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Reach of “VAMOS” program in basic healthcare - organizational barriers and facilitators

Abstract

Objective

: To investigate the organizational barriers and facilitators to the reach of the “Active Life Health Improvement Program” (or VAMOS) implemented in two Basic Health Units (BHU) in Santa Catarina, Brazil.

Method

: An experimental study was carried out, based on the RE-AIM framework (http://www.re-aim.org/). Barriers and facilitators were identified through a focus group, semi-structured interview and content analysis.

Results

: In terms of reach, of the 297 Basic Health Care (BHC) users from the two BHU, 51 elderly people participated, a rate of 17.2%. One notable barrier identified was the lack of support from health teams, while the recommendation of the program by health professionals was found to be a facilitator.

Conclusion

: The VAMOS program has the potential to be incorporated as a public policy in the process of health care and promotion in BHC. It is an unprecedented strategy in Brazil, aimed at behavioral change, using a sustainable system, the BHU, which has a considerable population reach.

Keywords:
Program Evaluation; Primary Health Care; Healthy Lifestyle; Health of the Elderly

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