Family Medicine & Primary Care Review

Full text

2/2026 vol. 28
Review paper

Family Health Strategy and its impact on primary care: a scoping review

  1. Public Health Department Medical Faculty of YARSI University Islamic University in Cempaka Putih, Central Jakarta,
    Indonesia

Family Medicine & Primary Care Review 2026; 28(2): 215–220

Data publikacji online: 2026/06/22
Article file
18 FM&PCR 2 26 - R - Wijayanti - 1934 - Family health strategy (2).pdf
Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
  1. Wadge H, Bhatti Y, Carter A, et al. Brazil’s family health strategy: Using community health workers to provide primary care. Commonw Fund [Internet] 2016; 40 [cited 27.12.2025]. Available from URL: http://www.commonwealthfund.org/publications/case-studies/2016/dec/brazil-family-health-strategy.
  2. Giovanella L, Bousquat A, Schenkman S, et al. The family health strategy coverage in Brazil: What reveal the 2013 and 2019 national health surveys. Cienc e Saude Coletiva 2021; 26: 2543–2556.
  3. Garcia FL, Socal M. Impacts of the 2017 Brazilian National Primary Care Policy on public primary health care in Rio de Janeiro, Brazil. Cad Saude Publica 2022; 38(5): 1–13.
  4. Weiss-Laxer NS, Crandall AA, Hughes ME, et al. Families as a Cornerstone in 21st Century Public Health: Recommendations for Research, Education, Policy, and Practice. Front Public Health 2020; 8: 503, doi: 10.3389/fpubh.2020.00503.
  5. Kessler M, Thumé E, Marmot M, et al. Family Health Strategy, Primary Health Care, and Social Inequalities in Mortality Among Older Adults in Bagé, Southern Brazil. Am J Public Health 2021; 111(5): 927–936.
  6. Basu S, Hone T, Villela D, et al. Contribution of primary care expansion to Sustainable Development Goal 3 for health: A microsimulation of the 15 largest cities in Brazil. BMJ Open 2022; 12(1): 1–8.
  7. Bastos ML, Menzies D, Hone T, et al. The impact of the Brazilian family health on selected primary care sensitive conditions : A systematic review. PLOS ONE 2017; 12(8): 1–14.
  8. Guerra AB, Guerra LM, Probst LF, et al. Can the primary health care model affect the determinants of neonatal, post-neonatal and maternal mortality? A study from Brazil. BMC Health Serv Res 2019; 19(1): 1–11.
  9. Silva ESAD, Paes NA. Bolsa família programme and the reduction of child mortality in the municipalities of the Brazilian semiarid region. Cien Saude Colet 2019; 24(2): 623–630, doi: 10.1590/1413-81232018242.04782017.
  10. Souza RA, de, Nery JS, Rasella D, et al. Europe PMC Funders Group Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality. Int J Tuberc Lung Dis 2018; 22(11): 1300–1306, doi: 10.5588/ijtld.17.0907.
  11. Cavalcante DFB, Brizon VSC, Probst LF, et al. Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998–2013. PLOS ONE 2018; 13(6): e0198428, doi: 10.1371/journal.pone.0198428.2018;1–10.
  12. Campelo Barroso Carneiro VC, Ribeiro de Oliveira PT, Rassy Carneiro S, et al. Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon. PLOS ONE 2021; 16(4): e0248823, doi: 10.1371/journal.pone.0248823.
  13. Campelo Barroso Carneiro VC, Ribeiro de Oliveira PT, Rassy Carneiro S, et al. Impact of expansion of primary care in based panel child health: a population – study in municipalities in the Brazilian Amazon. BMJ Open 2022; 12(3): e048897, doi: 10.1136/bmjopen-2021-048897.
  14. Guedes MBOG, Assis SJC, de, Sanchis GJB, et al. COVID-19 in Brazilian cities: Impact of social determinants, coverage and quality of primary health care. PLOS ONE 2021; 16(9): e0257347, doi: 10.1371/journal.pone.0257347.
  15. Pescarini JM, Campbell D, Amorim LD, et al. Impact of Brazil’s Bolsa Familia Programme on cardiovascular and all-cause mortality: a natural experiment study using the 100 Million Brazilian Cohort. Int J Epidemiol 2022; 51(6): 1847–1861.
  16. Moraes RB, Sfreddo CS, Ardenghi TM. Impact of the Brazilian Family Health Strategy on child oral health-related quality of life: A cohort study. Braz Oral Res 2021; 35: 1–11.
  17. Durovni B, Saraceni V, Puppin MS, et al. The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data. J Public Health (Oxf) 2018; 40(3): e359–e366.
  18. Jesus GS, Pescarini JM, Silva AF, et al. The effect of primary health care on tuberculosis in a nationwide cohort of 7·3 million Brazilian people: a quasi-experimental study. Lancet Glob Health 2022; 10(3): e390–e397.
  19. Postali FAS, Diaz MDM, Ferreira-Batista NN, et al. Primary care coverage and individual health: evidence from a likelihood model using biomarkers in Brazil. BMC Health Serv Res 2021; 21(1): 1–8, doi: 10.1186/s12913-021-07329-9.
  20. Oliveira BLCA, Cardoso LFC, Dominice RO, et al. The influence of the Family Health Strategy on hypertensive adults in health care use in Brazil. Rev Bras Epidemiol 2020; 23: e200006, doi: 10.1590/1980-549720200006.
  21. Hone T, Saraceni V, Coeli CM, et al. PLOS MEDICINE Primary healthcare expansion and mortality in Brazil ’ s urban poor: A cohort analysis of 1.2 million adults. PLOS Med 2020; 777: 1–20, doi: 10.1371/journal.pmed.1003357.
  22. Nora ÂD, Knorst JK, Comim LD, et al. Self-perceived neighborhood factors and OHRQoL among adolescents : a population-based study in southern Brazil. Braz Oral Res 2022; 36(003): 1–11.
  23. Exemplars in Global Health [Internet] 2023. Why is Brazil An Exemplar? [cited 29.12.2025]. Available from URL: https://www.exemplars.health/topics/community-health-workers/brazil/why-is-brazil-an-exemplar.
  24. Grossman‐Kahn R, Schoen J, Mallett JW, et al. Challenges facing community health workers in Brazil’s family health strategy: A qualitative study. Int J Health Plann Manage 2018; 33(2): 309–320.
  25. Exemplars in Global Health [Internet] 2023. What did Brazil Do? [cited 29.12.2025]. Available from URL: https://www.exemplars.health/topics/community-health-workers/brazil/what-did-brazil-do.
  26. Exemplars in Global Health [Internet] 2023. Challenges: Community Health Workes in Brazil [cited 29.12.2025]. Available from URL: https://www.exemplars.health/topics/community-health-workers/brazil/challenges.

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