This study explored how Community Health Workers (CHWs) in Porto Alegre, Brazil, interact with vulnerable communities in Primary Health Care (PHC). Through interviews and ethnographic research, it was found that rigid administrative routines often limit CHWs' ability to build strong connections with the most vulnerable populations. The study identified three key responses to … [Read more...] about Primary health care and vulnerability frameworks in the implementation of public policies
Brazil
Community Health Agents and Agents to Combat Endemic Diseases’ performance in arboviruses prevention and control: analysis of articulation and integrated work
This study examined how community health agents (ACS) and agents combating endemic diseases (ACE) work together to prevent and control diseases like dengue. It found their efforts were poorly coordinated, with unclear roles and limited collaboration. ACE focused on chemical vector control, while ACS lacked involvement in active disease surveillance. Weak community engagement … [Read more...] about Community Health Agents and Agents to Combat Endemic Diseases’ performance in arboviruses prevention and control: analysis of articulation and integrated work
Working Conditions of Community Health Workers in a Digital Health Context: Old and New Challenges.
This study explored the challenges community health workers (CHWs) face with the growing use of digital health tools in primary care. It found that while digital tools bring new issues like maintenance, quality, and training, old problems like excessive bureaucracy and work division persist. To succeed, digital health implementation for CHWs requires better support in … [Read more...] about Working Conditions of Community Health Workers in a Digital Health Context: Old and New Challenges.
Quality of home visits by community health workers in primary care and associated factors
This study evaluated factors affecting the quality of home visits by community health workers (CHWs) across 38,865 teams and 140,444 users. Results showed that 51.9% of users rated the visits as high quality. Quality was higher in smaller municipalities, the Northeast, and among teams with well-defined areas, risk-based population assignments, and no worker shortages. Users … [Read more...] about Quality of home visits by community health workers in primary care and associated factors
Experiences of access and use of primary health care by users with systemic arterial hypertension
This study explored users' experiences with accessing and using healthcare services for managing Systemic Arterial Hypertension (SAH) in Primary Health Care (PHC). Interviews with 38 people from Basic Health Units (BHUs) in Rio de Janeiro revealed challenges in scheduling appointments, getting test results, and obtaining medications. Community Health Workers (CHWs) helped by … [Read more...] about Experiences of access and use of primary health care by users with systemic arterial hypertension