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The Programa Saúde da Família (PSF), Family Health Program, in Portuguese language is one of the national public health programs in Brazil, which implements a national policy for primary care settings with the aim of substituting part of the traditional model of primary care based on medical specialists. As its name says, its main focus is on families instead of individuals, and it is organized around multidisciplinary Family Health Teams, formed by a core of professionals such as physicians, nurses, dentists, psychologists and social workers, as well as community health agents, a kind of "barefoot doctor".

Brazil has currently (August 2009) approximately 30,000 of these teams, deployed in 5,241 of its 5,656 municipalities.[1] The population coverage by PSF is 96.1% (a total of more than 141 million inhabitants). A total of 5,339 municipalities have 230,000 community health agents.[2]

PSF is now considered one of the main strategies of universal health care, service reorganization and reorientation of professional practice at this level of care, as well as a platform for health promotion, disease prevention and rehabilitation. Annual federal investments in the Program amount to ca. 2.5 billion US dollars.

History[edit]

PSF as a concept originated in 1991, as a part of the reform of the health care sector demanded by the new Constitution of Brazil, with its intent of increasing the accessibility of health to all, and to enhance the actions of prevention and health promotion. In that year, PACS, a program for training and deploying of community health agents was started. After many theoretical discussions and preparations, the program was launched by the Ministry of Health in 1994, as part of the so-called Sistema Único de Saúde (SUS), or Unified Health Care System, the most ambitious initiative of the Brazilian federal government to establish a hierarchically-organized and rationally funded program of public health, which is responsible for providing care to 75% of Brazil's current population of approximately 190 million inhabitants.

The Program expanded rapidly and, in 2006. recognizing its importance, the federal government issued the Decree No. 648 of March 28, 2006, where it was established that PSF was going to be a strategic priority of the Ministry of Health to organize primary care in the country, and the main tool to enable universal and continuing access to health services under the basic principles of SUS: universality, equity, decentralization, comprehensiveness, and community participation. The unique identification and central registry of all citizens of the country, using a so-called SUS Card, was to be one of its main organization supports. In its most recent development, a program for establishing in each region a Family Health Support Nucleus (NASF: Núcleo de Apoio à Saúde da Família) was started by the federal government in cooperation with state and municipal governments, In addition, a system of SUS Schools (training schools in several cities and states) was established, in order to provide the buildup and training of the huge specialized workforce required by SUS and PSF. The initial training of community health agents is part of its mission.

PSF has, so far, produced a positive impact on the direction of this new model of health care and prevention, but it still has not been able to completely substitute the former model, based in an overvaluation of the practices of curative care, medical specialists and hospitals, with its emphasis on an excess of technological procedures and drugs, leading to high costs. This traditional model has resulted in an undesired fragmentation of care. PSF strives to offer integrated health care focused on the family, instead of individuals, but the penetration of the model is still incomplete in most of the cities.

Characteristics[edit]

According to this decree the following characteristics were defined for the Family Health Program:[3]

  1. Maintain a central registry of families and individuals and use consistently its data to analyze the health situation of the community, taking into account the social, economic, cultural, demographic and epidemiological characteristics of the territory;
  2. Define the territory of operation, and carry out mapping and reconnoitering the delimited area, in order to understand that particular segment of the population, with continuous updating;
  3. Perform the assessment, planning and implementation of health care activities based on the knowledge about health risks, thus being able to prioritize solutions to the more prevalent health problems of families;
  4. Practice extended family care, effected through the knowledge of the structure and function of families, proposing interventions that will influence effectively the processes of health and illness of individuals, families and the community;
  5. Promote interdisciplinary teamwork, integrating technical and professional areas of different backgrounds;
  6. Promote and develop partnerships with community agents and integrate with social projects, with the aim of promoting health in accordance with priorities and under the coordination of municipal management;
  7. Assess different knowledge and practices from the perspective of a holistic and problem solving approach, enabling the creation of bonds of trust with ethics, commitment and respect;
  8. Promote and encourage community participation in the social control, planning, implementation and evaluation of actions, and
  9. Perform systematic monitoring and evaluation of actions implemented, in order to readjust and improve the whole process.

