Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

Is comprehensive primary health care part of the response to the COVID-19 pandemic in Latin America?

  • Ligia Giovanella
  • Román Vega
  • Herland Tejerina-Silva
  • Naydú Acosta-Ramirez
  • Mario Parada-Lezcano
  • Gilberto Ríos
  • Daisy Iturrieta
  • Patty Fidelis de Almeida
  • Oscar Feo
  • Ligia Giovanella

    Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca (Ensp/Fiocruz). Rio de Janeiro,

    Román Vega

    Pontificia Universidad Javeriana, Instituto de Salud Pública, Bogotá D.C.

    Herland Tejerina-Silva

    Universidad Autónoma del Beni “José Ballivián”, Escuela Boliviana de Postgrado, Trinidad, Bolivia

    Naydú Acosta-Ramirez

    Universidad Santiago de Cali, Facultad de Salud

    Mario Parada-Lezcano

    Universidad de Valparaíso, Escuela de Medicina, Departamento de Salud Pública, Valparaíso

    Gilberto Ríos

    Sociedad Uruguaya de Salud Colectiva, Montevideo

    Daisy Iturrieta

    Universidad de Valparaíso, Escuela de Medicina, Campus San Felipe, Valparaíso

    Patty Fidelis de Almeida

    Universidade Federal Fluminense, Instituto de Saúde Coletiva, Niterói

    Oscar Feo

    Universidad de Carabobo e Instituto de Altos Estudios de Salud Arnoldo Gabaldon, Maracay



Abstract

Latin America has become one of the epicenters of the COVID-19 pandemic, with a health and humanitarian crisis. The objective of the article is to analyze the strategies implemented by countries in the Region to face the pandemic and the role of Primary Health Care, considering obstacles and potential. The cases of Bolivia, Brazil, Chile, Colombia, Cuba, Uruguay and Venezuela were analyzed. The seven countries have adopted diverse social distancing strategies with varying degrees of sustainability. The responses emphasized hospital care more than surveillance, case identification, contact tracking, and enabling adequate conditions for isolation. In almost all cases studied, the capacity of primary care services in the territory was underestimated. Even so, primary care initiatives with a territorial and community focus sought to integrate health surveillance with promotion, prevention and care, despite partial implementation. In this context, comprehensive and integrated primary care takes on new meaning and requires new developments in order to contribute to the recovery of the balance between society and the environment. The pandemic showed the need to rethink health care systems and the importance of primary care for comprehensive and integrated health.

Keywords

primary health care,
COVID-19,
health systems,
health surveillance

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