Abstract
Understanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural. A descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection. The results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context. The findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.
Highlights
Primary Health Care (PHC), known in Brazil as Basic Attention (Atenção Básica), has its historical basis in international discussions of social inequities and health
The reorganization of the care model and the internalization of health services, especially in rural areas, are themes that permeate the current prevailing public policy in the country, since it is believed that there are natural potential vulnerabilities of this population because of the existence of health problems related to poor schooling and poorer households, transport difficulties, access to health services, and medical appointments, among others[3,4]
Some of the interviewed exclusively used the health services offered by the Unified Health System (Sistema Único de Saúde – SUS) (72.2%) and five (27.7%) had a local health plan
Summary
Primary Health Care (PHC), known in Brazil as Basic Attention (Atenção Básica), has its historical basis in international discussions of social inequities and health. The reorganization of the care model and the internalization of health services, especially in rural areas, are themes that permeate the current prevailing public policy in the country, since it is believed that there are natural potential vulnerabilities of this population because of the existence of health problems related to poor schooling and poorer households, transport difficulties, access to health services, and medical appointments, among others[3,4] In this line of thinking, the importance of knowing the reality of the health services of the Brazilian rural population is emphasized due to the scarcity of publications on this population group, as they represent 15.65% of the population[5]. As the idea ofcare associated with women and health services tend to be socially identified as sites for women, they become relevant for the choice of this population group in research of this context[6]
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