Family Health Strategy: the best alternative for a health system oriented towards the protection of people and civilizatory achievements

• Main Author: Stephan Sperling
• Format: Article
• Language: English
• Published: Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict) da Fundação Oswaldo Cruz (Fiocruz) 2017-12-01
• Series: RECIIS
• Subjects: Estratégia de Saúde da Família; atenção básica; atenção primária à saúde; Política Nacional de Atenção Básica; cuidado centrado em pessoas.
• Online Access: https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1471

The ESF – Estratégia de Saúde da Família (Family Health Strategy) remains the best alternative to offer coordination of care and access to the Brazilian SUS – Sistema Único de Saúde (known as Unified Health System). However, since the 1990s, its structuring has been marked by significant contradictions, due to the fragility of its administrative policy, with little progress in the consolidation of its attributes, as well as the limits of its clinical governance policy, often generating iniquities in care. Analyzing the phenomenon of the revision of the PNAB – Política Nacional de Atenção Básica (National Policy on Primary Health Care), which is assumed to be a deregulatory agenda on the gateway to system, we seek to indicate possibilities of confrontation to consolidate the model of the Family Health Strategy in Brazil and to strengthen the entire health system.