Health Planning and difficulties off Covid-19
Analysis of inequalities in small municipalities
DOI:
https://doi.org/10.26512/gs.v14i1.47435Keywords:
Health Management; , Health Policy, Planning and Management; , Social Determinants of Health; , COVID-19.Abstract
COVID-19 in 2023 is still an adversity that challenges Public Health Management in conducting the SUS in each region of Brazil. Therefore, this study intended to analyze the epidemiological situation of COVID-19 in small municipalities I of the Health Region of Belo Horizonte from March 2020 to October 2021 and reflect on management at the local level. This is a quantitative study of an exploratory and descriptive nature, small municipalities with less than 20,000 inhabitants were included for analysis. Thus, 15 of the 39 municipalities of the Regional Health Superintendence of Belo Horizonte were considered for analysis. The data found helped municipal management in the conduct and strategies of local health care. Regarding the observed incidence rate of COVID-19, Belo Vale presented the highest rate with 107.97 cases per thousand inhabitants, the most affected age group was 20 to 59 years old and the highest proportion refers to the brown group . COVID-19 brought reflections beyond health problems and deaths, such as the analysis of inequities and social determinants of health.
Downloads
References
- Castaman AS, See More RAR. Educação a Distância na crise COVID-19: um relato de experiência. Pesquisa, Sociedadee Desenvolvimento. 2020 Feb 17;9(6):p. e180963699.
- Abrucio FL, Grin EJ, Franzese C, Segatto CI, Couto CG. Combating COVID-19 under Bolsonaro’s federalism: a case of intergovernmental incoordination. Revista de Administração Pública. 2020 Aug;54(4):663–77
- Fundação Oswaldo Cruz- Fiocruz. Boletim Observatório Covid-19. [Internet]. 2021.Disponível em: https://portal.fiocruz.br/sites/portal.fiocruz.br/files/documentos/boletim_covid_2021-semanas_14-15-red.pdf
- Pinafo E, Nunes E de FP de A, Carvalho BG, Mendonça F de F, Domingos CM, Silva CR. Problemas e estratégias de gestão do SUS: a vulnerabilidade dos municípios de pequeno porte. Ciência & Saúde Coletiva. 2020 May;25(5):1619–28.
- Rocha R, Atun R, Massuda A, Rache B, Spinola P, Nunes L, et al. Effect of socioeconomic inequalities and vulnerabilities on health-system preparedness and response to COVID-19 in Brazil: a comprehensive analysis. The Lancet Global Health [Internet]. 2021 Apr 12;0(0). Disponível em: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00081-4/fulltext
- Massuda A, Malik AM, Vecina Neto G, Tasca R, Ferreira Junior WC. A resiliência do Sistema Único de Saúde frente à COVID-19. Cadernos EBAPEBR. 2021 Nov;19(spe):735–44.
- Avelar FG de Emmerick ICM, Muzy J, Campos MR. Complications of Covid-19: developments for the Unified Health System. Physis: Revista de Saúde Coletiva [Internet]. 2021 Nov 15 [cited 2022 Sep 24];31. Disponível em: https://www.scielo.br/j/physis/a/KHrV3LGxrDtfSyfcqjqTcRy/?lang=en
- Barbosa F. Planejamento em Saúde - representações dos gestores em saúde dos municípios de pequeno porte 1. [Universidade Federal de Minas Gerais]; 2022.
- Lima LD, Viana ALD, Machado CV. Regionalização da saúde no Brasil: Condicionantes de Desafios. In: Scatena JHG, Kehrig RT, Spinelli MAS, organizadores. Regiões de Saúde, diversidade e processo de regionalização em Mato Grosso. São Paulo: Editora Hucitec; 2014:21-46.
- Buss PM, Pellegrini Filho A. A saúde e seus determinantes sociais. Physis: Revista de Saúde Coletiva. 2007 Apr;17(1):77–93.
- Matta G, Rego S, Souto E. SciELO Books / SciELO Livros / SciELO Libros. Disponível em: http://books.scielo.org/id/r3hc2/pdf/matta-9786557080320.pdf
- Soeiro RE, Bedrikow R, Ramalho BD de S, Niederauer AJS, Souza CV de Previato CS, et al. Atenção Primária à Saúde e a pandemia de COVID-19: reflexão para a prática. InterAmerican Journal of Medicine and Health. 2020 Apr 7;3.
- Geremia DS. Atenção Primária à Saúde em alerta: desafios da continuidade do modelo assistencial. Physis: Revista de Saúde Coletiva. 2020;30(1) e300100.
- Chen Y, Liu Q, Guo D. Emerging coronaviruses: Genome structure, replication, and pathogenesis. Journal of Medical Virology. 2020 Feb 7;92(4):418–23.
- Silva GA e, Jardim BC, Santos CVB dos. Excesso de mortalidade no Brasil em tempos de COVID-19. Ciência & Saúde Coletiva [Internet]. 2020 Aug 28; 25:3345–54. Disponível em: https://www.scielosp.org/article/csc/2020.v25n9/3345-3354/
- Fabri NF, Silva VA da. COVID-19 - Evolução epidemiológica e o impacto da vacinação em um município da Zona da Mata Mineira. SAÚDE DINÂMICA [Internet]. 2021 Dec 31 [cited 2023 Jan 11];3(3):44–67. Available from: http://revista.faculdadedinamica.com.br/index.php/saudedinamica/article/view/95
- Pechim L. Faculdade de Medicina da UFMG [Internet]. Faculdade de Medicina da UFMG. 2020. Disponível em: https://www.medicina.ufmg.br/negros-morrem-mais-pela-covid-19/
- Araújo EM de Caldwell KL, Santos MPA dos, Souza IM de, Rosa PLFS, Santos ABS dos, et al. Morbimortalidade pela Covid-19 segundo raça/cor/etnia: a experiência do Brasil e dos Estados Unidos. Saúde em Debate [Internet]. 2020;44(spe 4):191–205. Disponível em: https://www.scielosp.org/pdf/sdeb/2020.v44nspe4/191-205/pt
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ELECTRONIC JOURNAL MANAGEMENT AND HEALTH
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
I declare that this article is original and has not been submitted for publication in any other national or international journal, either in whole or in part. I further declare that once published in the Electronic Journal Management and Health published by the University of Brasília, it will never be submitted by me or any of the other coauthors to any other means of scientific dissemination.
Through this instrument, in my name and in the name of the other coauthors, may I soon copy the copyright of the article to Electronic Journal Management and Health and declare that I am aware that failure to comply with this commitment will subject the violator to penalties and penalties Law of Protection of Rights Authorities (Nº9609, of 02/19/98).
