- Overall daily resilience (mean 3.17) exceeded crisis resilience (mean 2.97) across surveyed municipalities.
- Interior municipalities displayed better resilience indicators than capital cities, revealing heterogeneity across the region.
- Lower scores linked to diverse factors, while awareness factors scored highest; low CHA coverage, low PHC revenue per capita and urban violence influenced results.
Cien Saude Colet. 2026 Oct 30;31(10):e22582024. doi: 10.1590/1413-812320263110.22582024. eCollection 2026.
ABSTRACT
Primary health care (PHC) is an important tool for reducing health inequities in Brazil, and the PHC resilience capacity is linked to this goal. The objective of this article is to analyse the daily resilience and crise resilience of PHC in 8 municipalities in Northeast Brazil from the perspective of community health agents (CHAs). This was an observational, cross-sectional study with a quantitative approach. A questionnaire was administered to CHAs selected through stratified random sampling. Seven factors were scored, three regarding daily resilience and four regarding crisis resilience, and their overall means were calculated. The overall daily resilience score (3.17) was higher than the overall crise resilience score (2.97), and in general, municipalities in the interior of the region exhibited better resilience indicators than did capital cities. The factors Daily1-Diverse and Crisis3-Diverse had lower values than the other factors did, while the factors Daily3-Aware and Crisis1-Aware factors are notable for their highest scores. However, low CHA coverage, low PHC revenue per capita and urban violence may have influenced the findings. There is heterogeneity in the daily and crisis resilience of the municipalities, with better indicators identified for daily resilience and in interior municipalities compared with the capital cities.
PMID:42987078 | DOI:10.1590/1413-812320263110.22582024
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