Estratégia saúde da família no combate às arboviroses –prevenção, controle do vetor, assistência e educação em saúde

Arboviruses –such as dengue, Zika,chikungunya, and yellow fever –still pose an urgent challenge to public health in Brazil. These diseases primarily affect tropical and subtrop-ical regions, where the hot and humid climate favors the proliferation of the Aedes aegyptimosquito, the main vector of these infections. Unfortunately, the increasing number of cases in recent years not only concerns health professionals but also highlights the need for more robust, integrated, and continuous measures involving prevention, vector con-trol, population assistance, and, aboveall, health education. In this context, the Family Health Strategy (FHS) stands out as a powerful pathway in tackling these diseases. By operating directly in communities and working closely with families, the FHS becomes a bridge between health services and people’s concrete realities. This study is guided by the following question: how has the Family Health Strategy contributed to combating arboviruses through actions of prevention, vector control, care, and health education across Brazilian territories?More than mapping practices, we aim to reflect on how epi-demiological surveillance, comprehensive care, and health education –when combined with strong ties between health teams and communities –become essential tools. Ulti-mately, it is in the articulation between technical and popular knowledge, between listen-ing and acting, that we find pathways to an effective and sustainable response to this issue. The theoretical framework draws from Starfield (2002), McKeown (1980), Chan (2008), Roeser et al. (2012), Gubler et al. (2014), Chakraborty (2008), Kovats et al. (2003), Paim (2006; 2010; 2021), Giovanella (2008; 2012; 2019), Teixeira & Solla (2006), Morosini & Corbo (2006), Mendes (2011), Macêdo & Bispo Júnior (2024), Freire (2019), Almeida et al. (2018), Rodrigues & Eberhardt (2024), Oliveira & Caprara (2019), Wermelinger (2022), Tapia-López et al. (2019), Mafra & Antunes (2015), Figueiredo et al. (2012), Gibbs (2009), Biff et al. (2020), Bispo& Moreira (2018), among others, as well as doc-uments from the World Health Organization (2010), the Alma-Ata Declaration (1978), and publications from the Brazilian Ministry of Health (2010; 2009; 2017). The research adopts a qualitative approach (Minayo,2007), bibliographic (Gil, 2008), with a compre-hensive analytical perspective (Weber, 1949). The findings reveal that the Family Health Strategy is more effective in combating arboviruses when integrated with epidemiologi-cal surveillance, territorial vector control, and popular health education. Community ef-forts, qualified welcoming, and the use of light technologies were identified as factors that strengthen ties with the population –provided they are linked to continuous actions and sustainable public policies. Moreover, the study highlights that institutional fragmen-tation, underfunding, and goal-driven logic hinder the effectiveness of Primary Health Care (PHC). Lastly, it emphasizes that dialogical educational practices and the apprecia-tion of local knowledge enhance the effectiveness of prevention and care strategies.