Centro de Estudos Estratégicos, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, RJ, Brazil.
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil.
J Community Health. 2019 Jun;44(3):569-576. doi: 10.1007/s10900-019-00657-2.
Community health workers in developing countries usually perform house calls in degraded and violent territories. Thus, in this paper we study the effects of urban violence in the performance of CHWs in poorly developed territories, in order to understand the challenges of delivering care to dangerous communities in developing countries. We conducted telephone surveys for 5 months in 2017, within a systematic sample of 2.000 CHWs based on clinics distributed along the health regions of the city of Rio de Janeiro, Brazil. We completed 766 interviews, approximately 40% of the sample, 86% man and 14% women. Most participants are 30 to 39 years old (35%), followed by 27% of 40 to 49 years old participants. As CHWs work on the sharp end of the healthcare system, responsible for outreaching, community education, counseling, and social support, our study presents contributions to government and management levels on working conditions inside communities, constraints in assistance, and difficulties in implementing primary care policies.
发展中国家的社区卫生工作者通常在退化和暴力肆虐的地区进行家访。因此，在本文中，我们研究了城市暴力对在欠发达地区开展社区卫生工作者工作的影响，以了解在发展中国家向危险社区提供护理的挑战。我们于 2017 年进行了为期 5 个月的电话调查，该调查基于分布在巴西里约热内卢市卫生区的诊所，对 2000 名社区卫生工作者进行了系统抽样。我们完成了 766 次访谈，约占样本的 40%，其中 86%是男性，14%是女性。大多数参与者年龄在 30 到 39 岁之间（35%），其次是 40 到 49 岁的参与者（27%）。由于社区卫生工作者处于医疗保健系统的前沿，负责外展、社区教育、咨询和社会支持，我们的研究为政府和管理层提供了有关社区内部工作条件、援助限制以及实施初级保健政策的困难等方面的贡献。
