Condições do domicílio e cobertura da Estratégia Saúde da Família no Brasil: uma comparação dos resultados da Pesquisa Nacional de Saúde 2013 e 2019

Wanessa da Silva de Almeida; Célia Landmann Szwarcwald; Paulo Roberto Borges de Souza Júnior

doi:10.1590/1980-549720210005.supl.2

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Wanessa da Silva de Almeida Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro/RJ, Brasil https://orcid.org/0000-0002-5164-8603
Célia Landmann Szwarcwald Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro/RJ, Brasil
Paulo Roberto Borges de Souza Júnior Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro/RJ, Brasil

DOI:

https://doi.org/10.1590/1980-549720210005.supl.2

Keywords:

Housing conditions, Water supply, Household sanitation, Family Health Strategy, National Health Survey, Brazil

Abstract

Objective: This study sought to evaluate the information regarding the characteristics of households and coverage of the Family Health Strategy (FHS), produced in the National Health Survey (NHS) and describe the changes that occurred in the period between 2013 and 2019.

Methods: Information on households and FHS coverage from the two editions of the NHS (2013 and 2019) was used. Differences between the proportions found were assessed, related to the availability of basic supply and sanitation services, as well as the adequacy of the materials used in the construction of the home, and the distribution of the adequacy of the households and the coverage of the FHS according to regions and census situation. For the analysis, the complex sampling design was considered, and the t-test for independent samples was used to assess the statistical significance of the difference between the proportions found in 2013 and 2019.

Results: Increases were observed in the percentage of households with adequate finishing, as well as in the percentage of households with piped water in at least one room, and with adequate basic sanitation (sewage and garbage). The FHS coverage also showed an increase in the period. Regional differences prevail and according to urban or rural situation of households.

Conclusion: Despite the increases observed both in the adequacy of households, in the availability of basic services and water and sanitation supply and in access to primary health care, many challenges still persist, mainly to ensure that these services reach the most vulnerable places.