Community health workers' attitudes, practices and perceptions towards the COVID-19 pandemic in brazilian low-income communities.

BACKGROUND: Community Health Workers (CHW) are a category of social workers described in many countries' health systems as responsible for engaging people in their residences and communities, and other non-clinical spaces to enable access to health services, especially in low-income areas. These pro...

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Publicado en:Work Vol. 68; no. 1; pp. 3 - 12
Autores principales: do Rosário Costa, Nilson, Bellas, Hugo, da Silva, Paulo Roberto Fagundes, de Carvalho, Paulo Victor Rodrigues, Uhr, Deborah, Vieira, Cristine, Jatobá, Alessandro
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Community health workers' attitudes, practices and perceptions towards the COVID-19 pandemic in brazilian low-income communities.
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          do Rosário Costa, Nilson
          Bellas, Hugo
          da Silva, Paulo Roberto Fagundes
          de Carvalho, Paulo Victor Rodrigues
          Uhr, Deborah
          Vieira, Cristine
          Jatobá, Alessandro
        affil: Escola Nacional de Saúde Pública Sergio Arouca - ENSP, Fundação Oswaldo Cruz –FIOCRUZ, Rio de Janeiro, RJ, Brazil
      sug:
        subj:
          Community Health Workers Psychosocial Factors
          Attitude of Health Personnel
          Community Health Services
          COVID-19 Pandemic Psychosocial Factors
          Attitude to Illness
          Poverty Areas Brazil
          Human
          Brazil
          Social Workers Psychosocial Factors
          Rural Areas
          Surveys
          Random Sample
          Urban Areas
          Confidence Intervals
          Sampling Error
          Social Distancing
          Socioeconomic Factors
          Primary Health Care
          Snowball Sample
          Nonexperimental Studies
          Exploratory Research
          Cross Sectional Studies
          Male
          Female
          Adult
          Middle Age
          Aged
          Qualitative Studies
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: BACKGROUND: Community Health Workers (CHW) are a category of social workers described in many countries' health systems as responsible for engaging people in their residences and communities, and other non-clinical spaces to enable access to health services, especially in low-income areas. These professionals have been exposed to numerous new risks during the COVID-19 pandemic. OBJECTIVE: This study describes how the COVID-19 pandemic is perceived by CHWs who work in poor communities or slums in Brazil. METHODS: We conducted an online survey with a random sample of 775 CHWs operating in 368 municipalities of the 26 Brazilian states. At a confidence level of 95%, results of the survey were subject to a maximum sampling error of 4%. RESULTS: Our data indicate that the negationist agenda increases the challenges to the performance of CHWs within low-income communities, preventing the consensus on the necessity of social distancing, business closures and other measures to face the COVID-19 pandemic. CONCLUSION: The pandemic imposes unexpected challenges on the usual modes of interaction of public health officers with poor communities. This study provides evidence that these challenges have been ignored or minimized in Brazilian policy prescriptions for primary care in the face of the COVID-19 pandemic.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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