Unidade de Saúde Familiar Rural, em Manaus-AM: estudos e propostas

Abstract

Basic Health Units are considered the gateway to primary health care, and their design should cater to the specific needs of the population, including possessing a basic infrastructure that takes into account factors such as demographic density, composition, team activities, population profile, and the health actions and services to be provided. In Manaus, within the Municipal Health Plan, a strategic document defining goals of the Municipal Health Secretariat, emphasis is placed on the renovation of Rural Family Health Units by 2025, including the one identified as USFR Nossa Senhora do Livramento, addressed in this work, with the expectation of contributing to the renovation, expansion, and adaptation of this important health care facility located in the Tupé Sustainable Development Reserve in the rural area of this municipality. In this regard, a comprehensive characterization of the situation of this rural basic health unit in 2023 is presented - routines and service teams, users and physical infrastructure, complementing and thus providing essential inputs for planning and implementing the necessary adjustments for its proper functioning. Reference studies on the topic and related subjects were conducted, data were collected from institutional archives, and river trips to the rural location of the health unit in question were undertaken, obtaining field information primarily through measurements, observations, and active listening to staff and users. Diagnoses of the building and its respective building systems are presented, developed in light of Brazilian legislation, technical standards, and local demands, as well as corresponding proposals for improvements to this physical infrastructure, including building installations, aiming to optimize primary health care services in rural communities of Manaus, the capital of Amazonas, Brazil.