Access to viral hepatitis care: distribution of health services in the Northern region of Brazil

Rev Bras Epidemiol. 2019 Sep 26;22Suppl 1(Suppl 1):e190008. doi: 10.1590/1980-549720190008.supl.1. eCollection 2019.
[Article in English, Portuguese]

Abstract

Objective: To analyze the distribution of health care services for viral hepatitis and reported cases of viral hepatitis according to the health regions of Northern Brazil.

Method: It is an evaluative, descriptive and quantitative research considering viral hepatitis care services and reported cases in the Northern region of Brazil, using data collected from the National Registry of Health Establishments and the Notifiable Diseases Information System. Descriptive statistics and georeferencing, through software, were used to demonstrate the spatial distribution of services and reported cases.

Results: Viral hepatitis health services are distributed in a differentiated way; rapid tests are capillaries in the states; confirmatory tests and treatment are performed in some health regions, with a greater grouping of services in the capitals and their surroundings. Cases were reported across all regions, with areas of higher concentration near services.

Conclusion: The availability of services can favor access to prevention, diagnosis and monitoring of cases. However, organizational peculiarities of the health system and services highlight fragilities that have repercussions on the access and entirety of viral hepatitis care.

MeSH terms

  • Brazil / epidemiology
  • Disease Notification / statistics & numerical data
  • Geography
  • Health Services / statistics & numerical data*
  • Health Services Accessibility / statistics & numerical data*
  • Health Services Research
  • Hepatitis, Viral, Human / diagnosis
  • Hepatitis, Viral, Human / epidemiology*
  • Humans
  • Socioeconomic Factors
  • Viral Load / statistics & numerical data