Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família

Detalhes bibliográficos
Autor(a) principal: Elias, Alessandra Nogueira
Data de Publicação: 2013
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFMT
Texto Completo: http://ri.ufmt.br/handle/1/1687
Resumo: The research broaches territorial actions of reproductive health vigilance of Family Health Strategy (FHS), in Cuiabá, Mato Grosso. It analyzed the domiciliary and community actions of reproductive health vigilance effected and thought by workers that made them, recognizing the expressed perspective. The overarching health vigilance comprehends: the acknowledgement of the necessities of health in the territories and its consideration in the assistance practices; the integrated offer of individuals and collective actions of cure, prevention and promotion of health, in the humanized bases, valorizing especially the last; the formation of a bond among the families and services; and the articulation of a social network to health generation. To promote the reproductive health, besides reproducing these axes in the area, the actions of vigilance comprehend: the entailment of women, men and families in the reproductive health actions; the assistance approach of health to beyond the exclusive reproductive moment; and the politicization of reproduction to the appropriation of reproductive right and the equality in the reproductive matters, rescuing its interface with sexuality. It is a descriptive-exploratory study, qualitative, made in two units of Family Health in the city chosen, with 1 doctor, 2 nurses and 12 community health agents, through the participating observation and open interview. It was respected the demands of the ethics in research and it submitted the data to analysis of theme content. The territorial practice of reproductive health vigilance is made, above all, by community agents in domicile, through visits to pregnant women and puerperal, not existing specific action to men and families. The actions comprehend the investigation and/or information/orientation of women to problems of pregnant women/puerperal and about life behaviors and self care. They also involved inquiry, information/orientation and/or articulation to facilitation of access of woman to the local health service, to those of references, and, eventually, to social services. The technology used is connected to the control of medical problems, by the services or by the self care actions. The main aim of the actions is the control of risks and harm to pregnant women and puerperal. In the domicile visits there is a strong lack of planning, there is a belittling of the set of stages of assistance methodology and, in one of the territories, the lack of safety of the Community Health Agent doing of the 11 actions, besides the fact that the other workers being faraway. The production of data/information of reproductive health of the territory is made through visits and actions of registration of families, and registered in the file of Follow-up of the pregnant woman, in the Report of the Situation of Health and Follow-up of the Families of the Area, and eventually in the medical chart or retraced orally. This production is not used in the local planning and it does not implicate differentiated actions. The workers do not conceive the actions of oriented vigilance to prevention. The gestation and contraception are seen as theirs main object and the control as the most important mean. However, they accentuate the potential of the action approximating the workers to the local reality and in the articulation of several services actions. There is a restricted perspective of vigilance, expressed in the practice and in the workers conceptions. But in them there are potentialities to be develop. To promote changes, it is necessary to invest in the workers development, in the expansion of the purposes of the work process of the Family Helth and in the local/city conditions.
