A estratégia saúde da família: um estudo na realidade do bairro Mauazinho

Abstract

The present study aims to analyze the operation of the Family Health Strategy in the neighborhood of Mauazinho, from the perspective of users of the services received, highlighting the challenges that shape your daily life, and are associated with a network of System Unified Health to ensure comprehensive care for individuals and families. Thus, contextualize the historical process of implementation of SUS in Manaus, mapping the actions of public health policies from this scenario; In addition, the work in question intends to show how the actions are being undertaken to promote health in the operationalization FHS, and reveal the structure of the performance of professional staff with a focus on interdisciplinarity and to identify the process of social participation in the ESF. To achieve these objectives we conducted a qualitative case study conducted in the Family Health Unit L 18, in the neighborhood of Mauazinho, where data and information were collected throughout the study process, and then analyzed when the light of the theoretical. It should be stressed that this work will enable a better understanding, and the operationalization of the Family Health Strategy in the neighborhood of Mauazinho, as well as illustrate the program in Manaus. This study aims to contribute to the improvement of public health policies in the context of Manaus, in the applied social sciences, and the health sciences, as well as for better delivery of public policy in this context. Furthermore, the approaches of the categories, health promotion, interdisciplinary and social participation, raise understanding of the operation of the Family Health Strategy from the perspective of users in the social context to the appropriate right to health as integral to the citizen. In this study the main results show that: the performance of professionals in the reality of this research are isolated actions, one aimed at curative care, which echoes the traditional model of health care aimed at curing disease, one major factor which indicates the lowest level interdisciplinarity, multidisciplinarity in the team. Thus, the contrast between rhetoric and practice of health promotion and social participation in health, shows us a series of misunderstandings and contradictions in the construction of links between the community and team work. Well, it was evident that health actions carried out are focused on solving clinical problems. And the actions of health promotion involving the educational lectures, prevention campaigns and home visits, among other activities, were assessed as positive forms of health, but what is leaving families unhappy today is the absence of these activities in the community. And social participation through social control, is still incipient in the context analyzed, because people are still unaware of its importance in the process of health policies. Finally, it was possible to conclude from this study that family health forward, not turned over because we are faced with actions that further intensify paternalism, with actions not emancipatory. Where the political empowerment of families does not happen in democratic spaces where there is included and excluded. Included because it has access to health services, but the exclusion arises when there is community participation in social control or the actions of health education.