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Objetivo: analisar o perfil e o conhecimento dos usuários do SUS a respeito das políticas de saúde implementadas na Atenção Básica na cidade de Anápolis-Go. Para tal análise, é necessário entender todo o contexto da saúde brasileira desde o princípio da colônia e transição para império e república, pois por se tratar de uma política pública entender o contexto econômico e político na época de implementação do SUS é de grande valia. Método: estudo de abordagem quantitativa e a coleta de dados se deu por meio de roteiro de entrevista com perguntas fechadas e os resultados surgiram por meio de uma análise estatística descritiva com a apresentação dos dados por meio de gráficos. Resultados: foi possível conhecer o perfil dos usuários do SUS e notar uma divergência entre o saber do usuários em relação às políticas de saúde, sendo a ESF pouco conhecida entre os usuários da mesma, não conseguindo distinguir seu significado e representação dentro das Unidades Básicas de Saúde, assim como demonstraram conhecer os Programas da ESF quase que em sua totalidade, onde a deficiência no conhecimento se dá ao nome específico do programa mas discernindo suas atividades e locais de referência para atendimento. Conclusão: certifica-se a importância de tais estudos na área para aprimoramento do processo de assistência na Atenção Básica, evidenciando os principais desafios a serem superados por parte dos profissionais atuantes no serviço e pelo gestores dos mesmo para a implementação efetiva de um cuidado de qualidade.

Objective: to analyze the profile and knowledge of SUS (Brazil's Unified Health System) users regarding the health policies implemented in Primary Care in the city of Anápolis, Goiás. To achieve this analysis, it is necessary to understand the entire context of Brazilian healthcare from the colonial period to the transition to the imperial and republican eras. Since this involves a public policy, comprehending the economic and political context during the implementation of SUS is of great value. Method: it was a quantitative approach, and data collection was carried out through an interview script with closed-ended questions. The results emerged from descriptive statistical analysis, presented through graphs. Results: it was possible to understand the profile of SUS users and observe a divergence between their knowledge and the health policies. The Family Health Strategy (ESF) was relatively unknown among the users, with difficulty in distinguishing its significance and representation within the Basic Health Units. However, they demonstrated nearly complete awareness of ESF programs, with the knowledge gap mostly related to specific program names, but an understanding of their activities and reference locations for care. Conclusion: the importance of such studies in the field is confirmed, as they contribute to the improvement of the Primary Care assistance process. These studies highlight the main challenges to be overcome by professionals working in the service and by its managers for the effective implementation of quality care

Objetivo: analizar el perfil y el conocimiento de los usuarios del SUS (Sistema Único de Salud de Brasil) con respecto a las políticas de salud implementadas en la Atención Primaria en la ciudad de Anápolis, Goiás. Para lograr este análisis, es necesario comprender todo el contexto de la atención médica brasileña desde el período colonial hasta la transición a las eras imperial y republicana. Dado que esto involucra una política pública, comprender el contexto económico y político durante la implementación del SUS es de gran valor. Método: estúdio de enfoque cuantitativo, y la recopilación de datos se realizó a través de un guión de entrevista con preguntas cerradas. Los resultados surgieron del análisis estadístico descriptivo, presentado a través de gráficos. Resultados: fue posible comprender el perfil de los usuarios del SUS y observar una divergencia entre su conocimiento y las políticas de salud. La Estrategia de Salud Familiar (ESF) era relativamente desconocida entre los usuarios, con dificultades para distinguir su importancia y representación dentro de las Unidades Básicas de Salud. Sin embargo, demostraron un conocimiento casi completo de los programas de la ESF, con una brecha de conocimiento relacionada principalmente con los nombres específicos de los programas, pero con una comprensión de sus actividades y lugares de referencia para la atención. Conclusión: se confirma la importancia de tales estudios en el campo, ya que contribuyen a la mejora del proceso de asistencia en la Atención Primaria. Estos estudios resaltan los principales desafíos a superar por parte de los profesionales que trabajan en el servicio y por sus gestores para la implementación efectiva de una atención de calidad

