Is the management of obesity in primary health care appropriate in Brazil?

Abstract

This study aims to describe the adequacy of basic health units (UBS) in Brazil

regarding structure and work process for obesity management and to evalu- ate user satisfaction with primary health care services. This cross-sectional

study was conducted with data from the 2013-2014 National Program for Im- proving Primary Care Access and Quality (PMAQ) – an initiative to assess

primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management.

Likewise, only 26.6% of the 114,615 users interviewed reported adequate ac- cess, and 27.8% of the UBS showed adequate service organization. Healthcare

was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South

and Southeast. Our results suggest that the country may still be at the ini- tial stage of systematizing care with obesity, presenting significant disparities

among regions.