Equity in the Family Health Strategy (FHS)
DOI:
https://doi.org/10.5020/18061230.2015.p113Keywords:
Health Policy, Health Inequalities, Oral Health.Abstract
Objective: To associate the implementation of the Family Health Strategy (FHS) between 2001 and 2010 with the variables of the Municipal Human Development Index (MHDI) and socioeconomic indicators. Methods: Ecological study collected information on the MHDI, socioeconomic indicators, and the FHS, regarding the number of Community Health Workers (CHW), Family Health Teams (FHT), Oral Health Teams (OHT), and population and relative (%) coverage in 645 municipalities in the state of São Paulo, Brazil, in the period from 2001 to 2010. Descriptive analysis was conducted by means of absolute and relative frequencies for evaluation of each indicator. Non-parametric tests were used: Spearman’s correlation coefficient for the FHS variables and the socioeconomic indicators, and Wilcoxon test (p<0.05) for comparison between the two dates. Results: There was positive correlation between the increase in FHS and OHT teams, and the MHDI (p<0.01). Social data (access to water, waste collection percentage, and average income presented positive correlation with FHS and population coverage. A negative correlation was found between population coverage (%) and all the social variables except illiteracy. Conclusion: The evolution of the FHS in the state of São Paulo during the studied period was positive in fighting the health inequalities.Downloads
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