Integralidade e longitudinalidade da atenção primária à saúde da mulher: uma análise de três municípios amazônicos / Integrality and longitudinality of primary care for women's health: an analysis of three amazonian municipalities
The State of Amazonas has riparian municipalities that, due to their peculiarities, are a challenge for the organization of Primary Health Care (PHC). This study aimed to evaluate the integral attributes and longitudinality of PHC to Women's Health in reproductive age in three municipalities of the state, because diseases preventable by PHC are present at high incidence in this population. This is a cross-sectional, exploratory and quantitative study that used the Primary Care Assessment Tool (PCATool) instrument - Adult version - to interview 857 women. The results were unsatisfactory in the evaluation of the two attributes, longitudinality and Integrality, with significant differences between the municipalities. In the PHC evaluation on issues of epidemiological relevance for the health of Amazonian women, the results showed that prenatal care and preventive examination for cervical cancer were available for about 90% of the women. Counseling for HIV testing was reported by more than 60% of the women interviewed. Therefore, this study identified the limits and challenges of Primary Health Care for Women in these municipalities, reinforcing the importance of evaluation processes as tools for better management of public health policies.