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COVID-19 in Brazilian cities: Impact of social determinants, coverage and quality of primary health care

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Listed:
  • Marcello Barbosa Otoni Gonçalves Guedes
  • Sanderson José Costa de Assis
  • Geronimo José Bouzas Sanchis
  • Diego Neves Araujo
  • Angelo Giuseppe Roncalli Da Costa Oliveira
  • Johnnatas Mikael Lopes

Abstract

Background: Brazil, as many other countries, have been heavily affected by COVID-19. This study aimed to analyze the impact of Primary health care and the family health strategy (FHS) coverage, the scores of the National Program for Improving Primary Care Access and Quality (PMAQ), and socioeconomic and social indicators in the number of COVID-19 cases in Brazilian largest cities. Methods: This is an ecological study, carried out through the analysis of secondary data on the population of all Brazilian main cities, based on the analysis of a 26-week epidemiological epidemic week series by COVID-19. Statistical analysis was performed using Generalized Linear Models with an Autoregressive work correlation matrix. Results: It was shown that greater PHC coverage and greater FHS coverage together with an above average PMAQ score are associated with slower dissemination and lower burden of COVID-19. Conclusion: It is evident that cities with less social inequality and restrictions of social protection combined with social development have a milder pandemic scenario. It is necessary to act quickly on these conditions for COVID-19 dissemination by timely actions with high capillarity. Expanding access to PHC and social support strategies for the vulnerable are essential.

Suggested Citation

  • Marcello Barbosa Otoni Gonçalves Guedes & Sanderson José Costa de Assis & Geronimo José Bouzas Sanchis & Diego Neves Araujo & Angelo Giuseppe Roncalli Da Costa Oliveira & Johnnatas Mikael Lopes, 2021. "COVID-19 in Brazilian cities: Impact of social determinants, coverage and quality of primary health care," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0257347
    DOI: 10.1371/journal.pone.0257347
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    1. Sanderson José Costa de Assis & Johnnatas Mikael Lopes & Marcello Barbosa Otoni Gonçalves Guedes & Geronimo José Bouzas Sanchis & Diego Neves Araujo & Angelo Giuseppe Roncalli, 2021. "Primary health care and social isolation against COVID-19 in Northeastern Brazil: Ecological time-series study," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-12, May.
    2. Mayara Lisboa Bastos & Dick Menzies & Thomas Hone & Kianoush Dehghani & Anete Trajman, 2017. "The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-14, August.
    3. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
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