{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T01:41:04Z","timestamp":1770514864145,"version":"3.49.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"04","content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec id=\"S146342361700072X_abs1\" sec-type=\"general\"><jats:title>Aim<\/jats:title><jats:p>This study analyzed the management of intestinal parasitic infections in the Family Health Strategy covering Brazilian urban slums.<\/jats:p><\/jats:sec><jats:sec id=\"S146342361700072X_abs2\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>The Family Health Strategy is the preferred strategy for providing public, community-based primary health care in the Brazilian Unified Health System (SUS). Through this strategy, Family Health teams are responsible for the health of residents of a defined territory, including health promotion, health education and control of neglected tropical diseases such as intestinal parasitic infections.<\/jats:p><\/jats:sec><jats:sec id=\"S146342361700072X_abs3\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Knowledge, attitudes and practices surveys were applied with Family Health team members (<jats:italic>n<\/jats:italic>=58) and patients (<jats:italic>n<\/jats:italic>=571) of an agglomeration of Brazilian urban slums in Rio de Janeiro.<\/jats:p><\/jats:sec><jats:sec id=\"S146342361700072X_abs4\" sec-type=\"general\"><jats:title>Findings<\/jats:title><jats:p>The management of intestinal parasitic infections and health promotion were limited. Health education was not considered an essential aspect of team members\u2019 work and did not include environmental or social determinants of health. Community health workers and urban slum residents presented similar knowledge, attitudes and practices regarding intestinal parasitic infections.<\/jats:p><\/jats:sec><jats:sec id=\"S146342361700072X_abs5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Multiple, competing demands promote prioritization of the aspects of care where curative, biomedical activities predominate over prevention and an integral approach to health. However, the complex processes involving the cycle of poverty and disease go beyond the biomedical, limiting the potential for health in urban slums. Implications include a need to better prepare health professionals for primary health care services through reflection on local concerns and the social determinants of health, highlighting the importance of territorialized care and permanent education.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s146342361700072x","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T09:24:02Z","timestamp":1510133042000},"page":"333-343","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["The Brazilian Family Health Strategy and the management of intestinal parasitic infections"],"prefix":"10.1017","volume":"19","author":[{"given":"Caroline Ferraz","family":"Ignacio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha Macedo","family":"de Lima Barata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Henrique Almeida","family":"de Moraes Neto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,11,8]]},"reference":[{"key":"S146342361700072X_ref33","year":"2006"},{"key":"S146342361700072X_ref20","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1501140"},{"key":"S146342361700072X_ref18","volume-title":"Territ\u00f3rio, Participa\u00e7\u00e3o Popular e Sa\u00fade: Manguinhos em debate","year":"2010"},{"key":"S146342361700072X_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-9-25"},{"key":"S146342361700072X_ref15","first-page":"e56","volume":"59","year":"2017","journal-title":"Revista do Instituto de Medicina Tropical de S\u00e3o Paulo"},{"key":"S146342361700072X_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/1524839914541442"},{"key":"S146342361700072X_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-010-9322-x"},{"key":"S146342361700072X_ref13","first-page":"10","volume":"21","year":"2013","journal-title":"Revista Latino-Americana de Enfermagem"},{"key":"S146342361700072X_ref7","volume-title":"Pol\u00edtica Nacional de Aten\u00e7\u00e3o B\u00e1sica","year":"2012"},{"key":"S146342361700072X_ref12","volume-title":"Pedagogia do oprimido","year":"2007"},{"key":"S146342361700072X_ref6","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-12902007000100006"},{"key":"S146342361700072X_ref11","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2009000100007"},{"key":"S146342361700072X_ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0182336"},{"key":"S146342361700072X_ref10","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2004000300015"},{"key":"S146342361700072X_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7244.1246"},{"key":"S146342361700072X_ref3","volume-title":"Nota T\u00e9cnica no. 1\/2011","year":"2011"},{"key":"S146342361700072X_ref2","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-81232011000100034"},{"key":"S146342361700072X_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0085-2"},{"key":"S146342361700072X_ref29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001620"},{"key":"S146342361700072X_ref28","volume-title":"Bases da Parasitologia M\u00e9dica","year":"2008"},{"key":"S146342361700072X_ref27","first-page":"523","volume":"123","year":"2015","journal-title":"Servi\u00e7o Social & Sociedade"},{"key":"S146342361700072X_ref26","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2007001600011"},{"key":"S146342361700072X_ref25","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182354"},{"key":"S146342361700072X_ref24","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1590\/S1981-77462014000100008","volume":"12","year":"2014","journal-title":"Revista Trabalho, Educa\u00e7\u00e3o e Sa\u00fade"},{"key":"S146342361700072X_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00436-010-1861-7"},{"key":"S146342361700072X_ref22","volume-title":"O Desafio do Conhecimento \u2013 Pesquisa Qualitativa em Sa\u00fade","year":"2010"},{"key":"S146342361700072X_ref21","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1590\/S0034-89101988000200010","volume":"22","year":"1988","journal-title":"Revista de Sa\u00fade P\u00fablica da Universidade de S\u00e3o Paulo"},{"key":"S146342361700072X_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e31829bfa60"}],"container-title":["Primary Health Care Research &amp; 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