A saúde auditiva em Manaus: reflexões sobre os serviços de atenção à saúde auditiva a partir do Centro Especializado em Reabilitação em Saúde Auditiva, Física e Visual (CER III)

Abstract

The Brazilian health policy is elevated to the status of public policy, duty of State and right of citizenship, to be enshrined in the Brazilian Constitution, together with the Welfare and Social Assistance. Since then, we have witnessed a continuous movement of advances and returns on the expanding access to various goods and services in the area of individual and collective health. Among those advances, we highlight the growing expansion of goods and services for people with disabilities. This expansion is the result of various social movements and intellectuals linked to the national and international causes. In 2002, there was the creation of the "Política Nacional de Atenção à Saúde da Pessoa Portadora de Deficiência", and in 2004, the establishment of the "Política Nacional das Pessoas Portadoras de Deficiência Auditiva", which was repealed with the emergency of the "Rede de Cuidado da Pessoa com Deficiência", in 2012, as part of the "Plano Viver sem Limite". In this context, there are the Specialized Centers of Rehabilitation which presuppose the promotion of comprehensive care according to the principles and provisions of the Brazilian health policy. Thus, we aim to analyze the hearing health care services dispensed by the Specialized Centers for Rehabilitation of Hearing Health, Physical and Visual (CER III) in Manaus. The methodology was developed considering three different times, but articulated. The methodological procedures used in the study refer to the use of qualitative approach, applying an interview script with open and closed questions to the technical team of the Auditory Module, besides of its coordinator. It is noteworthy that of all potential research subjects (10 people) was reached only 90% of what is proposed to investigate. The results show challenges which are by the shortage of human resources, equipment and materials which are related in part to insufficient allocation of financial resources that give account of the demands for health as well as in relation to the constraints linked to the current reform process of CER III. However, the team sees as positive the daily realization of access to hearing health in goods and services, even if they verify the limitations on the orders mentioned before. Also, we point out that with the completion of the reform of the CER III, and the return of the activities regularly with human, material and equipment in accordance with the care network insight the materialization of comprehensive care to the plaintiffs by hearing health in CER III in Manaus.