INFECTIOUS DISEASES AND THE PRIMARY HEALTH CARE NETWORK IN RIVERSIDE COMMUNITIES

Pinheiro, Ana Kedma Correa; Nogueira, Laura Maria Vidal; André, Suzana Rosa; Rodrigues, Ivaneide Leal Ataíde; Trindade, Lidiane de Nazaré Mota; Oliveira, Ana Paula Rezendes de

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ORIGINAL ARTICLE • Cogit. Enferm. 26 • 2021 • https://doi.org/10.5380/ce.v26i0.76347 copy

INFECTIOUS DISEASES AND THE PRIMARY HEALTH CARE NETWORK IN RIVERSIDE COMMUNITIES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze the profile of infectious diseases in riverside population relating it to the primary health care network.

Method:

epidemiological study, with data of infectious diseases notified/confirmed in the Notifiable Diseases Information System between 2013-2017 and the primary care network of the riverine region of Abaetetuba-Pará-Brazil. Descriptive analysis with Pearson’s Chi-square, p≤0.05.

Results:

393 cases of Hansen´s disease, tuberculosis, Chagas disease, viral hepatitis, meningitis, visceral leishmaniasis, dengue and Chikungunya fever were recorded. The most prevalent were Hansen´s disease and dengue. The primary care network includes 26 health posts with a reduced team and four teams of community health agents.

Conclusion:

health services are far from what is established in the National Primary Care Policy, which should value the epidemiological profile and the riverside way of life. The results may subsidize the planning and action in health/nursing.

DESCRIPTORS
Communicable Diseases; Primary Health Care; Rural Health Services; Epidemiological Monitoring

Year	Diseases	n	%	x²	p
2013	Viral Hepatitis	7	24,14	7,2	0,2
	Chagas Disease	4	13,8
	Hansen´s disease	8	27,58
	Tuberculosis	6	20,69
	Meningitis	3	10,34
	Visceral Leishmaniasis	1	3,45
	Chikungunya Fever	0	0
	Dengue Fever	0	0
2014	Viral Hepatitis	3	5,77	32	<0,0001**
	Chagas Disease	12	23,08
	Hansen´s disease	21	40,38
	Tuberculosis	11	21,15
	Meningitis	3	5,77
	Visceral Leishmaniasis	2	3,85
	Chikungunya Fever	0	0
	Dengue Fever	0	0
2015	Viral Hepatitis	11	22,45	18,95	0,002**
	Chagas Disease	16	32,65
	Hansen´s disease	11	22,45
	Tuberculosis	7	14,29
	Meningitis	2	4,08
	Visceral Leishmaniasis	2	4,08
	Chikungunya Fever	0	0
	Dengue Fever	0	0
2016	Viral Hepatitis	18	19,56	28,37	<0,0001**
	Chagas Disease	16	17,4
	Hansen´s disease	10	10,87
	Tuberculosis	11	11,95
	Meningitis	6	6,52
	Visceral Leishmaniasis	4	4,35
	Chikungunya Fever	0	0
	Dengue Fever	27	29,35
2017	Viral Hepatitis	15	8,77	388,76	<0,0001**
	Chagas Disease	22	12,86
	Hansen´s disease	8	4,68
	Tuberculosis	11	6,43
	Meningitis	1	0,6
	Visceral Leishmaniasis	3	1,75
	Chikungunya Fever	6	3,51
	Dengue Fever	105	61,4

TYPES OF RIVERSIDE PHC SERVICES	TOTAL
Basic Health Unit Fluvial	1
Riverside Family Health Teams	1
Health Facility	26
Community Health Agent teams	4

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Pinheiro AKC, Nogueira LMV; Drafting the work or revising it critically for important intellectual content - André SR, Rodrigues ILA, Trindade L de NM. All authors approved the final version of the text.

Variable		n	%	x²	p
Gender	Male	222	56,48	6,6	0,01 ^* * Significant for <0.05.
Gender	Female	171	43,52	6,6	0,01 ^* * Significant for <0.05.
Education	Illiterate	15	3,82	1154,7	<0,0001 ^ Significant for p<0.01.
	Incomplete Fundamental School	239	60,81
	Complete Fundamental School	13	3,31
	Incomplete High School	14	3,56
	Complete High School	31	7,89
	Incomplete Higher Education	5	1,27
	Complete Higher Education	2	0,51
	Ignored	14	3,56
	Not Applicable	38	9,67
	Not filled in	22	5,6
Age	0-9	52	13,23	89,5	<0,0001 ^ Significant for p<0.01.
	10-19	73	18,57
	20-39	145	36,89
	40-59	87	22,14
	>59	36	9,16