Uma análise da dimensão ético-política do trabalho de agentes comunitários de saúde do município de Vitória
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Data
2005-05-10
Autores
Reis, Luciana Bicalho
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Universidade Federal do Espírito Santo
Resumo
The changes that the Brazilian public health went through the last decades, with the Sistema Único de Saúde (SUS) and the Programa de Saúde da Família (PFS), arose big challenges referred to the assistance given to the population. In this context, the community health agent (ACS) is revealed as fundamental importance to this assistance quality, once its basic function is to develop an approximation/interlocution between the offered services and the cultural, linguistic and political universes of the assisted communities. This research analyses the ethical-political dimension present in ACS practices, or rather, it observes what kind of relation these professionals have been establishing with the community and what measure its acting has been shown as engaged to the transformation of concrete life conditions of the population. To make it possible, Unidade de Saúde da Família (Family Health Unity) from Vitória /ES was selected and ten agents were attended. It adopts the Participatory Observation Method that constituted the agents every day life activities follow up. The focal group technique was used in a way to access these workers conceptions about their own work and the health concept that permeates its practices. Data is analyzed through a genealogical-historical perspective, making them to be understood as social, political and historical force effects. It concluded that the agent acting brings progress, once it makes possible the assistance creation ways to be more contextualized, cordial to the assisted population real necessities. However, it ascertains that, even though agents see health as multiple determination effects (social, biological and subjective), their acting is still individually centered on people, proposing action with a broader character, aiming at mediating the social and political determinants of the illness/health phenomenon. This limitation is shown as the result of multiple determinants and not simply as a personal posture. The production demand imposed by Secretaria Municipal de Saúde; the election that elaborates the priorities, most of the time far from the real population necessities; the value not given by the professional team to the discourse and work made by agents, among other aspects, indicated the reformulation necessity just like the propose has been made real, to make possible the accomplishments of the agents work, as determined by PSF. Finally, it notes how established relations between the professional teams and the places occupied by the agents in the Program, have produced, in these workers, a state of suffering and sickness for not have legitimated its role and discourse within the formulation and execution process of the intervention proposes in the population.
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Palavras-chave
Agente Comunitário de Saúde , Community health agent , Dimensão ético-política , Ethical-political dimension , Programa Saúde da Família , Public health politics , Políticas Públicas de Saúde
Citação
REIS, Luciana Bicalho. Uma análise da dimensão ético-política do trabalho de agentes comunitários de saúde do município de Vitória. 2005. 212 f. Dissertação (Mestrado em Psicologia) - Universidade Federal do Espirito Santo, Centro de Ciências Humanas e Naturais, Vitória, 2005.