Andrade Mônica Viegas, Noronha Kenya, Barbosa Allan Claudius Queiroz, Rocha Thiago Augusto Hernandes, Silva Núbia Cristina da, Calazans Júlia Almeida, Souza Michelle Nepomuceno, Carvalho Lucas Resende de, Souza Aline
Faculdade de Ciências Econômicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2015 Jun;31(6):1175-87. doi: 10.1590/0102-311X00130414. Epub 2015 Jun 1.
The Family Health Strategy (FHS) plays an important role in prevention and in monitoring families in the Brazilian Unified National Health System. This study aims to analyze equity in the coverage of these services in the urban areas of Minas Gerais State, Brazil. The research is unprecedented and analyzes several markers for four target groups: women, pregnant women, children, and the elderly. The study is representative of the various health macro-regions. In 2012, 6,797 households were surveyed, with 5,820 women, 1,758 children, and 3,629 elderly. To analyze equity, FHS coverage rates were calculated according to family income, and concentration indices and curves were estimated. The results show that the FHS is an equitable policy. The indicators show that poorer households have higher visitation rates under the FHS. Coverage of the eligible population is quite high: 88% of households received at least one visit from FHS professionals in the previous 12 months, resulting in a concentration index near zero.
家庭健康战略(FHS)在巴西统一国家卫生系统的预防工作以及家庭监测方面发挥着重要作用。本研究旨在分析巴西米纳斯吉拉斯州城市地区这些服务覆盖的公平性。该研究具有开创性,分析了针对四个目标群体(妇女、孕妇、儿童和老年人)的多个指标。该研究代表了不同的卫生宏观区域。2012年,对6797户家庭进行了调查,涉及5820名妇女、1758名儿童和3629名老年人。为了分析公平性,根据家庭收入计算了FHS覆盖率,并估计了集中指数和曲线。结果表明,FHS是一项公平的政策。指标显示,较贫困家庭在FHS下的就诊率更高。符合条件人群的覆盖率相当高:88%的家庭在过去12个月中至少接受过一次FHS专业人员的家访,集中指数接近零。