Based on this same ordinance, the composition of family health teams was established, and its scope of action was defined as restricted to a maximum of 4,000 inhabitants (approximately 1,000 families). The core team consisted minimally of a physician, a nurse, several nursing assistants (or practical nurses) and several community health agents. The team has 30 working hours per week for all members. Several Brazilian cities hire other professionals such as dentists, pharmacists, nutritionists, physical educators, psychologists, physiotherapists, speech therapists, occupational therapists, etc.

References[edit]

  1. ^ DATASUS Statistical Data of Health in Brazil
  2. ^ Statistics of Family Health Program. Ministry of Health, August 2009
  3. ^ Basic Health Care Dept Ministry of Health: Family Health Program

External links[edit]

See also[edit]


Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Programa_Saúde_da_Família — Please support Wikipedia.
This page uses Creative Commons Licensed content from Wikipedia. A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia.

2223 news items

 
Jornal Dia a Dia
Mon, 02 Mar 2015 11:34:29 -0800

... Piso de Atenção Básica Fixo- PAB Fixo, e uma parte variável – PAB Variável que depende da adesão dos Municípios aos programas federais como, por exemplo, o programa Saúde da Família, Agentes Comunitários de Saúde, Saúde Bucal, entre outros.

Meionorte.com

Portal Brasil
Mon, 02 Mar 2015 05:36:46 -0800

O médico já atuava profissionalmente pelo Programa Saúde da Família em Joviânia, também em Goiás, e agora optou por participar do Programa Mais Médicos. “Hoje meu plano é permanecer no programa por pelo menos dois anos e depois tentar fazer a ...
 
Portal AZ
Mon, 02 Mar 2015 10:22:30 -0800

... Teresina é composta por 10 hospitais nos bairros, o Hospital de Urgência de Teresina Prof. Zenon Rocha (HUT) e quatro maternidades. A Fundação Municipal de Saúde tem 90 Unidades Básicas de Saúde e 256 equipes do Programa Saúde da Família.

Globo.com

Globo.com
Thu, 12 Feb 2015 00:05:01 -0800

O preenchimento das 41 vagas do programa Mais Médicos ofertadas para o Distrito Federal, anunciado nesta quarta (11) pelo Ministério da Saúde, não deve representar grandes alterações no atendimento à população, segundo o subsecretário de Atenção ...

A Tarde On Line

Diário do Litoral
Fri, 27 Feb 2015 13:00:00 -0800

De acordo com o Ministério, esses médicos serão encaminhados ao longo dos próximos meses. Este grupo formará as equipes do Programa Saúde da Família (PSF) que atuarão nas unidades de Saúde da Família (Usafas) que estão sendo construídas e ...

Mogi News

Mogi News
Thu, 05 Feb 2015 22:00:00 -0800

O Ministério da Saúde deve enviar 21 profissionais do Programa "Mais Médicos" para três municípios da região. Arujá, Ferraz de Vasconcelos e Mogi das Cruzes estão na lista das cidades contempladas. Em todo o País, 1.619 médicos serão enviados para ...
 
Globo.com
Sat, 28 Feb 2015 12:57:12 -0800

O projeto é coordenado pelo Programa Municipal de Controle da Tuberculose e será desenvolvida em todas as Unidades Básicas de Saúde, incluindo as unidades do Programa Saúde da Família (PSF). Na quinta-feira (27), o secretário municipal de Saúde, ...
 
O POVO Online
Sun, 01 Mar 2015 20:30:00 -0800

O médico Carlile Lavor integrou o movimento que levou à criação do Sistema Único de Saúde. Nunca teve plano de saúde particular. Mas, se preciso, recorre ao atendimento privado. Ao conversar com O POVO, em 20 de fevereiro, estava com o pulso ...
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