Estratégia de Saúde da Família: a melhor aposta para um sistema de saúde orientado para a proteção de pessoas e conquistas civilizatórias

The ESF – Estrategia de Saude da Familia (Family Health Strategy) remains the best alternative to offer coordination of care and access to the Brazilian SUS – Sistema Unico de Saude (known as Unified Health System). However, since the 1990s, its structuring has been marked by significant contradictions, due to the fragility of its administrative policy, with little progress in the consolidation of its attributes, as well as the limits of its clinical governance policy, often generating iniquities in care. Analyzing the phenomenon of the revision of the PNAB – Politica Nacional de Atencao Basica (National Policy on Primary Health Care), which is assumed to be a deregulatory agenda on the gateway to system, we seek to indicate possibilities of confrontation to consolidate the model of the Family Health Strategy in Brazil and to strengthen the entire health system.