Ações de enfrentamento à pandemia de covid-19: uma avaliação de impacto na atenção primária em saúde no município de São Luís – MA entre 2020 e 2021

Abstract

This dissertation analyzes the impacts of control measures for the COVID-19 pandemic on Primary Health Care in the Municipality of São Luís, considering the first two years of the health crisis. To this end, using the method of dialectical historical materialism, it a discussion on public health policy in the context of capital accumulation, based on the precepts of the neoliberal order, delving deeper into the movement of appropriation of public funds, as well as highlighting the strong dispute between projects for the health model adopted in the Brazil. Secondly, the model for combating the pandemic adopted at a national level is analyzed, pointing out the contradictions and disparities between the recommendations of international organizations and the denialist model dissipated by the then government of President Jair Bolsonaro. Finally, the Primary Health Care Policy is discussed in the empirical field of the Basic Health Unit of Vila Bacanga in São Luís - MA, through qualitative research using semi-structured interviews with users and health workers, in addition to analysis of secondary data from the unit and the Ministry of Health's systems and information, pointing out how its reconfiguration process, to meet the demands of the COVID-19 pandemic, impacted the health care of users registered in that territory. As results of the study, based on the impacts evaluated, it is highlighted that the reconfiguration of PHC in the territory caused the suspension or extinction of activities related to PHC, such as: exclusive care for acute respiratory syndromes, suspension of the activities of CHAs and health professionals oral; suspension of leprosy and tuberculosis programs and monitoring of patients with chronic kidney diseases such as diabetes and hypertension.