O cotidiano em questão: refletindo sobre a avaliação do Programa de Saúde da Família

• Autor(a) principal: Alves, Marcelo da Silva
• Data de Publicação: 2005
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/19006
• topic: Evaluation; Family health program; Social inclusion; Avaliação; Programa de saúde da família; Inclusão social; CIENCIAS DA SAUDE::SAUDE COLETIVA

This is a work about the Family Health Program evaluation (PSF) of Juiz de Fora – MG, Brazil, as well as about the program modes and techniques of evaluation. Focusing on the daily tasks developed by health workers and the community, the thesis adopted a qualitative approach, with semi-structured interviews. That collected materials were classified and analyzed taking the theoretical-pedagogical frameworks of Paulo Freire and the praxis discussion of Korel Kosic, among a few others, as a basic intellectual reference. This work gives emphasis to the implementation context of the SUS, as an important target of the Brazilian Health Program, and presents a few alternative models of evaluation of PSF that have been developed by a number of Brazilian researches. In this way, our data show that the proposed evaluation used nowadays should be in a constant process of construction. The search for relatively autonomous control of the tasks involved, the construction of a critical conscience, and the inclusion or participation of the “actors” in the process of evaluation, are dimensions still in need of being better worked out as a way to guarantee an effective exercise of citizenship. The categories found point out that evaluators need to depart from notions of social change and social inclusion when evaluating the program health activities. The permanent monitoring of such activities should lead to more significant and inclusive practices in the health field.