Assessment of access to and use of primary care in the quilombola community of Ananindeua-Pará-Brazil

Objective: Evaluation of the use and accessibility of the Family Health Strategy using PCATool for the adult population of a quilombola community. Method: A descriptive cross-sectional, quantitative study had the participation of 92 residents of the Quilombola Community of Abacatal, older than 30 years, in the period from April 2015 to June 2015. For data collection, we used the Instrument for Primary Care Evaluation (PCATool) adult version, which consists of 87 items divided into ten components related to the attributes of Primary Health Care (PHC), for the study three dimensions were used: Degree of affiliation; Degree of use; Degree of accessibility. Results: It was shown that the majority of residents resort to the Family Health Strategy (FHS) when they become ill or need advice about their health; and some declared using other services, negatively assessing the attribute use. As for the availability of services, care and communication with the FHS, the answers were mostly negative. Conclusion: It was evidenced that there is no community recognition of the local FHS as its gateway, as it is not considered resolutive, and the study contributed in the sense that, when assessing it, it is indicated occasionally where it is necessary to move towards the achievement of comprehensive and quality care.