PMM in Pernambuco: Experiences with Primary Health Care (PHC) at the municipalities of Aguas Belas, Ouricuri and Vitoria de Santo Antão
This analysis was made by a team of health care researchers from the Federal University of Pernambuco, of the operating practices of PMM professionals in order to produce better health care results for the population of municipalities. It points out the socioeconomic and demographic differences between locations.
The publication covers the results of a multiple case study conducted in four mining municipalities (Belo Horizonte, Barão de Cocais, Conceição das Alagoas, and Juatuba). The study’s objective was to observe the changes in the health care work processes of the teams and the Basic Health Units, team management processes, and link and access improvements.
On the basis of health care priorities established by the Government of Maranhão, the case study research team travelled through five small municipalities in two neighboring meso-regions for the purpose of replicating the good practices and lessons learned with the implementation of PMM in the Primary Health Care.
PMM in Rio Grande do Norte: Background, productions and the creation of knowledge in Semi-arid Potiguar
An analysis was made of the realities of health care in small municipalities with a low Human Development Index, exclusively the action of PMM doctors who have attained a high coverage. PMM results show a mostly rural population at locations where the assignment of doctors becomes more difficult. Quantitative and qualitative indicators were analyzed and the PMM was found to be the central element in the reformulation of the Family Health Program (FHP) work process and the strengthening of Primary Health Care.
It shows how PMM was able to improve the health care access in the low income population of municipalities in areas where SMS could not achieve an appropriate assignment and retention of doctors. It shows how the presence of doctors in the Basic Health Units improves access and equity, the importance of the skills of doctors for Primary Health Care work because of their training and experience with family health care.