Preprint has been submitted for publication in journal
Preprint / Version 1

The contribution of primary health care in the SUS network to face Covid-19

##article.authors##

  • Ligia Giovanella Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp) - Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-6522-545X
  • Valentina Martufi Universidade Federal de Bahia (UFBA), Instituto de Saúde Coletiva (ISC) - Salvador (BA), Brasil. https://orcid.org/0000-0001-6120-0629
  • Diana Carolina Ruiz Mendoza Universidade Federal de Bahia (UFBA), Instituto de Saúde Coletiva (ISC) - Salvador (BA), Brasil. https://orcid.org/0000-0002-0939-4881
  • Maria Helena Magalhães de Mendonça Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp) - Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-3917-9103
  • Aylene Emilia Moraes Bousquat Universidade de São Paulo (USP) - São Paulo (SP), Brasil.
  • Rosana Aquino Guimarães Pereira Universidade Federal de Bahia (UFBA), Instituto de Saúde Coletiva (ISC) - Salvador (BA), Brasil. https://orcid.org/0000-0003-3906-5170
  • Maria Guadalupe Medina Universidade Federal de Bahia (UFBA), Instituto de Saúde Coletiva (ISC) - Salvador (BA), Brasil.

DOI:

https://doi.org/10.1590/SciELOPreprints.1286

Keywords:

Primary Health Care, Health surveillance, Care continuity, Community participation

Abstract

The focus on individual care for severe cases neglected the community-centered approach required to cope with the Covid-19 pandemic in the Unified Health System (SUS) in Brazil. This essay argues that the Family Health Strategy (ESF), by means of its multi-professional teams and community and territorial orientation, is able to successfully develop the community approach required to deal with the pandemic. Inspired by local and international experiences, this essay analyzes four dimensions regarding SUS’ Primary Health Care (APS) work in the fighting against Covid-19: community-based health surveillance, individual care for confirmed and suspected cases of Covid-19, community mobilization to support vulnerable local groups due to their health or social condition, and continuity of APS care routine. Limitations are acknowledged due to recent changes in the national policy of primary health care impacting health surveillance care model. The conclusion if for the need to: strengthen the community attributes of APS and Family Health Support Center (NASF) multi-professional teams; collaborate with community organizations in initiatives of solidarity and articulate in an intersectoral way to back the population in its various weaknesses; guarantee the ongoing promotion, prevention and care actions by creating new working processes for health surveillance, social and health support for vulnerable groups, and for the continuity of the routine care for those in need.

Posted

2020-10-01

Section

Health Sciences