Caracterização do Acesso aos Serviços de Atenção Primária à Saúde de Pessoas Situadas em Núcleos Urbanos Informais na Região Urbana de Campo Grande/MS

Abstract

Health services are essential for the population's quality of life, especially for families and individuals in greater social vulnerability living in areas considered risky, whether physical, biological, psychological, social, or economic due to disadvantaged territorial and geographical characteristics. This study aimed to characterize access to Primary Health Care (PHC) services for individuals located in Informal Urban Nuclei in the urban region of Campo Grande/MS, with a specific objective of characterizing access to PHC services for people living in areas with a profile similar to favelas in the urban area of the municipality, registered with the Municipal Housing and Land Affairs Agency (AMHASF). It also aimed to identify informal urban nuclei and the frequency of this population's access to PHC; expose health determinants and social profile for this population's access to PHC services; and identify the type of health equipment most sought after by this population. The method, following the STROBE guidelines for observational studies, was based on quantitative analysis using secondary health, social assistance, and housing databases from the municipal government, with a cross-sectional, descriptive, and observational design between the periods of 2019 to 2021, aiming to contribute to the discussion of demands, policies, types, and volume of health services accessed by these users, especially those in the Health Care Network (RAS), which are directly linked to risk promotion and prevention and health damage. The main results suggest a possible causality between residents with lower average incomes among the analyzed variables and demanding more frequent PHC visits. This is an important factor for better targeting public policies in the municipality, aiming for better coverage of Basic Health Care services, ensuring better effectiveness and equity in care for the Family Health Strategy (ESF).