Implementação da atenção básica no nordeste brasileiro e sua relação com as modificações nos indicadores sociais: uma análise temporal (1998 a 2016)

Abstract

Objective: to describe the implementation of basic care in the Brazilian northeast and its correlation with social indicators from 1998 to 2016. Methods: ecological study Department of Basic Attention (DAB) and Brazilian Institute of Geography and Statistics (IBGE), in the public domain and made available on-line, having as a study variable the number of ACS, EsF and NASF accredited, registered and implemented during the study period. Data were analyzed using the softwareStata® version 11.2 for correlation and descriptive statistics. The calculation of the time trend through the Poisson Joinpoint regression with Joinpoint Regression Program version 4.4.2. Results: A strong correlation was observed between the different social indicators studied and the implementation of AB and NASF, in the Northeast region. The development and health variables showed a change in the correlation and determination coefficients, with statistical significance for AB. There was a growth trend for Community Health Agent (CHA) and Family Health Strategy (ESF), and it was not possible to calculate for the Family Health Center (NASF). Final Considerations: There is a time trend of growth in the implementation of Primary Care (AB) in the Brazilian Northeast, with emphasis on Community Health Agent (ACS) and Family Health Strategy (ESF), as well as the existence of a strong correlation between indicators social and health problems with the implementation of Basic Care (AB).