ArticleJournal of community health2019
Effects of Urban Violence on Primary Healthcare: The Challenges of Community Health Workers in Performing House Calls in Dangerous Areas.
Article in Journal of community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 21 citations in OpenAlex.
- Article
- Domestic and urban violence faced by community health workers: a multidimensional analysis in vulnerable territories in northeastern Brazil during and after the COVID-19 pandemic.Lancet regional health. Americas · 2026Article
- Community violence in the HIV risk environment: a qualitative study among youth in Brazil.Cadernos de saude publica · 2026Article
- On the epistemology of resilience in public health: a novel perspective in a changing world.Frontiers in health services · 2024Article
- Thoughts on the construction of public health informatization for community health archives grass roots management system.Frontiers in public health · 2023Article
- On the brink of disruption: Applying Resilience Engineering to anticipate system performance under crisis.Applied ergonomics · 2022Article
- Assessing the efficacy of two new formulations of larvicide pyriproxyfen for the control of Aedes aegypti using dissemination stations in two sites of Rio de Janeiro city.Memorias do Instituto Oswaldo Cruz · 2020Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Community health workers in developing countries usually perform house calls in degraded and violent territories. Thus, in this paper we study the effects of urban violence in the performance of CHWs in poorly developed territories, in order to understand the challenges of delivering care to dangerous communities in developing countries. We conducted telephone surveys for 5 months in 2017, within a systematic sample of 2.000 CHWs based on clinics distributed along the health regions of the city of Rio de Janeiro, Brazil. We completed 766 interviews, approximately 40% of the sample, 86% man and 14% women. Most participants are 30 to 39 years old (35%), followed by 27% of 40 to 49 years old participants. As CHWs work on the sharp end of the healthcare system, responsible for outreaching, community education, counseling, and social support, our study presents contributions to government and management levels on working conditions inside communities, constraints in assistance, and difficulties in implementing primary care policies.
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