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Majority of patients with hypertension and diabetes undergo health care in SUS

Data show that Primary Care is a reference for Brazilians in the care of chronic non-communicable diseases.


Majority of patients with hypertension and diabetes undergo health care in SUS
The survey data indicate that SUS is a reference of care for Brazilians who have chronic non-communicable diseases.

Nov 20, Brasilia: Perception of health status, lifestyles, chronic diseases and oral health were the topics addressed in yet another module of the National Health Survey (PNS) 2019. The survey interviewed people aged 15 and over. However, to compare with the PNS 2013 results, the population aged 18 years or older was considered.



“Research is important to guide the policies of the Ministry of Health, especially in relation to chronic diseases and oral health. The portfolio has been working hard in these two areas, freeing up resources and expanding the teams to improve service throughout Brazil. After a detailed analysis of these data, we will certainly use them to continue implementing policies and qualify actions that are already underway ”, highlights the secretary of Primary Health Care, Raphael Parente.



Disclosed this Wednesday (18) by the Brazilian Institute of Geography and Statistics (IBGE) in partnership with the Ministry of Health, the survey data show that the Unified Health System (SUS) is a reference of care for Brazilians who have diseased chronic non-transmissible diseases (NCDs).


The study found that 24% of individuals claimed a diagnosis of hypertension in 2019, this being the most frequent among chronic diseases, with 38.1 million people in this condition. Of these, 72.2% said they had received medical care for hypertension less than a year ago in the country and 66.4% of them had had their last consultation at SUS. Health posts were the units most cited (46.6%) by patients when looking for appointments.


The same occurred in patients with diabetes, the fourth most common condition among chronic diseases. About 7.7% of the population was diagnosed with the disease (12.3 million people) and 80% said they had received medical care in the last year, which corresponds to 9.7 million people. Of these, 66.5% received care in the public health system, with 50% of the consultations made in one of the 41 thousand health posts distributed throughout the country.



“The production of information and analysis of the health situation supports the implementation of strategies in the SUS. The Ministry of Health has invested in expanding and improving coverage and analysis of mortality and morbidity data. The information is important for the monitoring of goals agreed nationally and internationally ”, says Luciana de Almeida Costa, director of the Department of Health Analysis and Surveillance of Noncommunicable Diseases (DASNT) of the Ministry of Health.



This year, the Ministry of Health has invested more than R $ 221 million to increase care and follow-up for people with chronic non-communicable diseases within the scope of Primary Care. SUS offers full follow-up and treatment for these diseases, with the distribution of medications when necessary. The care provided by Primary Care can prevent hospitalizations and future complications related to these diseases.


Oral health

PNS 2019 also raised information related to the care of Brazilians with oral health. The 2019 edition of the PNS shows improvements in the oral health self-care of Brazilians. About 93.6% of the people interviewed brush their teeth at least twice a day. In 2013, 89.1% brushed their teeth twice a day. About 63% of the population uses a toothbrush, toothpaste and dental floss to perform oral hygiene.


Self-care needs to be accompanied by dental care for the prevention and treatment of oral health problems. Brazil is one of the only countries in the world that offers this care together with assistance in primary and specialized care, free of charge and universally. Currently, SUS has more than 27 thousand oral health teams, 1,173 dental speciality centres and 2,884 prosthesis laboratories.


About 70 million people are registered in family health teams that have oral health care. The teams are qualified to do everything from prevention to rehabilitation in oral health.



The portfolio has promoted efforts to expand and qualify these services, with a series of actions such as readjusting the cost of oral health teams, expanding the federal resource by 10% and investing an additional R $ 88 million per year; transfer of R $ 15 million to purchase dental chairs for the new oral health teams implemented between 2019 and May 2020, benefiting 849 services across the country; and the accreditation of 1,883 new oral health teams to expand access to services by the Brazilian population.



In addition, the Ministry of Health invested R $ 190 million this year alone to adapt oral health services in the context of Covid-19, encouraging the safe resumption of dental care in health services.


Lifestyle

The most traditional dish in the country remains prevalent in the diets of Brazilians. About 68.3% of individuals reported consuming beans on a regular basis (five or more days a week). Approximately 13% of Brazilians had recommended regular consumption of fruits and vegetables. While 7.4% of adolescents had recommended consumption of fruits and vegetables, consumption among the elderly is 17.9%.


The survey also collected data on ultra-processed foods (the manufacture of which involves several steps, processing techniques and various ingredients): 14.3% of people aged 18 and over-claimed to consume five or more groups of this type of food the day before the interview, consumption in urban areas is twice as high as in rural areas. Regular consumption of soft drinks was observed by 9.2% and of box juice or powdered drink by 13.3% of Brazilians, with the consumption of both being two to three times higher among adolescents.



Alcohol consumption and smoking

In relation to alcoholic beverages, 26.4% of respondents aged 18 or older usually consume alcoholic beverages one or more times a week - 17.1% reported alcohol abuse in the last 30 days prior to the survey. The prevalence is higher among men (26%) than among women (9.2%).



PNS 2019 also shows a drop in the number of smokers in Brazil. About 12.8% of respondents aged 18 or over (20.4 million) declared themselves users of tobacco products, compared to 14.9% presented in 2013. The survey also pointed out that the percentage of exposure to secondhand smoke is 9.2% in the residential environment and 8.4% in the work environment.


Physical activity

The performance of the recommended level of physical activity (150 minutes per week for moderate activities and 75 minutes per week for intense activities) was reported by 30.1% of respondents. 42.6% said they practised physical activities at work, commuting to work (31.7%) or domestic activities (15.8%).


About 40.3% of adults were classified as insufficiently active (who do not practice physical activity or practised less than 150 minutes per week, taking into account leisure, work and commuting). The prevalence is higher in women (47.5%) than in men (32.1%).


The Ministry of Health increasingly encourages the population to do physical activities on a regular basis, to prevent and control diseases such as diabetes and hypertension. In December, the portfolio should launch the Guide to Physical Activity for the Brazilian Population. For 2021, actions are also planned to inform people that physical activity promotes several health benefits, in addition to the promotion of services already available in Primary Care, such as Health Academies.




Depression

PNS 2019 also raised that 10.2% of respondents were diagnosed with depression, which represents 16.3 million people in the country. More than half (52.8%) reported having received medical assistance in the past 12 months.


At the end of October, the Ministry of Health transferred more than R $ 65 million to expand and open 74 new Psychosocial Care Centers (CAPS), 100 Therapeutic Residential Services (SRT), two Reception Units (UA) and 144 Hospital Services of Reference (SHR) in Brazilian municipalities. During the current crisis, the portfolio reinforced mental health care - R $ 1.1 million was transferred in 2020 to expand these services in the public health network.


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