epidemiology-2016_posters-accepted-abstracts

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Volume 6, Issue 5(Suppl) Epidemiology (Sunnyvale)
ISSN: 2161-1165 ECR, Open Access
Page 87
Notes:
Epidemiology 2016
October 3-5, 2016
conferenceseries.com
Epidemiology & Public HealthOctober 3-5, 2016|London, UK
4th International Conference on
THE IMPROVEMENT OF BRAZILIAN PRIMARY HEALTH CARE PROGRAM
(ESTRATÉGIA SAÚDE DA FAMÍLIA) BASED ON PMAQ EXTERNALAVALIATION
Anya Pimentel Gomes Fernandes Vieira-Meyera, Themis Xavier de Albuquerque Pinheirob, Severina Alice da Costa Uchoab, Maria de Fátimac , Ana
Tânia Lopes Sampaiob, Ardigleusa Alvesd and Paulo de Medeiros Rocha b
aFundação Oswaldo Cruz, Brazil
bUniversidade Federal do Rio Grande do Norte, Brazil
cUniversidade Regional do Cariri, Brazil
dUniversidade Estadual da Paraiba, Brazil
The Brazilian Primary Health Care System, composed of Estratégia Saúde da Família (ESF) teams (one physician, one
nurse, one dentist, health technicians and community health workers), is part of the Brazilian unified health system (SUS),
which was structured on the principles of universal coverage and health as a right of all citizens. The need for its improvement
has made the government to invest, in the last years, in a monitoring and evaluation policy for SUS. The Programa Nacional
de Melhoria do Acesso e Qualidade da Atenção Básica ( PMAQ-AB), standing for National Program for Primary Health
Care Quality and Access Improvement, is responsible for evaluating the ESF teams and has already performed two external
evaluation (2012 and 2014). The present study used the information regarding the system organization to observe if there has
been improvement on the Primary Health Care System over this period. Ten indexes were created based on the information
available: Professional Valorization, Planning, Matrix Support, Patient Reception, Health Attention, Prenatal Care, Child
Attention, Health Promotion, Home visit/Social participation, School Health. Aditionally, an overall quality index was also
created based on the mentioned indexes. A total of 17,202 ESF teams were evaluated in 2012 and 29,778 in 2014. Significative
changes were observed in all indexes (t-test, p<0.001), where all, but Matrix Support index, presented improvement over the
two year investigated. The overall grade went from 64.23 to 71.40 (in a 0-100 scale). It can be concluded that improvements in
ESF occured and that PMAQ may be aiding this progress.
Biography
Anya P G F Vieira-Meyer has completed her PhD in 2005 from the University of Toronto, She is currently a visiting scholar at the University of California in Berkeley
(until May 2016). She is a senior researcher at Fundação Oswaldo Cruz (FIOCRUZ) – Brazil, as well as the Coordenator of the Family Health Master Program.
She has published more than 40 papers in reputed journals and has been serving as an scientific editor for the Revista Brasileira em Promoção da Saúde journal
Themis Xavier de Albuquerque Pinheiro has completed her PhD in 2003 from the Universidade Estadual do Rio de Janeiro. She is a professor and a researcher at
Universidade Federal do Rio Grande do Norte (UFRN). Severina Alice da Costa Uchoa has completed her PhD in 2003 from the Universidade do Estado do Rio
de Janeiro. She is currently a visiting scholar at the Instituto de Higiene e Medicina Tropical da Universidade Nova de Lisboa, Portugal (until April 2016). She is a
professor and a researcher at Universidade Federal do Rio Grande do Norte (UFRN).
Anya Pimentel Gomes Fernandes Vieira-Meyer et al., Epidemiology (Sunnyvale), 6:5(Suppl)