Cartografia da atenção primária à saúde no município de Dourados-MS

Abstract

This work aims at presenting the distribution of basic health care infrastructure in Dourados city, which shows how it has been done from the genesis of the basic health care to the expansion of the Basic Health Unit and of Family Health Strategies, associated with expansion of the municipality. It was occupied by conducting a historical review of the process of (re)occupation of the Dourados municipality since the establishment of the National Agricultural Colony of Dourados, thus verifying what was the infrastructure in health care, and what was its expansion, besides understanding the ways that propelled the growth of the Dourados city. This historical analysis also provided the understanding of the evolution of the Primary Health Care in Brazil, through the observation of the Brazilian Health Reform process, in which it was verified how this model became important in the process of health promotion and prevention, as opposed to hegemony of the hospital-centric model. Through fieldwork with applying of questionnaires and data collections in the city hall of Dourados it was possible getting empirical data about the Basic Health Unit implantation and of the Family Health Strategies, as well as understanding the relation of these with population density and public transport, creating maps with informations obtained through empirical work of the geographics coordinates survey, of the BHU localization that allowed the crossing of these datas with informations contained in IBGE.This analysis is consonance with the 30 years of implementation of the Unified Health System in Brazil, 1988 - 2018. It must be emphasized that the UHS, is based on health prevention, which is mainly implemented through the Family Health Strategy, which was also the subject of discussion in this study. Through this research it was possible to verify not only the installed infrastructure, but also the demands which the city has, it was verified that there is the infrastructure and that we believe it needs to be expanded, since it does not provide full coverage to the spatial cutting, and therefore to existing demands.