Experience with the implementation of the Model of Family and Communitybased Integrated Health Care within the National Family Health Strategy

Abstract

The Model of Family and Community-based Integrated Health Care (MAIS-BFC, by its initials in Spanish) is a set of strategies, procedures and tools that, when complemented, organize the Health System in order to respond to the health needs of individuals, families and the community, allowing comprehensive care levels of health. Following the steps for the implementation of a MAIS-BFC, an experience is presented from the National Family Health Strategy corresponding to 2010- 2015. The intervention of 244 649 households is reported until October 2015, constituting 11.6% of vulnerable households. Likewise, 17 250 educational sessions were developed where priority was given to health promotion issues. As a result, 37 303 pathologies were identified through the family health visit, of which 58.2% were chronic pathologies and 49.8% were non-chronic pathologies detected but never treated. Regarding the development of skills in human resources, 46 technical assistances was carried out through workshops in 2013 with 1 376 people trained, 23 workshops in 2014 with 1 054 trained and 29 in 2015 with 1 468 people trained. Regarding the baseline of macro processes carried out in 28 establishments, in 2014 there were 1 274 health establishments implementing the MAIS-BFC, increasing the figure to 1 703 health establishments, corresponding to 21.8% of first level health establishments in the country. All this meant an improvement in access to health care, especially at the beginning of an exhaustive control that would benefit by avoiding complications in the future.