COPING WITH COVID-19 BY MUNICIPALITIES WITH LOW HDI IN MARANHÃO: A RESILIENT RESPONSE?

Abstract

This article aimed to analyze the response of the poorest municipalities in the state of Maranhão to the COVID-19 pandemic, from the perspective of resilience. This is an ecological, observational and analytical study. The data were extracted from the original research "Facing the COVID-19 pandemic: reorganization of the Health Care Network in Maranhão", in 2021 and DATASUS of the Ministry of Health, 2021. The results indicated that 97% of the municipalities had coverage of Family Health Strategy teams, from 80 to 100%, and 57% of these exclusively offer PHC services; 100% registered suspected and confirmed cases of Covid-19; 97% have adopted measures to contain the transmissibility of the virus and implemented a flow of care for suspected and confirmed cases of Covid-19. The response of the municipalities indicates that PHC was active, although it has weaknesses in support and logistical support. Actions of the governance system were verified with the implementation of restrictive measures with community participation. No significant correlations were found between HDI-M and the outcome of confirmed cases. The results suggest that the poorest municipalities in the state responded resiliently to the COVID-19 pandemic.