O trabalho do assistente social no acesso da população à saúde em uma unidade de média complexidade na Cidade de Manaus

Abstract

The expansion of capitalism brought negative effects to the working class and its expressions of the social issue and demanded from the states the responsibility of these demands, through social public policies and to do so, required the work of several professionals, among them the social worker. This professional works seeking access and guarantees of social rights of the population using the social policies in which he is inserted. Health is a social policy, a field of action of the social worker, where the greatest diversity of demands that affect the living conditions of users is manifested, needs that determine health inequalities In this way this study analyzes the work of the social worker in the access of the population to health in a medium complexity unit in the city of Manaus, in order to unveil their demands, their challenges and strategies, in the contradictory context of the Brazilian neoliberal State. The sample comprises the table of 07 social workers working in the Codajás Polyclinic, who through forms answered the objectives, and together with 25 users interviewed provided material that were analyzed in the light of a theoretical framework relevant to health and social work. The results pointed out the main demands and activities performed by social workers as strategies, mainly the use of the social care network with referrals, socio-educational actions, without strengthen popular participation. He missed putting more on as's AS work here. Another problem pointed out by the research is the little knowledge that the population has of its rights, of the instances in which they should resort, because they are unaware of the structure of the SUS and its levels of care, and therefore use the Social Service of the Polyclinic, understood as place "where everything is resolved", causing a volume of demands that goes beyond the daily service of social workers. The research pointed out that the workspace is tensioned by the polarization between the Health Unit and the needs of users in the search for access to health services. Users, in the search for health services, show the multiple expressions of the social issue, such as unemployment and poverty, two important determinants of health. It is relevant that the social worker who works in this field incorporates into his work process the concept of health that considers the living conditions of the subjects as determinants and health conditions. In the State of Amazonas these conditions are aggravated by their specificities as geographical issues and low financing of promotion and prevention actions, with a negative impact on the life of the population and consequently on inequalities of access to health. Thus, the social worker has as a challenge the consolidation of the principles and values contained in his Code of Ethics and his Professional Political Project, also strengthening the principles and guidelines of the SUS.