Banca de DEFESA: DAYSE BATISTA SANTOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : DAYSE BATISTA SANTOS
DATE: 13/11/2023
TIME: 08:00
LOCAL: Remoto (Link: meet.google.com/pej-gper-jgc)
TITLE:

CHILDREN OF THE WIND

ADAPTATION AND VALIDATION OF PCATooL BRAZIL ADULT GYPSY PEOPLE VERSION – EXTENSIVE – FOR A CULTURALLY COMPETENT PRIMARY CARE

KEY WORDS:

Gypsy ethnicity; Primary Health Care; attributes; PCATool-Brazil. 

PAGES: 240
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Of probable Indian origin, little is known about official demographic data regarding gypsy people,, and the invisibility of the children of the wind has removed ethnicity from the priority public of SUS policies and programs. Therefore, although its doctrinal principles aim to guarantee access and health care without any form of prejudice and/or discrimination, the SUS still remains fragile with regard to actions directed at the gypsy community. Thus, this research aims to develop and validate the PCATool-Brasil VPA Cigana extensive version, based on the adaptation of the PCATool-Brasil extensive adult version, considering that, although this is the instrument adopted by the Ministry of Health to assess the effectiveness of the APS, it is not known if it meets the Gypsy ethnic specificities. This is quantitative and cross-sectional research aimed at adapting and validating an instrument, therefore, which incorporated techniques for evaluating psychometric properties involving five stages: the stage of translation and back-translation of the “cultural competence” dimension, stage of adaptation of the instrument, stage of content validation, construct (or factorial) validation and stage of reliability assessment. The research also involved a descriptive study, as it proceeded with the assessment of the quality of primary care in the context of the Gypsy community, using PCATool-Brasil Gypsy Version. The version here preliminarily validated of the PCAToL-BRASIL Gypsy Version was composed of 78 items, divided into seven essential attributes and three derived attributes of the Primary Care, in addition to the first four questions of Affiliation that were not included in the Exploratory Factor Analysis and it was applied to 274 people from gypsy communities in the municipalities of Buerareama, Camaçari, Dias D'Ávila, Eunapolis, Feira de Santana, Ibiquera, Ilhéus, Itabuna, Itaetê, Itambé, Itapé, Itapetinga, Jacobina, Jequié, João Dourado, Lapão, Mairi, Marcionilio Souza, Medeiros Neto, Miguel Calmon, Monte Gordo, Ruy Barbosa, Salvador, Tapiramutá, Teixeira de Freitas, Utinga, Várzea Nova and Vitória da Conquista. This solution presented 52.45% of the explained variance. With regard to the reliability of the instrument, with the exception of the attribute “Information System”, which obtained a Cronbach's alpha (α) of 0.52, all scales that measure the attributes obtained Cronbach's alphas (α) equal to or greater than 0, 70. Among the other attributes, the one with the lowest α was the derived attribute “Family Orientation” (0.64), but still considered acceptable. The other attributes had Cronbach's alphas that ranged from 0.70 to 0.93, which indicates that the subscales are reliable, according to this study. Finally, with regard to the quality of primary care, according to the Gypsy population investigated, the average scores of all attributes are below the midpoint of the scale (2.5). Therefore, according to the participants, the presence of essential and derived attributes is quite shy in the health service offered to them. Furthermore, all attributes, with the exception of affiliation, had low transformed scores (score < 6.6). The score cutoff point of 6.6 indicates that the answers to the instrument's items were placed in the 'probably yes' option, which, in turn, means that the participants consider that the characteristics of services recognized as oriented are minimally present to APS. The worst evaluated attributes were "Community Orientation", "First Contact - Accessibility", "Comprehensiveness - Services Provided (Male and Female)" and "Care Coordination - Care Integration", with average scores ranging from 2.12 to 2.61, therefore very low. "Longitudinality" and "Cultural Competence" were the best evaluated, but are still well below the cutoff point for the attribute to be considered satisfactory. It is hoped that this research will be able to minimize gyganophobia, provide opportunities for greater access and better care directed to Gypsy population in Brazilian public health services, especially in those that make up their preferred gateway, and encourage greater participation of gypsy comunities in collectives in defense of equity, health and life.

COMMITTEE MEMBERS:
Presidente - 1148978 - SANDRA ADRIANA NEVES NUNES
Interno - 1343877 - ALAMO PIMENTEL GONCALVES DA SILVA
Interno - 1220616 - RAFAEL ANDRES PATINO OROZCO
Externa ao Programa - 1212769 - JANE MARY DE MEDEIROS GUIMARAES - UFSBExterna ao Programa - 1032375 - FRANCISMARY ALVES DA SILVA - UFSBExterno ao Programa - 1127245 - MARCIO FLORENTINO PEREIRA - UFSBExterna à Instituição - POLLYANNA ALVES DIAS COSTA - UESC-BA
Externo à Instituição - RICARDO MATOS SANTANA - UNISC
Externo à Instituição - EMERSON ANTONIO ROCHA MELO DE LUCENA - UESC-BA