ArticleBMJ paediatrics open2026
Improving and sustaining adolescent access to primary care in a socioeconomically vulnerable urban community in Brazil: outcomes of a quality improvement initiative.
Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundEnsuring effective inclusion of adolescents in primary care remains a major challenge within health systems. Despite structural efforts, adolescents still face barriers like stigma, low health literacy and limited access to preventive care.
aimTo assess the implementation of an initiative aimed at strengthening adolescent access to and use of primary care services.
methodsWe conducted a quality improvement (QI) study in a socioeconomically vulnerable community (
resultsThe percentage of adolescents accessing primary care increased by 29.8% during the intervention period (10.4%-13.5%), sustaining this improvement in the postintervention period (13.8%). Human papillomavirus vaccine administration steadily improved (from 52.0% to 64.4% to 72.4%). Consultations with physicians (from 3.4% to 5.7% to 8.1%), nurses (from 3.2% to 8.2% to 11.0%), multidisciplinary professionals (from 0.6% to 0.8% to 0.7%) and odontologists (from 1.5% to 4.4% to 4.3%) increased across all participating health centres.
conclusionApplying systematic and structured QI methodologies and implementation science strategies can enhance adolescent engagement in primary healthcare in limited-resource urban settings in Brazil. Our initiative offers a scalable, evidence-based and sustainable approach to strengthening adolescent health access, aiming for equitable service delivery.
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