ESTRATÉGIA SEMEAR: QUALIFICAÇÃO DA SAÚDE MATERNO-INFANTIL EM MUNICÍPIOS INTERIORANOS DO RIO GRANDE DO SUL MARIA

• Autor(a) principal: Cella, Maria Luisa Suárez Gutiérrez
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional Universidade Franciscana
• Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/966
• topic: Saúde Materno Infantil. Tecnologia Social. COVID 19.; Maternal and Child Health. Social Technology. COVID 19.; Saúde Materno Infantil

Rede Cegonha is the most recent strategy proposed by the Brazilian Ministry of Health and aims at humanized assistance to maternal and child health with a focus on pregnancy, childbirth and the puerperium. Brazil is a country with notable regional differences, therefore, the health policies, programs and strategies proposed at the national level lack creative and viable adaptations to reg ional demands. This dissertation proposes a Social Technology conceived from the demand of municipal managers and leaders of health institutions in interior cities of the state of Rio Grande do Sul, for the improvement of management and assistance to mater nal and child health. The research developed and the Social Technology conceived and implemented, observe the Research Priorities Agenda of the Ministry of Health: Axis 14 Maternal and Child Health, as it provides for the analysis of the sociodemographic profile of pregnant women and indicators of care during childbirth, up to monitoring children from 0 to 5 years old and improving health care through continuing education. The objective was to conceive and implement a maternal and child health care strate gy for interior cities, through the analysis of municipal health indicators and the perception of managers and health professionals about the weaknesses and potentialities in ma ternal and child health care. Methodological path: the strategy was designed wi th a focus on three interior towns in the state of Rio Grande do Sul, namely Sobradinho, São Gabriel and Tupanciretã. It included a survey on the health indicators of the third municipality, through official documents. The perception of managers and health professionals was collected through four different questionnaires. 113 responses were obtained, analyzed in seven stages, starting from four dimensions, namely, structural, operational, assistance and professional training. The analysis of the data includ es the tabulation of the answers in the Excel Software, regarding their frequency and correlation, based on a heat map that highlighted potentialities, weaknesses and opportunities for improvement, with results greater than the 50% quartile. Starting from this initial stage, the design and implementation of the Sowing Strategy consists of six more stages: 2nd development of actions to meet priority needs, organized in four fronts of intervention, with actions aimed at life projects of adolescent girls, redu ction of teenage pregnancy rates, implementation of a protocol for prenatal care, creation of a Center for Permanent Education in Health in the care network and systematization of multidisciplinary monitoring of the growth and development of children up to five years of age; 3rd Systematization of actions in a manual; 4th Presentation of the proposal to the municipal health and education managers; 5th Implementation of actions in person; 6th Adaptation of the Sowing Strategy to the virtual environment, in v iew of the context of the pandemic by COVID 19; 7th Evaluation of the strategy by health managers, health professionals and users. The results showed that the greatest weaknesses identified by health professionals and managers are found in the operational and professional training dimensions. Actions were created to meet these demands and the Semear Strategy confirmed itself capable of responding efficiently, presenting a consistent adaptive potential for different locations. The strategy was fully availabl e on a website that brings together videos, podcasts, texts, a group with pregnant women and a course aimed at professionals in maternal and child care. Final considerations: The systematization of the health indicator survey processes, their most differen t articulations and the educational fronts, stood out for reaching health professionals, pregnant women and adolescent girls. The COVID 19 pandemic revealed a positive potential for the Strategy, in its flexibility and consistency when adapted to the virtu al path. The Sowing Strategy product of this work is configured, in short, as a management tool, with enormous potential to favor inland municipalities at the national level.