02195nas a2200253   4500000000100000008004100001653002100042653002400063653002900087653003300116653001200149100001500161700001800176700001900194700001900213700001400232700002600246700001900272700002300291245012900314856009700443300000900540520139200549       2024                            d10aWork Performance10aPrimary Health Care10aCommunity health workers10aCommunicable Disease Control10aLeprosy1 aBolorino N1 aGonçalves LC1 ade Freitas FMB1 a de Araújo NM1 aLuquini V1 aBandeira Rodrigues LB1 a de Mattos TSS1 aMeneguetti Pieri F00aEvaluation by community health agents of the attributes of Primary Health Care for fighting leprosy: a cross-sectional study  uhttps://docs.bvsalud.org/biblioref/2024/06/1560800/6700-article-text-41149-1-10-20240623.pdf  a1-103 a<p><strong>Objective: </strong>To evaluate whether the attributes of Primary Healthcare are present in leprosy control actions in Londrina from Community Health Workers’ (CHW) perspectives.</p>

<p><strong>Methods: </strong>Observational and evaluative study. Data collection occurred between January and March 2020 in Londrina, Paraná, using the questionnaire “Primary Care Assessment Tool (PCATool) - Hansen’s disease - CHW version” and a population-based census of 246 CHWs from 52 Primary Healthcare Units. The analyses used a cutoff point (≥ 6.6), central tendency, and dispersion measures. One-way ANOVA and Tukey’s post hoc tests were used to analyze differences.</p>

<p><strong>Results: </strong>The general performance towards the primary healthcare attributes were evaluated as strong (mean = 6.95 / SD = 1.08) and the essential score (mean = 7.39 / SD = 1.0). On the other hand, the derived score was evaluated as poor (mean = 6.07 / sd = 1.06). Concerning the Access attribute, the rural zone had a lower score than the urban (mean = 4.47 / SD = 1.63).</p>

<p><strong>Conclusion: </strong>The study highlights issues that can be improved, such as first contact access, catalog of services offered to leprosy patients, information provided to the community, professional training, and differences in PHC performance between urban and rural regions.</p>