The covid-19 in the Primary Health Care context

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.13602

Keywords:

COVID-19; Coronavirus infections; Pandemics; Health policy; Primary health care.

Abstract

This article aims to develop a reflective theoretical study with an emphasis on the actions, challenges and recommendations of practices for the prevention, control and monitoring of PHC disease. The COVID-19 pandemic has been demanding a remodeling of structures, not only in hospital care, but, especially in interventions in communities and their social, urban and structural problems. The article highlights the work process and new technical and dynamic incorporations for prevention, surveillance and monitoring imposed by SARS-CoV2 on primary health care, which must also guarantee access to essential care. As it allows thinking about the most feasible forms of action, this article recognizes the principles of action in the health system, offering to managers and health professionals, through the interlocution between related studies, several measures that can help in assistance of pandemic. The COVID-19 pandemic changed the course of some health policies in the world. Patient-centered care requires a change in perspective towards a concept of community-centered care. As the primary health care is the first level of contact for individuals, family and community in a health system, constituting the preferred gateway to the care process, it is expected that the reflections raised by this article will contribute to an analysis that answers the main public health issues from the perspective of primary health care, preserving its stability, avoiding the disintegration of its actions and maintaining its functionality with the strengthening of local and community actions.

Author Biographies

Ana Valesca Fernandes Gilson Silva, Municipal Public Health; Sérgio Arouca Public Health School

Nurse. PhD

Simone de Pinho Barbosa, Federal University of Juiz de Fora

Nurse. PhD

Fernanda Moura Lanza, Federal University of Juiz de Fora

Professor at the Federal University of São João Del Rei. Divinópolis, Minas Gerais, Brazil.

Maria Marta Amancio Amorim, Centre for Migration Studies and Intercultural Relations

Centro de estudos em migrações e relações interculturais da Universidade Aberta de Lisboa, Portugal

Érika de Azevedo Leitão Mássimo, Pontifical Catholic University of Minas Gerais

Nurse. PhD

References

Alfahan, A., Alhabib, S., Abdulmajeed, I., Rahman, S., & Bamuhair. S. (2016) In the era of corona virus: health care professionals' knowledge, attitudes, and practice of hand hygiene in Saudi primary care centers: a cross-sectional study. J Community Hosp Intern Med Perspect, 6(4), 32151. https://doi.org/10.3402/jchimp.v6.32151

Barbosa, S. P., & Silva, A. V. F. G. (2020). A Prática da Atenção Primária à Saúde no Combate da COVID-19. APS em Revista, 2(1), 17-19. https://doi.org/10.14295/aps.v2i1.62

Brasil (2017). Ministério da Saúde. Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html

Castro, M. C., Massuda, A., Almeida, G., Menezes-Filho, N. A., Andrade, M. V., & Noronha, K. V. M. S. et al. (2019). Brazil's unified health system: the first 30 years and prospects for the future. Lancet, 394(10195), 345-56. https://doi.org/10.1016/S0140-6736(19)31243-7.

Cueto, M. (2020). The origins of primary health care and selective primary health care. Am J Public Health, 94(11), 1864-74. https://doi.org/10.2105/ajph.94.11.1864

Fauci, A. S., Lane, H. C., & Redfield, R. R. (2020). Covid-19 - Navigating the Uncharted. N Engl J Med., 382(13), 1268-9. https://doi.org/10.1056/NEJMe2002387.

Freitas, A. R. R., Napimoga, M., & Donalisio, M. R. (2020) Assessing the severity of COVID-19. Epidemiol. Serv. Saúde, 29(2), e2020119. https://doi.org/10.5123/S1679-49742020000200008.

Gawande, A., (2020). Keeping the Coronavirus from Infecting Health-Care Workers. The New Yorker. https://www.newyorker.com/news/news-desk/keeping-the-coronavirus-from-infecting-health-care-workers

Greenhalgh, T., Koh, G. C. H., & Car, J. (2020). Covid-19: a remote assessment in primary care. BMJ, 368: m1182. https://doi.org/10.1136/bmj.m1182.

Greenhalgh, T., Chan, X. H., Khunti, K., Durand-Moreau, Q., Straube, S., & Devane, D. et al. (2020). What is the efficacy of standard face masks compared to respirator masks in preventing COVID type respiratory illnesses in primary care staff? The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. https://www.cebm.net/covid-19/what-is-the-efficacy-of-standard-face-masks-compared-to-respirator-masks-in-preventing-covid-type-respiratory-illnesses-in-primary-care-staff/

Harzheim, E., Martins, C., Wollmann, L., Pedebos, L. A., Faller, L. A., & Marques, M. C. et al. (2020). Federal actions to support and strengthen local efforts to combat COVID-19: Primary Health Care (PHC) in the driver’s seat. Ciênc. saúde coletiva, 25(1), 2493-2497. https://doi.org/10.1590/1413-81232020256.1.11492020

Kvalsvig, A., Barnard, L. T., Gray, L., Wilson, N., & Baker, M. (2020). Supporting the COVID-19 pandemic response: Surveillance and Outbreak Analytics. https://www.health.govt.nz/publication/covid-19-modelling-and-other-commissioned-reports.

