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Community Health Agents in the Family Health Strategy: 30 years of resistance and achievements

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Authors: Márcia Valéria Guimarães Cardoso Morosini, Angelica Ferreira Fonseca, Anya Pimentel Gomes Fernandes Vieira-Meyer

This article reviews 30 years of Community Health Agents (CHAs) in Brazil’s Family Health Strategy, showing how they helped strengthen primary health care within the public health system (SUS). Over time, CHAs became a regulated profession, but their work faces challenges, including balancing administrative tasks with community care, reduced team presence, exposure to violence, and dealing with misinformation. Despite these issues, CHAs remain essential for connecting communities with health services, supporting multidisciplinary care, and guiding the future of primary health care in Brazil.

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Resource Topic: CHW, CHW programs

Resource Type: Review

Year: 2026

Region: South America

Country: Brazil

Publisher May Restrict Access: No

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