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spelling Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da famíliaVigilânciaPromoção da saúdeSaúde reprodutivaPrograma saúde da famíliaCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMSurveillanceHealth promotionReproductive healthFamily health programThe research broaches territorial actions of reproductive health vigilance of Family Health Strategy (FHS), in Cuiabá, Mato Grosso. It analyzed the domiciliary and community actions of reproductive health vigilance effected and thought by workers that made them, recognizing the expressed perspective. The overarching health vigilance comprehends: the acknowledgement of the necessities of health in the territories and its consideration in the assistance practices; the integrated offer of individuals and collective actions of cure, prevention and promotion of health, in the humanized bases, valorizing especially the last; the formation of a bond among the families and services; and the articulation of a social network to health generation. To promote the reproductive health, besides reproducing these axes in the area, the actions of vigilance comprehend: the entailment of women, men and families in the reproductive health actions; the assistance approach of health to beyond the exclusive reproductive moment; and the politicization of reproduction to the appropriation of reproductive right and the equality in the reproductive matters, rescuing its interface with sexuality. It is a descriptive-exploratory study, qualitative, made in two units of Family Health in the city chosen, with 1 doctor, 2 nurses and 12 community health agents, through the participating observation and open interview. It was respected the demands of the ethics in research and it submitted the data to analysis of theme content. The territorial practice of reproductive health vigilance is made, above all, by community agents in domicile, through visits to pregnant women and puerperal, not existing specific action to men and families. The actions comprehend the investigation and/or information/orientation of women to problems of pregnant women/puerperal and about life behaviors and self care. They also involved inquiry, information/orientation and/or articulation to facilitation of access of woman to the local health service, to those of references, and, eventually, to social services. The technology used is connected to the control of medical problems, by the services or by the self care actions. The main aim of the actions is the control of risks and harm to pregnant women and puerperal. In the domicile visits there is a strong lack of planning, there is a belittling of the set of stages of assistance methodology and, in one of the territories, the lack of safety of the Community Health Agent doing of the 11 actions, besides the fact that the other workers being faraway. The production of data/information of reproductive health of the territory is made through visits and actions of registration of families, and registered in the file of Follow-up of the pregnant woman, in the Report of the Situation of Health and Follow-up of the Families of the Area, and eventually in the medical chart or retraced orally. This production is not used in the local planning and it does not implicate differentiated actions. The workers do not conceive the actions of oriented vigilance to prevention. The gestation and contraception are seen as theirs main object and the control as the most important mean. However, they accentuate the potential of the action approximating the workers to the local reality and in the articulation of several services actions. There is a restricted perspective of vigilance, expressed in the practice and in the workers conceptions. But in them there are potentialities to be develop. To promote changes, it is necessary to invest in the workers development, in the expansion of the purposes of the work process of the Family Helth and in the local/city conditions.A pesquisa aborda ações territoriais de vigilância à saúde reprodutiva da Estratégia Saúde da Família (ESF), em Cuiabá, Mato Grosso. Analisam-se as ações domiciliárias e comunitárias de vigilância à saúde reprodutiva, efetivadas e pensadas por trabalhadores que as realizam, reconhecendo a perspectiva expressa. A vigilância à saúde abrangente compreende: o reconhecimento de necessidades de saúde dos territórios e a sua consideração nas práticas assistenciais; a oferta integrada de ações individuais e coletivas de cura, prevenção e promoção da saúde, em bases humanizadas, com especial valorização da última; a formação de vínculo entre famílias e serviços; e a articulação da rede social à geração da saúde. Para promover a saúde reprodutiva, além de reproduzir esses eixos na área, as ações de vigilância englobam: a vinculação de mulheres, homens e famílias em ações de saúde reprodutiva; a abordagem assistencial da saúde para além do exclusivo momento reprodutivo; a politização da reprodução à apropriação dos direitos reprodutivos e à igualdade nas questões reprodutivas, resgatando-se sua interface com a sexualidade. Trata-se de um estudo exploratório- descritivo, qualitativo, realizado em duas unidades de Saúde da