Reconhecimento profissional e social do agente comunitário de saúde: uma reflexão sobre as classes trabalhadoras urbanas no setor saúde

• Autor(a) principal: Grajaú, Carla Aparecida Galvão
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11291
• topic: Community health agent; Social class; Professional recognition; Agentes Comunitários de Saúde; Agente comunitário de saúde; Classe social; Reconhecimento profissional; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

This study aims the understanding of social and professional recognition of Community Health Agent (CHA) highlighting the influences of social relations imposed, wich, at the same time, bring to the stage the outputs of these relations: social inequality, refered to the concepts of social classes and relationship between health services and the slums (favelas). The overall goal is to study and analyze the perception of CHA in the Family Health Strategy in three program areas (PA) of Rio de Janeiro city on their social and professional recognition based on the categories of recognition and social class. The study is developed through a qualitative approach, based on the narratives of labour, recognition, social class and gender, organization and analysis according to the Methodology of the Collective Subject Discourse. The results generated two main themes: Perception of what led this subject to become a CHA; Lack of recognition and appreciation. The fact of being unemployed or inserted in forms of underemployment emerged as the biggest motivation for becoming CHA; disclosure of public selection process leads these workers to believe that the CHA will be hired by statute, creating the expectation of being a public servant and have labor rights solid, eliminating the possibility of returning to being unemployed. In the second category, the issues highlighted include: CHA is a slum dweller and belongs to working class. The vast majority of these workers are women, who need to be close to home to play its role as educator of children, but also to increase their income or even execer its role as a provider of an entire family, which also have determination of social class. The CHA is perceived as undervalued mediator in educational work. This devaluation denotes the understanding of the CHA work as one of low complexity. The salary issue is also a fact to which ACS assigns its devaluation as a worker, and portrays an economic belonging to a certain social class, the class exploited by capital. It follows that the insertion of community workers, via selection and hiring of CHA in primary care units uses social networks preformed in communities to give effect to the health actions. The current work context of the ACS represents a mode of production that alienates this health worker, depriving him of his working process and reinforcing the class structure in this society, interfering with their social and professional recognition.