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BACKGROUND: Generalized pustular psoriasis (GPP) is a rare and severe phenotype of psoriasis characterized by sudden outbreak of widespread coalescent sterile pustules associated with a spectrum of systemic symptoms. OBJECTIVE: We aimed to describe the epidemiology and treatment of GPP in Brazil from the public health care system perspective. METHODS: This was a retrospective public claims database study, using outpatient and inpatient databases, with information from January 2018 to August 2020, based on records of health resource utilization by patients with GPP. Outpatient treatment regimens and fatal inpatient outcomes were described. RESULTS: In total, 1458 outpatients of all ages were identified, of whom 53% were women. We estimated the GPP prevalence in Brazil to be between 0.7 and 0.9 per 100,000. Acitretin was the most commonly dispensed drug. Of all the outpatients, 769 outpatients could be tracked in the inpatient database, and 151 had hospital admissions during the study period. Of them, 5.3% had a fatal outcome during hospitalization. A primary skin condition or an infection was the most frequent hospitalization cause. LIMITATION: The International Classification of Diseases codes for GPP and psoriasis have not been previously validated in this context. CONCLUSION: GPP is a rare disease in Brazil and affects individuals of all ages and both sexes. Hospitalizations and disease-related deaths highlight the need for its prompt diagnosis, close medical follow-up, and effective treatment.

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BACKGROUND: Indigenous peoples are vulnerable to pandemics, including to the coronavirus disease (COVID)-19, since it causes high mortality and specially, the loss of elderly Indigenous individuals. METHODS: The epidemiological data of severe acute respiratory syndrome (SARS) by SARS-CoV-2 infection or other etiologic agents (OEA) among Brazilian Indigenous peoples during the first year of COVID-19 pandemic was obtained from a Brazilian Ministry of Health open-access database to perform an observational study. Considering only Indigenous individuals diagnosed with SARS by COVID-19, the epidemiology data were also evaluated as risk of death. The type of sample collection for virus screening, demographic profile, clinical symptoms, comorbidities, and clinical evolution were evaluated. The primary outcome was considered the death in the Brazilian Indigenous individuals and the secondary outcome, the characteristics of Brazilian Indigenous infected by SARS-CoV-2 or OEA, as the need for intensive care unit admission or the need for mechanical ventilation support. The statistical analysis was done using Logistic Regression Model. Alpha of 0.05. FINDINGS: A total of 3,122 cases of Indigenous individuals with SARS in Brazil were reported during the first year of the COVID-19 pandemic. Of these, 1,994 were diagnosed with COVID-19 and 730/1,816 (40.2%) of them died. The death rate among individuals with SARS-CoV-2 was three-fold increased when compared to the group of individuals with OEA. Several symptoms (myalgia, loss of smell, and sore throat) and comorbidities (cardiopathy, systemic arterial hypertension, and diabetes mellitus) were more prevalent in the COVID-19 group when compared to Indigenous individuals with OEA. Similar profile was observed considering the risk of death among the Indigenous individuals with COVID-19 who presented several symptoms (oxygen saturation <95%, dyspnea, and respiratory distress) and comorbidities (renal disorders, cardiopathy, and diabetes mellitus). The multivariate analysis was significant in differentiating between the COVID-19-positive and non-COVID-19 patients [X2 (7)=65.187; P-value<0.001]. Among the patients' features, the following contributed in relation to the diagnosis of COVID-19: age [≥43 years-old [y.o.]; OR=1.984 (95%CI=1.480-2.658)]; loss of smell [OR=2.373 (95%CI=1.461-3.854)]; presence of previous respiratory disorders [OR=0.487; 95%CI=0.287-0.824)]; and fever [OR=1.445 (95%CI=1.082-1.929)]. Also, the multivariate analysis was able to predict the risk of death [X2 (9)=293.694; P-value<0.001]. Among the patients' features, the following contributed in relation to the risk of death: male gender [OR=1.507 (95%CI=1.010-2.250)]; age [≥60 y.o.; OR=3.377 (95%CI=2.292-4.974)]; the need for ventilatory support [invasive mechanical ventilation; OR=24.050 (95%CI=12.584-45.962) and non-invasive mechanical ventilation; OR=2.249 (95%CI=1.378-3.671)]; dyspnea [OR=2.053 (95%CI=1.196-3.522)]; oxygen saturation <95% [OR=1.691 (95%CI=1.050-2.723)]; myalgia [OR=0.423 (95%CI=0.191-0.937)]; and the presence of kidney disorders [OR=3.135 (95%CI=1.144-8.539)]. INTERPRETATION: The Brazilian Indigenous peoples are in a vulnerable situation during the COVID-19 pandemic and presented an increased risk of death due to COVID-19. Several factors were associated with enhanced risk of death, as male sex, older age (≥60 y.o.), and need for ventilatory support; also, other factors might help to differentiate SARS by COVID-19 or by OEA, as older age (≥43 y.o.), loss of smell, and fever. FUNDING: Fundação de Amparo à Pesquisa do Estado de São Paulo (Foundation for Research Support of the State of São Paulo; #2021/05810-7).

