Safer access sistem: monitoring armed violence events in primary care units

Since 2009 the Rio de Janeiro City promotes the expansion of Primary Health Network. In this process has expanded coverage in vulnerable areas dominated by armed actors, where public services historically fail to act appropriately. The operations in these territories brought issues that induce the hypothesis that armed violence interferes with the development of the work process of the teams and managing these units. This monitoring aims to evaluate the impact that armed violence imposes the management, professional and patients in areas with violence, identifying the most vulnerable areas. Also helps in the planning of mitigation actions to the risks and possible damage. The method used is based on quantitative and qualitative analysis of the notifications made by the teams in the More Secure Access Notification System. With a historical series from 2013 to 2015, in the last year were registered 1761 notifications made by 113 health units, pointing 508 episodes of closing the units and 1253 of the suspension of home visitation due to violence in the territory. Partially, we can conclude that for the first time the municipality quantifies situations of violence affecting health services; Enables greater visibility of the impact of violence on health services; Enables the identification of vulnerable health facilities; It allows differentiated support units according to the characteristics of the territory.