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- ItemAcesso aberto (Open Access)Educação Alimentar e Nutricional no contexto de vulnerabilidade social: Um estudo de caso(Universidade Federal de São Paulo (UNIFESP), 2019-12-03) Nogueira, Deborah Batista [UNIFESP]; Furtado, Juarez Pereira [UNIFESP]; http://lattes.cnpq.br/6869345414404363; http://lattes.cnpq.br/6984403793122884; Universidade Federal de São Paulo (UNIFESP)Sabe-se que hábitos alimentares são influenciados e determinados por vários fatores, que incluem questões socioeconômicas, culturais, ecológicas, crenças e valores. Com o desafio de adequar uma estratégia de educação nutricional ao contexto de vulnerabilidade social, este trabalho apresenta o desenvolvimento de um grupo em uma unidade da Estratégia de Saúde da Família no Morro da Penha, localizado no município de Santos, SP, procurando estimular à autonomia dos participantes em suas escolhas alimentares. Entendendo que essa autonomia demanda constante processo educativo, a Educação Alimentar e Nutricional foi utilizada como ferramenta a fim de minimizar os impactos das desigualdades sociais.
- ItemAcesso aberto (Open Access)Percepção de médicos da estratégia de saúde da família do município de São Paulo: o cotidiano do trabalho médico sob a gestão de organizações sociais(Universidade Federal de São Paulo, 2015-12-17) Ballarotti, Bruna [UNIFESP]; Junqueira, Virginia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This qualitative study aimed to identify perceptions of physicians hired by Social Organizations (SO) in the Family Health Strategy (FHS) of São Paulo, about the forms of management and its relations with their daily work. Regarding the method, the search for physicians was done through the snowball sampling technique, and interviews were conducted from a semi-structured script. The content analysis technique was used to the transcripts. As a result, five physicians were interviewed, they have worked in three regions, seven districts of the city of São Paulo and hired by five different SO. Four out of five respondents were physicians with expertise in the area, presenting, therefore, identification with Primary Health Care work. Regarding the analysis of the interviews, the categories extracted were: labor relations, management, work organization and democratization. Overall perceptions dialogued with the literature on various topics: multiplicity of physicians working ties in Brazil, including concurrent ties between the public service and private service; the lack of a proper workforce management directed to the SUS and the FHS; high turnover in FHS; the contradictions between the formal defense of SO as a more efficient management model for the SUS and the daily work, in which the majority of physicians did not report benefits; the infrastructure limitations; the workers´ autonomy limitations; work overload; the work process under vertical and rigid management formats; the work evaluation and supervision occur mainly through quantitative targets set at a central level; the conflicting relations with the goals, sometimes naturalized, sometimes circumvented; threats on workers to reach the goal; the quality of service are not addressed in the daily work; the existence of meetings that had limited power of decision; the failure to implement the democratization policy of labor relations in the SUS. More research is needed in order to bring up elements for analysis of the SUS, for beyond the numbers shown by social organizations, municipal and federal governments.
- ItemSomente MetadadadosO processo de trabalho dos agentes comunitários de sáude em território de alta vulnerabilidade(Universidade Federal de São Paulo (UNIFESP), 2015-10-19) Silva, Simone Percincula da Rocha [UNIFESP]; Castro-Silva, Carlos Roberto de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The work processes of community health workers can be characterized by the set of measures taken in the performance of duties with the aim of health promotion, disease prevention, treatment, control and recovery. The technologies systematize everyday practices, and help to closer ties between the community and the health unit. This study aimed to analyze the work processes of community health workers in highly vulnerable territory. It is understood that in the health field are involved social relations between the professionals involved in the care, users and subjectivity. In this context, the survey was conducted in an exploratory manner, and qualitative approach, whose data were collected in semi-structured interviews and subjected to content analysis. They interviewed seven community health workers crowded at the clinic of the family from Fisherman's Vil lage, in Cubatão / SP. The results were organized into three main themes: career, work process and the learning process. Regarding the professional path, we can see that the functions previously performed were related to the experiences and opportunities experienced. But the work process can be seen in different aspects such as identification with the area of coverage, verification of vulnerable areas, and health education. The learning process begins at the entrance to the family health strategy by integrating the health unit services; the training in service, technical course of community health agents and the development of activities are issues highlighted in this thematic cluster. Thus, we consider the need to strengthen the work of community health workers with the multidisciplinary team, as it found that the problems faced can be related to difficulties in communication among its members.