Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in...

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Bibliographic Details
Main Authors: Adriana Xavier de Santiago, Ivana Cristina de Holanda Cunha Barreto, Ana Cecília Silveira Lins Sucupira, José Wellington de Oliveira Lima, Luiz Odorico Monteiro de Andrade
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2014-01-01
Series:Revista Brasileira de Epidemiologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000600039&lng=en&tlng=en
Description
Summary:INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.
ISSN:1980-5497