Família do município eleito, com 1 médico, 2 enfermeiros e 12 agentes comunitários de saúde, mediante observação participante e entrevista aberta. Respeitou-se as exigências éticas em pesquisa e submeteu-se os dados à análise de conteúdo temática. A prática territorial de vigilância à saúde reprodutiva é feita, sobretudo, por agentes comunitários, no domicílio, mediante visitas a gestantes e puérperas, inexistindo ações específicas ao homem e à família. As ações abrangem investigação e/ou informação/orientação de mulheres frente a problemas gestacionais/puerperais e acerca de comportamentos de vida e autocuidado relacionados. Elas envolvem, ainda, indagação, informação/orientação e/ou articulação para facilitação do acesso da mulher ao serviço de saúde local, aos de referência e, eventualmente, a serviços sociais. As tecnologias utilizadas são ligadas ao controle de problemas médicos, seja pelos serviços ou via ações de autocuidado. A principal finalidade das ações é o controle de riscos e agravos de gestantes e puérperas. Nas visitas domiciliárias há forte ausência do planejamento, há desvalorização do conjunto das etapas da metodologia assistencial e, em um dos territórios, falta segurança dos agentes 9 comunitários de saúde na realização das ações, além de os demais trabalhadores delas encontrarem-se distanciados. A produção de dados/informações de saúde reprodutiva do território é feita mediante visitas e ações de cadastramento familiar; ela é registrada na Ficha de Acompanhamento da Gestante, no Relatório da Situação de Saúde e Acompanhamento das Famílias da Área, e, eventualmente, em prontuário ou repassada verbalmente. Essa produção não é usada no planejamento local e não implica em ações diferenciadas. Os trabalhadores concebem as ações de vigilância orientada à prevenção. A gestação e a anticoncepção são vistos como seus principais objetos e o controle como o meio mais importante. Entretanto, realçam o potencial da ação na aproximação dos trabalhadores da realidade local e na articulação das várias ações do serviço. Encontra-se uma perspectiva restrita de vigilância, expressa na prática e nas concepções dos trabalhadores. Todavia, nelas há potencialidades a serem desenvolvidas. Para promover mudanças, é necessário investir no desenvolvimento dos trabalhadores, na ampliação das finalidades dos processos de trabalho da Saúde da Família e em condições locais/municipais.Universidade Federal de Mato GrossoBrasilFaculdade de Enfermagem (FAEN)UFMT CUC - CuiabáPrograma de Pós-Graduação em EnfermagemMandú, Edir Nei Teixeirahttp://lattes.cnpq.br/1038169352967574Mandú, Edir Nei Teixeira201.387.761-72http://lattes.cnpq.br/1038169352967574Corrêa, Áurea Christina de Paula265.943.661-49http://lattes.cnpq.br/6965131143622313201.387.761-72Pereira, Maria José Bistafa041.406.298-19http://lattes.cnpq.br/8062603159622688Elias, Alessandra Nogueira2019-12-04T12:42:32Z2013-04-052019-12-04T12:42:32Z2013-02-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisELIAS, Alessandra Nogueira. Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família. 2013. 118 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Mato Grosso, Faculdade de Enfermagem, Cuiabá, 2013.http://ri.ufmt.br/handle/1/1687porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMTinstname:Universidade Federal de Mato Grosso (UFMT)instacron:UFMT2019-12-05T06:02:03Zoai:localhost:1/1687Repositório InstitucionalPUBhttp://ri.ufmt.br/oai/requestjordanbiblio@gmail.comopendoar:2019-12-05T06:02:03Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT)false
dc.title.none.fl_str_mv Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
title Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
spellingShingle Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
Elias, Alessandra Nogueira
Vigilância
Promoção da saúde
Saúde reprodutiva
Programa saúde da família
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
Surveillance
Health promotion
Reproductive health
Family health program
title_short Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
title_full Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
title_fullStr Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
title_full_unstemmed Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
title_sort Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família
author Elias, Alessandra Nogueira
author_facet Elias, Alessandra Nogueira
author_role author
dc.contributor.none.fl_str_mv Mandú, Edir Nei Teixeira
http://lattes.cnpq.br/1038169352967574
Mandú, Edir Nei Teixeira
201.387.761-72
http://lattes.cnpq.br/1038169352967574
Corrêa, Áurea Christina de Paula
265.943.661-49
http://lattes.cnpq.br/6965131143622313
201.387.761-72
Pereira, Maria José Bistafa
041.406.298-19
http://lattes.cnpq.br/8062603159622688
dc.contributor.author.fl_str_mv Elias, Alessandra Nogueira
dc.subject.por.fl_str_mv Vigilância
Promoção da saúde
Saúde reprodutiva
Programa saúde da família
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
Surveillance
Health promotion
Reproductive health
Family health program
topic Vigilância
Promoção da saúde
Saúde reprodutiva
Programa saúde da família
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
Surveillance
Health promotion
Reproductive health
