Enfrentamento da pandemia de Covid-19 na atenção básica à saúde no município de Anápolis, Goiás

Abstract

In the last two decades, Primary Care (BA) has been consolidated as a structuring element within the Unified Health System (SUS). Knowing its community, the Family Health Strategy (ESF) makes the population's first contact with the Health Care Network and becomes a guide for care. But despite these attributes, many Brazilian municipalities have rendered AB services useless or underutilized, in the face of a pandemic scenario. This study aimed to understand the role of Primary Health Care in the city of Anápolis - GO in the presence of the pandemic caused by COVID-19. Based on analyzes and reflections arising from the actions instituted by the municipality, in the local care network in dealing with the pandemic. The methodology used was the Experience Report, which fits into qualitative studies, and also used quantitative data. Different methods and techniques of data and information collection were used, from the observation and survey of pre-pandemic and pandemic data, such as the number of care provided by AB and deaths caused by COVID-19, based on the action plan adopted by the municipality for this confrontation. As elements of the study, proposals from the three spheres of the national executive power, local, national and international journalistic articles are included, in addition to actions from Primary Care in the city of Anápolis, Goiás, related to the pandemic. The experience reported was analyzed along two thematic lines: 1) characteristics and actions against the pandemic in Anápolis; and 2) the influence of the model adopted in health care units on the care provided to the population. The study is developed in an effort to understand the performance and organization of basic units in maintaining care for the population during the pandemic, as well as to assess the effectiveness of the action plan adopted by the municipality to fight it. Evidencing through analysis and critical reflection, in addition to the data collected, that the model adopted by the municipality contributed to the weakening of Primary Care (BA) in the context of the municipal health network, leading to a serious lack of assistance in the population's health. Finally, this research contributes to an analysis of Primary Care in the city, mobilized by the pandemic condition, indicating that the model of care and attention, in this context, needs to be consolidated from a planned and continued organization of the health network to to produce qualified and comprehensive care practices.