PICS: um comparativo das ofertas nos estados do Nordeste, no quinquênio de 2019 a 2023

Abstract

Integrative and Complementary Health Practices (PICS) were consolidated in 1978 following the Alma-Ata declaration. In Brazil in 1986, at the 8th National Health Conference (8th CNS), it was deliberated the introduction of alternative health care practices within the scope of public services, with democratic access to therapeutic options. The aim of this article is to characterize the PICS offers by the Family Health Strategy (ESF)/Primary Health Care (PHC) teams in the northeastern states and to list the implemented practices and their evolution in the period from 2019 to 2023. This is an evaluative research, with a quantitative approach, of the time series documentary type in which secondary data were selected from procedures registered as PICS, carried out in the ESF, in the PHC, extracted from the official database of the SUS IT Department (DATASUS) and generated by TABNET. In the period from 2019 to 2023, 27 PICS were offered in the Northeast region, including Apitherapy, Aromatherapy, Art Therapy, Ayurveda, Biodanza, Bioenergetics, Family Constellation, Chromotherapy, Circular Dance, Bach Flower Remedies, Phytotherapy, Geotherapy, Hypnotherapy, Homeopathy, Laying on of Hands, Anthroposophic Medicine, TCM/Acupuncture, Meditation, Music Therapy, Naturopathy, Osteopathy, Ozone Therapy, Chiropractic, Reiki, Integrative Community Therapy, Thermalism/Crenotherapy, Yoga. Foot Reflexotherapy and Shantala were not offered in any state in the Northeast. The total number of PICS offered by the ESF/APS, in the Northeast region, in the period from 2019 to 2023 was 199.891, with 37.539 in 2019; 25.877 in 2020, 40.445 in 2021, 49.0001 in 2022 and 47.029 in 2023. The interrupted growing trend in 2020 was due to the Covid-19 pandemic.