Conceptions of healths community work concerning health promotion / As concepções do agente comunitário de saúde sobre promoção da saúde

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

This research comprises a descriptive case study which intends to make a quantitative and qualitative approach of health promotion actions of community health Work (CHW). It aims to describe and analyze their actions, trying to identify the conceptions of health promotion which support them. The research took place in a Basic Health located downtown in Sao Paulo city and sixteen (16) community health work have been subject of study. Quantitative data were collected through a special form based on the proposal by Health Ministry to the axes of competences of CHW, such as the integration of the team with population, planning and evaluation, health promotion, prevention and monitoring of environmental and sanitary risk and to specific groups and illnesses. These data were organized by using the EXCEL program. Qualitative data were collected by using a focal group technique and aimed to deepen the results obtained with the investigation. The discussions on health promotion actions in the focal group were analyzed through the colective subject discourse method. According to the results, it was possible to verify that the analyzed workers had more ability to deal with health promotion actions which aimed to inform the family about a proper behavior related to health and very little competence in developing population autonomy regarding their health necessities. The discussion revealed three central discourses: the work of healths community work, the development of inter-sectoral activities in the community for the CHW, and the valuation of their actions for the community. The analysis of these discourses showed that the practices of health promotion of healths community work are focused on an hygienist view and not empowerment. The results have shown that the training of healths community work did not consider the theoretical basis of the new model of health promotion. Thus, the community health work have not understood what their real role is, and either have performed actions which promote the autonomy of the population. The purpose of this work is guarantee moments of discussion among the Family Health Program teams, theoretically based on the axes of competence of healths community work, in order to give to these professionals an opportunity to understand they real role, as well as to develop daily actions which allow population a greater participation in knowing their needs and organize proposals to solve their health problems

ASSUNTO(S)

collective health health community agent promoção da saúde saúde coletiva agente comunitário de saúde health promotion

ACESSO AO ARTIGO

Documentos Relacionados