Fatores intervenientes na implantação da estratégia Saúde da Família nos municípios brasileiros

Abstract

The current health situation in Brazil shows a transition in the epidemiological setting with a predominance of deaths related to cardiovascular disease, the cancers, accidents and violence. Most causes of these losses could be minimized by investing in prevention and health promotion. Aimed at strengthening the Primary Health Care the federal government launched the program (model) Family Health Strategy (FHS), whose objective is to provide continuous care to the population to improve health conditions and life. The aim of this study is to report to stakeholders ESF implementation factors in Brazilian municipalities. This is a bibliographic review, retrospective searches on the topic, published in scientific journals, and official sites for the period 2006 to 2013 were performed. The results showed a lack of functional training and high turnover, lack of financial resources, poor physical infrastructure and equipment failures in the referral and counter -referral process, and problems related to the peculiarities of large municipalities, such as urban violence. It is concluded that despite the difficulties, health indicators and access to services improved in recent years, but there is still need for greater investment in primary health care.