Committing to Continuity: Primary Care Practices During COVID-19 in an Urban Brazilian Neighborhood

• Type of Material: Article
• Authors: Emily S Pingel, Emory University; Alexandra Llovet, Emory University; Fernando Cosentino, UBS Bom Retiro Octávio Augusto Rodovalho; Jeffrey Lesser, Emory University
• Language: English
• Date: 2020-12-16
• Publisher: SAGE Publications
• Publication Version: Final Published Version
• Copyright Statement: © 2020 Society for Public Health Education
• Final Published Version (URL): http://dx.doi.org/10.1177/1090198120979609
• Title of Journal or Parent Work: HEALTH EDUCATION & BEHAVIOR
• Grant/Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the Fulbright Commission and the National Security Education Program. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
• Keywords: urban health; risk and crisis communication; community health promotion; primary care; emergency; neighborhood
• Research Categories: Sociology, General

Abstract

Decreased engagement in preventive services, including vaccination, during the COVID-19 pandemic represents a grave threat to global health. We use the case of the Bom Retiro Public Health Clinic in São Paulo, Brazil, to underscore how continuity of care is not only feasible, but a crucial part of health as a human right. The long-standing relationship between the clinic and neighborhood residents has facilitated ongoing management of physical and mental health conditions. Furthermore, we demonstrate how the clinic’s history of confronting infectious diseases has equipped it to adapt preventive services to meet patients’ needs during the pandemic. Our academic–community partnership used a multidisciplinary approach, relying on analysis of historical data, ethnographic data, and direct clinical experience. We identify specific prevention strategies alongside areas for improvement. We conclude that the clinic serves as a model for continuity of care in urban settings during a pandemic.