagnosis of PHC actions in quilombola
communities in Rio Grande do Norte, identifying the weaknesses and potentialities in the
provision of health care to these communities. |
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