Quality of basic health care and social vulnerability: a spatial analysis

Ecological study with spatial analysis using univariate global and local Moran’s indexes. Bivariate analyses were employed to examine the relationship between the quality of basic health care and the Social Vulnerability Index in the Northeast. The dependent variable corresponded to the final scores of certifications of teams of basic health care in the Northeast that had participated in the third cycle of the Brazilian Program for the Improvement of Access and Quality of Basic Health Care. The independent variable was the Social Vulnerability Index of the municipality.

Results:

The bivariate analysis has pointed out the presence of areas of low vulnerability with high quality basic health care in the municipalities in the states of Piauí, Ceará, Rio Grande do Norte, Pernambuco, and Bahia. The state of Maranhão is emphasized for its low performance in basic health care in a large number of municipalities with high vulnerability.

Conclusion:

The study has revealed a spatial relation between the indicators of social vulnerability and quality of basic health care in the Northeast, suggesting that limitations in access to health resources and services may be related to social and health determinants.

DESCRIPTORS
Primary Health Care; Quality of Health Care; Social Vulnerability; Spatial Analysis

Performance	AL n (%)	BA n (%)	CE n (%)	MA n (%)	PB n (%)	PE n (%)	PI n (%)	RN n (%)	SE n (%)	Total n
Great	43 (4.5%)	138 (3.9%)	298 (11.2%)	20 (1.1%)	81 (4.9%)	221 (9.3%)	146 (11.2%)	239 (20%)	12 (1.9%)	1198 (7.4%)
Very good	193 (20.1%)	523 (14.6%)	640 (24.1%)	74 (4%)	353 (21.4%)	515 (21.6%)	299 (23%)	231 (19.4%)	84 (13%)	2912 (18%)
Good	325 (34%)	1187 (33.2%)	755 (28.5%)	274 (14.8%)	612 (37.2%)	772 (32.4%)	346 (26.6%)	345 (28.8%)	181 (28%)	4797 (29.6%)
Average	262 (27.3%)	1169 (32.7%)	456 (17.2%)	626 (33.8%)	420 (25.7%)	517 (21.7%)	253 (19.5%)	237 (19.9%)	150 (23.3%)	4090 (25.2%)
Bad	116 (12.1%)	404 (11.3%)	201 (7.6%)	797 (43%)	157 (9.6%)	207 (8.6%)	228 (17.5%)	137 (11.5%)	167 (25.9%)	2414 (14.9%)
Disqualified	20 (2%)	152 (4.2%)	296 (11.1%)	58 (3.1%)	21 (1.3%)	153 (6.4%)	28 (2.2%)	2 (0.2%)	51 (7.9%)	781 (4.8%)
Unsatisfactory	0 (0%)	5 (0.1%)	7 (0.3%)	5 (0.2%)	4 (0.2%)	0 (0%)	0 (0%)	2 (0.2%)	0 (0%)	23 (0.1%)
Total	959 (5.9%)	3578 (22%)	2653 (16.4%)	1854 (11.4%)	1648 (10.2%)	2385 (14.7%)	1300 (8%)	1193 (7.4%)	645 (4%)	16215 (100%)

SVI	AL n (%)	BA n (%)	CE n (%)	MA n (%)	PB n (%)	PE n (%)	PI n (%)	RN n (%)	SE n (%)
Very low	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	1 (0.5)	0 (0)	0 (0)	0 (0)
Low	0 (0)	5 (1.2)	2 (1.1)	1 (0.5)	7 (3.1)	0 (0)	3 (1.3)	13 (7.8)	1 (1.3)
Average	4 (3.9)	79 (18.9)	44 (23.9)	9 (4.1)	56 (25.2)	23 (12.4)	36 (16.1)	53 (31.7)	21 (28)
High	35 (34.3)	229 (54.9)	108 (58.7)	37 (17.1)	106 (47.5)	105 (56.8)	110 (49.1)	83 (49.7)	45 (60)
Very high	63 (61.8)	104 (25)	30 (16.3)	170 (78.3)	54 (24.2)	56 (30.3)	75 (33.5)	18 (10.8)	8 (10.7)
Total	102	417	184	217	223	185	224	167	75

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] *
Extracted from the dissertation: “Qualidade da atenção básica e sua relação com a vulnerabilidade social nos municípios do Nordeste do Brazil”, Universidade Federal de Sergipe, 2020.

Brasil

Brasil

Quality of basic health care and social vulnerability: a spatial analysis* * Extracted from the dissertation: “Qualidade da atenção básica e sua relação com a vulnerabilidade social nos municípios do Nordeste do Brazil”, Universidade Federal de Sergipe, 2020.

Calidad de la atención básica y vulnerabilidad social: un análisis espacial

ABSTRACT

Objective:

Method:

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Conclusion:

Quality of basic health care and social vulnerability: a spatial analysis^* * Extracted from the dissertation: “Qualidade da atenção básica e sua relação com a vulnerabilidade social nos municípios do Nordeste do Brazil”, Universidade Federal de Sergipe, 2020.