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We analysed the coverage trend of the evaluation of the nutritional status of users of public health services registered in the Food and Nutrition Surveillance System (SISVAN) between 2008 and 2017 in seven municipalities and verified the association of the coverage trend with the socio-economic, demographic and organisational aspects of health system variables. It is an ecological time-series study performed with secondary data extracted from health information systems. Descriptive statistics, linear regression model and repeated measures analysis were performed. The coverage of evaluation of nutritional status was low over the period. Five municipalities showed a tendency to increase coverage, although small, while two remained stable. The highest annual variation in coverage increase was concentrated in the group of pregnant women and the lowest in adolescents and older adults. There was a downward trend in follow-ups from the Bolsa Family Programme and a trend towards increased follow-ups from SUS Primary Care (e-SUS AB). SISVAN coverage was positively associated with the proportion of rural population (P ≤ 0·001) and coverage of community health agents (P < 0·001); and negatively associated with total population (P < 0·001), demographic density (P = 0·006) and gross domestic product per capita (P = 0·008). Despite the tendency to increase coverage in some municipalities, SISVAN still presents low coverage of nutritional status assessment, which compromises population monitoring. Knowing the factors that influence the coverage can subsidise the elaboration of strategies for its expansion.

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O curso de Odontologia da UEM iniciou sua participação no Projeto PET-Saúde a partir da Portaria Interministerial N.º 3, de 7 de maio de 2009. Atualmente, o programa conta com cinco grupos tutoriais, incluindo seis cursos do Centro de Ciências da Saúde (CCS) e um do Departamento de Psicologia. O objetivo deste trabalho é relatar a experiência do grupo tutorial vinculado à UBS Mandacaru, em Maringá ­ PR, que no ano de 2013 trabalhou com o tema "Fortalecimento da Rede Mãe Paranaense no município de Maringá-PR". A dinâmica de trabalho foi dividida em: Abordagem do tema por meio de oficinas sobre o PETSaúde e a Rede Mãe Paranaense e a realização de palestras e oficinas sobre aleitamento materno. Foi realizada uma pesquisa ajustada à realidade local, além de visitas à UBS e a participação no grupo de apoio às gestantes. A aprendizagem ativa com análise crítica do serviço foi exercida por meio da participação no Conselho Municipal e Local de Saúde. As atividades mostraram que o trabalho individual não supre as necessidades da população, mas sim, um trabalho em equipe. Uma equipe multiprofissional que atue de maneira articulada ao cuidado integral à saúde dos indivíduos. O PET-Saúde possibilita ao aluno aprender a direcionar as ações baseadas na autonomia e corresponsabilidade, bem como adquirir liderança para levar adiante o compromisso com o bem-estar da população (AU).

