Vieira-Meyer Anya Pimentel Gomes Fernandes, Morais Ana Patrícia Pereira, Campelo Isabella Lima Barbosa, Guimarães José Maria Ximenes
Fundação Oswaldo Cruz - Ceará. R. São José, s/n. 61760-000 Eusébio CE Brasil.
Universidade Estadual do Ceará. Fortaleza CE Brasil.
Cien Saude Colet. 2021 Feb;26(2):657-668. doi: 10.1590/1413-81232021262.29922020. Epub 2020 Nov 1.
The scope of the study was to investigate the relationship between COVID-19 and social vulnerability variables in Fortaleza, as well as to verify the influence of violence on the work of the Community Health Worker (ACS) and the implications for tackling COVID-19. Primary quantitative data (e.g., questionnaires with the ACS) and secondary data (e.g., HDI, homicide, illiteracy, Bolsa Família [PBF] coverage and Family Health Strategy [ESF] coverage) were used. There was a relationship between COVID-19 and indicators of social vulnerability, where cases had a negative relationship with HDI and illiteracy; and deaths had a positive relationship with the homicide rate and PBF coverage. Regions with high death rates due to COVID-19 and social vulnerability have greater FHS coverage and less home visits by the CHA. The latter's role in tackling COVID-19 is limited by the violence in the territory. The thorough performance of the ACS in confronting this pandemic is dependent on intersectoral policies. Thus, the creation of a policy to tackle COVID-19 with the participation of the ACS needs to consider intersectoral actions for curtailing and preventing violence in the territory, in addition to adequate training in the prevention and detection of COVID-19.
该研究的范围是调查福塔莱萨市新冠肺炎与社会脆弱性变量之间的关系，以及核实暴力对社区卫生工作者工作的影响以及对应对新冠肺炎的影响。使用了主要定量数据（如对社区卫生工作者的问卷调查）和次要数据（如人类发展指数、凶杀案、文盲率、家庭补助金覆盖范围和家庭健康战略覆盖范围）。新冠肺炎与社会脆弱性指标之间存在关联，病例与人类发展指数和文盲率呈负相关；死亡与凶杀率和家庭补助金覆盖范围呈正相关。因新冠肺炎和社会脆弱性导致高死亡率的地区，家庭健康战略覆盖范围更大，社区卫生助理进行的家访更少。后者在应对新冠肺炎方面的作用受到当地暴力的限制。社区卫生工作者在应对这一疫情中的全面表现取决于跨部门政策。因此，制定一项有社区卫生工作者参与的应对新冠肺炎政策，除了要对预防和检测新冠肺炎进行充分培训外，还需要考虑采取跨部门行动来减少和预防当地的暴力行为。
