Challenges to access health faced by rural population and their perception regarding healthcare

Maria Maiely Bezerra Gomes, S. D. Santos, Jefferson Nunes dos Santos, Valdirene Pereira da Silva Carvalho, Ana Karine Laranjeira de Sá, Cláudia Fabiane Gomes Gonçalves, Valquíria Farias Bezerra Barbosa, Nelson Miguel Galindo Neto
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Abstract

The Brazilian nation has rich population diversity, and this makes it responsible for guaranteeing the social rights of all. In this perspective, this research seeks to categorize which are the main challenges in access to health that the rural populations face and to understand how the execution of this health care is carried out by professionals from the perspective of rural people. This is a crosssectional study with a qualitative approach, carried out at the Nossa Senhora Aparecida Settlement, located in the municipality of Pesqueira (Pernambuco state) in 2018. The results demonstrate that the challenges faced by settled families are due to the difficulty of access to health services. In view of this, the rural population chooses to keep their cultural practices focused on their health alive. Therefore, it is common to use herbal medicines and mystics related to religious beliefs in self-care practices. It was concluded that the current public policies have gaps in their implementation, especially in terms of accessibility, security, health education, equity and respect for cultural differences. In addition, there is precariousness at the national level of studies focused on the health determinants and determinants of the rural population, which makes it necessary that more research be carried out so that new public policies can emerge.
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农村人口在获得保健方面面临的挑战及其对保健的看法
巴西拥有丰富的人口多样性,这使它有责任保障所有人的社会权利。从这个角度来看,本研究试图对农村人口在获得保健服务方面面临的主要挑战进行分类,并从农村人口的角度了解专业人员如何执行这种保健服务。这是一项采用定性方法的横断面研究,于2018年在位于佩斯奎拉市(伯南布哥州)的Nossa Senhora aprecida定居点进行。结果表明,定居家庭面临的挑战是由于难以获得保健服务。鉴于此,农村人口选择保持以健康为重点的文化习俗。因此,在自我保健实践中使用草药和与宗教信仰有关的神秘主义是很常见的。结论是,目前的公共政策在执行方面存在差距,特别是在可及性、安全、卫生教育、公平和尊重文化差异方面。此外,在国家一级,针对农村人口的健康决定因素和决定因素的研究不稳定,因此有必要进行更多的研究,以便制定新的公共政策。
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