Table 1. Temporal trends of the indicators selected by components of the logical model of analysis of the Brazilian National Primary Health Policy (PNAB), Brazil, 2007 to 2020.
Indicator | Segment | Initial year | Final year | APC | 95%CI | APC trend | AAPC * | 95%CI | AAPC trend |
---|---|---|---|---|---|---|---|---|---|
Component: Territory/Enrollment | |||||||||
FHS population coverage (% of population covered by FHS) | 1 | 2007 | 2018 | 3.08 ** | 2.5; 3.7 | Upward | 1.9 ** | 0.6; 3.2 | Upward |
2 | 2018 | 2020 | -4.42 | -12.5; 4.4 | Stability | ||||
Component: Teams | |||||||||
Number of CHW | 1 | 2007 | 2016 | 2.6 ** | 1.5; 3.8 | Upward | 0.1 | -1.5; 1.6 | Stability |
2 | 2016 | 2019 | -7.3 ** | -13.0; -1.3 | Downward | ||||
Number of FHT | 1 | 2007 | 2018 | 4.5 ** | 3.8; 5.2 | Upward | 3.1 ** | 1.7; 4.5 | Upward |
2 | 2018 | 2019 | -4.5 | -13.3; 5.3 | Stability | ||||
Number of OHT I and II | 1 | 2007 | 2015 | 7.2 ** | 5.4; 9.0 | Upward | 3.3 ** | 1.6; 5.0 | Upward |
2 | 2015 | 2019 | -4.0 | -8.5; 0.7 | Stability | ||||
Number of NASF-AB teams I, II and III | 1 | 2007 | 2015 | 7.2 ** | 5.4; 9.0 | Upward | 3.3 ** | 1.6; 5.0 | Upward |
2 | 2015 | 2019 | -4.0 | -8.5; 0.7 | Stability | ||||
Component: Work Process | |||||||||
Number of home visits | 1 | 2013 | 2015 | 1428.7 ** | 1,071.1; 1,894.4 | Upward | 132.4 ** | 120.3; 145.2 | Upward |
2 | 2015 | 2020 | 9.4 ** | 3.1; 16.1 | Upward | ||||
Number of health education actions | 1 | 2013 | 2016 | 492.0 | -3.1; 3,514.5 | Stability | 77.0 | -5.2; 230.6 | Stability |
2 | 2016 | 2020 | -28.4 | -77.2; 124.8 | Stability | ||||
Number of group activities | 1 | 2013 | 2016 | 332.5 | -19.8; 2,233.3 | Stability | 42.4 | -20.4; 154.8 | Stability |
2 | 2016 | 2020 | -38.1 | 28.7; 79.8 | Stability | ||||
Component: Territory Planning and Management | |||||||||
Number of actions for territory diagnosing and monitoring | 1 | 2013 | 2015 | 2,684.5 ** | 530.9; 2,990.9 | Upward | 165.0 ** | 96.5; 257.5 | Upward |
2 | 2015 | 2020 | 3.4 | -25.8; 44.2 | Stability | ||||
Number of actions for territory monitoring and planning | 1 | 2013 | 2015 | 2,012.0 ** | 253.9; 2,504.9 | Upward | 131.0 ** | 61.2; 231.2 | Upward |
2 | 2015 | 2020 | -4.7 | -36.1; 42.2 | Stability | ||||
Component: Care for Priority Groups by FHT | |||||||||
Number of enrolled pregnant women starting prenatal care up to the 13th week | 1 | 2007 | 2009 | -24.9 | -48.0; 8.5 | Stability | -7.8 ** | -14.3; -0.8 | Downward |
2 | 2009 | 2015 | -1.3 | -7.2; 5.1 | Stability | ||||
% of pregnant women followed up with at least six visits up to the 20th week | 1 | 2018 | 2020 | 21.4 | -70.7; 403.4 | Stability | 21.4 | -70.7; -403.4 | Stability |
Number of enrolled hypertensive patients with at least one home visit/CHW/month | 1 | 2007 | 2015 | -8.8 | 0.2; -2.3 | Stability | -8.8 | 0.2; -2.3 | Stability |
% of hypertensive patients with blood pressure measured in the last semester | 1 | 2018 | 2020 | 29.1 | -80.2; -740.7 | Stability | 29.1 | -80.2; 740.7 | Stability |
95%CI: 95% confidence interval; AAPC: average annual percentage change; APC: annual percent change; CHW: community health workers; DATASUS: Brazilian Health Informatics Departments; FHS: Family Health Strategy; FHT: family health teams; NASF-AB: Expanded Family Health Care and Primary Care; OHT: oral health teams; PCT: primary care teams; SISAB: Information System for Primary Health Care.
Note: initial year = initial year of the segment; final year = final year of the segment;
* AAPC is calculated for the entire monitoring period for each indicator, representing the total period expressed by the segments;
** Significant by 95%CI.