Navegando por Palavras-chave "Community health worker"

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    Afetividade e potência de ação na construção das práticas dos agentes comunitários de saúde na estratégia saúde da família
    (Universidade Federal de São Paulo (UNIFESP), 2016-03-18) Moura, Raul Franklin Sarabando de [UNIFESP]; Castro-Silva, Carlos Roberto de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The Community Health Worker (CHW)?s work, located between the health service and its community, is marked by a strong relational dimension. This worker, responsible for the mediation of these healthcare subjects? actions, builds his role based on previous knowledge and information received in his daily contact with colleagues and the population. His performance is built upon the combination of this knowledge with his own affective references, which will guide the manifestation of his thoughts and actions on the territories he passes through. Thus, we reflect upon the dimension of affectivity as a dialectical psychical category (LANE, 2006) and also Baruch Spinoza?s (2013) theory of the affects, according to commentaries and interpretations by Deleuze (2002) and Sawaia (2001a; 2001b), so we can comprehend its role in the building of this worker?s practices and its political implications, particularly in the context of a highly vulnerable territory. We understand as such, based on the concept of vulnerability discussed by Ayres, Paiva and Buchalla (2012), a territory whose material and socio-historical conditions are felt by its inhabitants as fragilizing, through the experience of inequities and situations that lead to ethical-political suffering (SAWAIA, 2001b). This research, based on those references, had as its objective to comprehend the role of affectivity in the politization of the work process and elaboration of politically transforming practices in the CHW?s actions within the Family Health Strategy (FHS) in highly vulnerable territories. This study was based on etnography applied to psychology (SATO; SOUZA, 2001), consisting on accompanying the routine of the healthcare service and the CHW during four months, using the technique of participant observation (MINAYO, 2010). Collected data was registered on field diaries (GEERTZ, 2013) and analyzed according to the Depth Hermeneutics (THOMPSON, 1995; DEMO, 2001) theory. The healthcare unit in which the study was conducted was in a moment of transition in its attention model, from the Community Health Worker Program (CHWP) to the FHS. Results point to the relevance of the CHW?s affective bond to his territory for sharing experiences with colleagues and the population; the supportive role played by the work team in understanding situations of vulnerability; the importance of building open relationships while respecting alterity in daily relations; and the impact of macropolitical aspects on the attention model?s transition. The CHW?s own affectivity, as it sensitizes him to the difficulties and inequalities of the territory, works in a political dimension as it fights against the naturalization and continuity of these situations. At the same time, this affectivity puts into action other care resources that lead to improvements. This delicate place which the CHW occupies speaks of the development of a subjectivity within a particular cultural context that, precisely due to this placement, can find its own solutions to local problems, even if restricted by macropolitical aspects. It?s the creation of a contextualized political action, brought up by the affective experience and questioning of one?s own reality.
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    Saúde mental na atenção básica no município do Guarujá/SP: a percepção de enfermeiros e agentes comunitários de saúde acerca de suas práticas na estratégia de saúde da família
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Gazignato, Elaine Cristina da Silva [UNIFESP]; Castro-Silva, Carlos Roberto de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The Family Health Strategy is the main gateway in primary health system even as the demands for mental health. However, these guidelines from the Ministry of Health are recent and require changes in the functioning of the health system, highlighting a closer look to the professional team of family health as their preparation and ability to cope with this demand that used to be directed to specialized services. In this sense, the objective of this study is to investigate the perceptions of nurses and community health workers of the Family Health Units in the city of Guaruja-SP as the demands of mental health. This is an exploratory and descriptive qualitative approach, data were collected in semistructured interviews and subjected to content analysis. We interviewed 05 community health workers and 05 nurses of all five Family Health Units the municipality. The results were organized into four thematic main: conceptions of mental health, work acting, inter-relationship and networking. Regarding conceptions in mental health can be observed that are related to changing patient behavior, living conditions that may contribute to the onset of disease and the person considered difficult to handle. In general, the referral to the specialist was cited as the most practiced, however, guidance, listening, encouragement and care practices also emerged as recurring. The links with staff, patients and families trigger feelings related to fear, discomfort, insecurity and powerlessness against the demand for mental health. Moreover, the close and constant interaction with the community and knowledge of this fact favors the bonds and shares of professionals. The relationship with family shows up it’s extremely important in the evolution of treatment, but often it is little strengthened, and the staff does not always show itself capable of accepting and sharing the doubts and anxieties, especially community health workers in relation to these patients. In this sense, there is need to strengthen the networking that despite some important initiatives is still incipient, and the importance of continuing education to prepare professionals to deal with this demand. The work of the Specialist Orientation mental health, defined as a technical support in specific areas to the responsible teams for the development of basic health, was cited as a suitable alternative strategy to deal with the issue of ignorance and inexperience of the healthcare family team, and may strengthen the practice of co-responsibility of patients needing such care. We consider data from that work articulated networking, continuing education and matricial are strategies that can generate positive results contributing to a service based on the principles and guidelines of the SUS and the Psychiatric Reform.