Análise da atenção à saúde básica em duas unidades de conservação do município de Manaus - AM

Abstract

ABSTRACT

Introduction: The present study proposed to analyze the provision of Primary Care in two conservation units in the municipality of Manaus, Adolpho Ducke Environmental Protection Area – APA, geographically located in a transition area, rural and urban (north to east of the municipality of Manaus), accessed by land, and the Tupé Sustainable Development Reserve, located on the left bank of the Rio Negro, 25 km from Manaus, accessible only by river. Objective: To analyze the scope of service provision in Basic Health Care in two sustainable use conservation units managed by the municipality of Manaus. Method: Bibliographic, documentary, exploratory and descriptive study, carried out with 120 users of the public Family Health Strategy. Results: The sample characteristics of users, such as age and sex, can help justify women’s concerns about improving the quality of life in their territories, as 51% of survey participants are female, aged between 20 and 72 years, users who live in the communities of APA Adolpho Ducke and RDS do Tupé. However, the data found corroborates the research, as observed in the four communities studied, where there is no sewage treatment. In terms of waste disposal, two communities receive the public service and two others do not. Due to access difficulties, they seek alternatives to dispose of their waste, such as burning or burying, and use a dry pit system. These processes cause a series of problems for human health, as they contaminate the soil and groundwater and degrade the environment. When correlating disease variables, the four communities studied had a high rate of diabetes and hypertension (50% and 70%, respectively). Conclusions: From the analysis of data from the present study, it is concluded that in the four communities researched there is a lack of basic sanitation, and the domestic waste collection service does not serve all communities, requiring understanding between public bodies regarding the public and social policies for these areas that are not covered, in order to be able to count on public policies that minimize the lack of such services in conservation units. Keywords: Primary Care, Health Strategy, users, Conservation and Basic Sanitation Unit.