Haines, A., Barros, E. F., Berlin, A., Heymann, D. L., & Harris, M. J. (2020). National UK programme of community health workers for COVID-19 response. Lancet, 395(10231), 1173-5. https://doi.org/10.1016/S0140-6736(20)30735-2.

Lee, A., & Morling, J. (2020). COVID19: The need for public health in a time of emergency. Public Health, 182, 188-9. https://doi.org/10.1016/j.puhe.2020.03.027.

Lipsitch, M., Swerdlow, D. L., & Finelli, L. (2020). Defining the Epidemiology of Covid-19 - Studies Needed. N Engl J Med., 382(13), 1194-1196. https://doi.org/doi.: 10.1056/NEJMp2002125.

Maroldi, M. A. C., Felix, A. M. S., Dias, A. A. L., Kawagoe, J. Y., Padoveze, M. C., & Ferreira, A. S. et al. (2017). Adherence to precautions for preventing the transmission of microorganisms in primary health care: a qualitative study. BMC Nurs., 16: 49. https://doi.org/doi: 10.1186/s12912-017-0245-z.

Nacoti, M., Ciocca, A., Giupponi, A., Brambillasca, P., Lussana, F., & Pisano, M. et al. (2020). At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation. N Engl J Med., https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080

Padoveze, M. C., & Figueiredo, R. M. (2014) The role of primary care in the prevention and control of healthcare associated infections. Rev. esc. enferm., 48(6), 1137-1144. http://dx.doi.org/10.1590/S0080-623420140000700023.

Pereira, A, S.; Shitsuka, D. M.; Parreira, F. J.; Shitsuka, R. Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Starfield, B. (2002). Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília: UNESCO, Ministério da Saúde, 2002.

Scott, V., Crawford-Browne, S., & Sanders, D. (2016). Critiquing the response to the Ebola epidemic through a Primary Health Care Approach. BMC public health., 16: 410. https://doi.org/10.1186/s12889-016-3071-4.

Sako, M. P., Felix, A. M. S., Kawagoe, J. Y., Padoveze, M. C., Ferreira, A. S., & Zem-Mascarenhas, S. H. et al. (2018). Knowledge about precautions in Primary Health Care: tool validation. Rev. Bras. Enferm., 71(Suppl 4), 1589-1595. https://doi.org/10.1590/0034-7167-2017-0886.

Shukla, M., Tyagi, S., & Gupta, N. K. A (2016). Study on Knowledge of Hand Hygiene among Health Care Personnel in Selected Primary Health Care Centres in Lucknow. Int J Health Sci Res., 6(3), 22-26. https://www.ijhsr.org/IJHSR_Vol.6_Issue.3_March2016/4.pdf

Tan, K. B., & Lee, C. E. (2020). Integration of Primary Care with Hospital Services for Sustainable Universal Health Coverage in Singapore. Health Syst Reform., 5(1), 18-23. https://pubmed.ncbi.nlm.nih.gov/30924743/

Webster, P. (2020). Virtual health care in the era of COVID-19. Lancet, 395(10231), 1180-1. https://doi.org/10.1016/S0140-6736(2)30818

World Health Organization. WHO (2018). Declaration of Astana. Global Conference on Primary Health Care: From Alma-Ata towards Universal Health Coverage and the Sustainable Development Goals. https://www.who.int/primary-health/conference-phc/declaration.

World Health Organization. WHO (2020a). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf.

World Health Organization. WHO (2020b). Strengthening the health system response to COVID-19. Recommendations for the WHO European Region. Policy brief (1 April 2020). http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov-technical-guidance/coronavirus-disease-covid-19-outbreak-technical-guidance-europe/strengthening-the-health-system-response-to-covid-19

World Health Organization. WHO (2020c). Operational considerations for case management of COVID-19 in health facility and community. https://www.who.int/publications/i/item/operational-considerations-for-case-management-of-covid-19-in-health-facility-and-community

World Health Organization. WHO (2020d). Clinical management of severe acute respiratory infection when COVID-19 is suspected. https://www.who.int/publications/i/item/clinical-management-of-covid-19

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Published

23/03/2021

How to Cite

SILVA, A. V. F. G. .; BARBOSA, S. de P. .; LANZA, F. M. .; AMORIM, M. M. A.; MÁSSIMO, Érika de A. L. . The covid-19 in the Primary Health Care context. Research, Society and Development, [S. l.], v. 10, n. 3, p. e49010313602, 2021. DOI: 10.33448/rsd-v10i3.13602. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13602. Acesso em: 12 apr. 2021.

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Section

Health Sciences