Family health program
description The research broaches territorial actions of reproductive health vigilance of Family Health Strategy (FHS), in Cuiabá, Mato Grosso. It analyzed the domiciliary and community actions of reproductive health vigilance effected and thought by workers that made them, recognizing the expressed perspective. The overarching health vigilance comprehends: the acknowledgement of the necessities of health in the territories and its consideration in the assistance practices; the integrated offer of individuals and collective actions of cure, prevention and promotion of health, in the humanized bases, valorizing especially the last; the formation of a bond among the families and services; and the articulation of a social network to health generation. To promote the reproductive health, besides reproducing these axes in the area, the actions of vigilance comprehend: the entailment of women, men and families in the reproductive health actions; the assistance approach of health to beyond the exclusive reproductive moment; and the politicization of reproduction to the appropriation of reproductive right and the equality in the reproductive matters, rescuing its interface with sexuality. It is a descriptive-exploratory study, qualitative, made in two units of Family Health in the city chosen, with 1 doctor, 2 nurses and 12 community health agents, through the participating observation and open interview. It was respected the demands of the ethics in research and it submitted the data to analysis of theme content. The territorial practice of reproductive health vigilance is made, above all, by community agents in domicile, through visits to pregnant women and puerperal, not existing specific action to men and families. The actions comprehend the investigation and/or information/orientation of women to problems of pregnant women/puerperal and about life behaviors and self care. They also involved inquiry, information/orientation and/or articulation to facilitation of access of woman to the local health service, to those of references, and, eventually, to social services. The technology used is connected to the control of medical problems, by the services or by the self care actions. The main aim of the actions is the control of risks and harm to pregnant women and puerperal. In the domicile visits there is a strong lack of planning, there is a belittling of the set of stages of assistance methodology and, in one of the territories, the lack of safety of the Community Health Agent doing of the 11 actions, besides the fact that the other workers being faraway. The production of data/information of reproductive health of the territory is made through visits and actions of registration of families, and registered in the file of Follow-up of the pregnant woman, in the Report of the Situation of Health and Follow-up of the Families of the Area, and eventually in the medical chart or retraced orally. This production is not used in the local planning and it does not implicate differentiated actions. The workers do not conceive the actions of oriented vigilance to prevention. The gestation and contraception are seen as theirs main object and the control as the most important mean. However, they accentuate the potential of the action approximating the workers to the local reality and in the articulation of several services actions. There is a restricted perspective of vigilance, expressed in the practice and in the workers conceptions. But in them there are potentialities to be develop. To promote changes, it is necessary to invest in the workers development, in the expansion of the purposes of the work process of the Family Helth and in the local/city conditions.
publishDate 2013
dc.date.none.fl_str_mv 2013-04-05
2013-02-28
2019-12-04T12:42:32Z
2019-12-04T12:42:32Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv ELIAS, Alessandra Nogueira. Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família. 2013. 118 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Mato Grosso, Faculdade de Enfermagem, Cuiabá, 2013.
http://ri.ufmt.br/handle/1/1687
identifier_str_mv ELIAS, Alessandra Nogueira. Práticas territoriais de vigilância à saúde reprodutiva na estratégia saúde da família. 2013. 118 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Mato Grosso, Faculdade de Enfermagem, Cuiabá, 2013.
url http://ri.ufmt.br/handle/1/1687
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de Mato Grosso
Brasil
Faculdade de Enfermagem (FAEN)
UFMT CUC - Cuiabá
Programa de Pós-Graduação em Enfermagem
publisher.none.fl_str_mv Universidade Federal de Mato Grosso
Brasil
Faculdade de Enfermagem (FAEN)
UFMT CUC - Cuiabá
Programa de Pós-Graduação em Enfermagem
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMT
instname:Universidade Federal de Mato Grosso (UFMT)
instacron:UFMT
instname_str Universidade Federal de Mato Grosso (UFMT)
instacron_str UFMT
institution UFMT
reponame_str Repositório Institucional da UFMT
collection Repositório Institucional da UFMT
repository.name.fl_str_mv Repositório Institucional da UFMT - Universidade Federal de Mato Grosso (UFMT)
repository.mail.fl_str_mv jordanbiblio@gmail.com
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