PRELIMINARY EVALUATION OF CUBAN DOCTORS OF THE MORE DOCTORS PROGRAM (MAIS MÉDICOS) WITHIN INDIGENOUS HEALTH SPECIAL DISTRICTS (IHSD) IN BRAZIL.

Introduction The main purpose of the More Doctors Program (MDP) (Mais Médicos Program) is to improve the access and quality of primary health care services (PHC), particularly in the least developed territories, where there is low socio-economic development and complex geographical access. The aim of this work is to present the preliminary results relating to the inclusion of Cuban doctors of the MDP in the IHSD, and its effects on the PHC services and on the health of the indigenous population of Brazil. Methodology A prospective cohort study, with a sample of 85 Cuban doctors who work at the IHSD was performed. The variables were grouped into six dimensions. The Brazilian version for professionasl of the PCATool was applied to measure the adequacy of services to the PHC strategy. Descriptive measures were used for qualitative and quantitative data, and statistical tests such as the Student t and Chi square. Logistics in addition to multiple linear regression, and canonical correlation were used to measure the extent and magnitude of the association between the variables. Results The main effects in the process of inclusion and the work of the doctors in the IHSD are related to the infrastructure of the Indigenous health services, and the conditions of transport and work safety. High percentage values for their insertion into the family health care strategy, the completion of the PHC teams, and their cultural adaptation as well as the perceived professional satisfaction related to the MDP were observed.