The course of Dentistry UEM began its participation in Project PET-Saúde from the Ministerial Ordinance No. 3 of May 7, 2009. Today the program has 5 tutorial groups , including 5 courses at the Center for Health Sciences ( CCS ) and 1 Department of Psychology . The aim of this study was to report the experience of the tutorial group linked to UBS Mandacaru in Maringá - PR , who worked with the theme "Strengthening Mother Network Paranaense in Maringá - PR ". Dynamics of work was divided into: Addressing the issue through workshops on PET - Saúde and Mother Rede Paranaense and lectures and workshops on breastfeeding. The survey was adjusted to local realities, prioritizing the teaching-service integration with UBS visits and participation in support group for pregnant women. The active learning through critical analysis of services, through participation in the Municipal Local Health Board, was also performed. This project has shown that individual work does not meet the needs of the population, but rather a team effort. A multidisciplinary team that acts in coordination in comprehensive health care to individual. The PET-Saúde allows the student to learn how to drive actions based on autonomy and responsibility as well as acquire leadership to carry forward the commitment to the welfare of the population (AU).

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A II Mostra Nacional de Saúde da Família apresentou a face da Atenção Primária à Saúde no SUS. A SBMFC esteve na mesa de abertura, na apresentação e coordenação dos trabalhos. Educação permanente, avaliação, financiamento, resolutividade, eqüidade, suporte, equipe, controle social e protocolos dominaram o temário. Partindo de uma inorganicidade de rede, o pais decidiu tecê-la a partir da APS. Porém, o PSF concretizou apenas parcialmente a motivação inicial. Avançou paralelo ao restante do SUS, e precarizado. Os movimentos sociais pressionam por medidas que aproximem o SUS das promessas constitucionais. Assumindo no MS uma equipe oriunda da Reforma Sanitária, abriu-se caminho para a mudança. Várias iniciativas confluem para avançar. A mudança requer definir melhor os contornos do modelo tecno-assistencial: assumir o MFC como a opção para a porta de entrada do SUS, criar diretrizes para Plano de Carreira do SUS, financiar o apoio matricial à APS são medidas igualmente necessárias.

The II National Show of Family Health presented the face of Primary Health Care in the SUS. The SBMFC was at the opening table, presenting and coordinating the work. Continuing education, evaluation, financing, resolution, equity, support, staff, social control and protocols dominated the agenda. Starting from a network inorganic, the country decided to weave it from the APS. However, the PSF only partially fulfilled the initial motivation. It advanced parallel to the rest of the SUS, and precarious. Social movements press for measures that bring the SUS closer to constitutional promises. Assuming in the MS a team from the Sanitary Reform, the way was opened for change. Several initiatives converge to move forward. The change requires defining the contours of the techno-care model better: assuming the MFC as the option for the entrance door of the SUS, creating guidelines for the Career Plan of the SUS, financing the matrix support to the PHC are equally necessary measures.

La II Muestra Nacional de Salud de la Familia presentó la cara de la Atención Primaria a la Salud en el SUS. La SBMFC estuvo en la mesa de apertura, en la presentación y coordinación de los trabajos. Educación permanente, evaluación, financiamiento, resolutividad, equidad, soporte, equipo, control social y protocolos dominaron el temario. A partir de una inorganicidad de red, el país decidió tejer a partir de la APS. Sin embargo, el PSF concretó sólo parcialmente la motivación inicial. Avanzó paralelo al resto del SUS, y precarizado. Los movimientos sociales presionan por medidas que aproximen al SUS de las promesas constitucionales. Asumiendo en el MS un equipo oriundo de la Reforma Sanitaria, se abrió camino para el cambio. Varias iniciativas confluyen para avanzar. El cambio requiere definir mejor los contornos del modelo tecno-asistencial: asumir el MFC como la opción para el puerto de entrada del SUS, crear directrices para Plan de Carrera del SUS, financiar el apoyo matricial a la APS son medidas igualmente necesarias.

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