ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO
Autor(a) principal: | |
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Data de Publicação: | 2019 |
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/861 |
Resumo: | Introduction: The Brazilian Ministry of Health, based on the premises of the World Health Organization, has gradually implemented policies of reorientation of the model of the management and care for childbirth and birth, based on practices based on scientific evidence. In addition, it has instituted prospective guidance and qualification measures for the management and care network for maternal and child health. In order to contribute to this paradigmatic process, this study has as its general objective: Implement the São Borjense Mother-Baby Strategy, from the municipality of São Borja, Rio Grande do Sul, based on its own theoretical and methodological approach; and as specific objectives: Describe the methodological path from conception to the implementation of the strategy of Mother-Baby São-Borjense; and Identify contributions of the São Borjense Mother-Baby Strategy to the qualification of the local maternal and child health care network. Methodology: This is an action research, developed from conception to implementation of the São Borjense Mother- Baby Strategy, from March / 2018 to October / 2019, based on the guidelines that regulate the integral attention to maternal and child health nationally speaking, as well as in demands coming from the municipality itself. As a data collection technique for the identification and survey of relevant data, the focus group was used, with the participation of five (5) health managers, twenty seven (27) health professionals from fifteen Family Health Strategy teams and twenty-three (23) pregnant women from the maternal and child health care network of the municipality of São Borja, Rio Grande do Sul. Results: The São-Borjense Mother Baby strategy enabled the establishment of a new movement of attention to pregnant women, newborns and postpartum women in the municipality of São Borja, with a view to reducing maternal and child mortality indicators and, above all, the qualification of health care network of the municipality. It was possible, from a systematized plan of interventions, an unprecedented route from conception to implementation of the Mother-Baby Strategy, as follows: 1st Strategy Frame and agreements with local managers; 2nd Strategy Awareness - Identification of changes and possible solutions through focus groups with professionals and users; 3rd Implementation of the São Borjense Mother-Baby Strategy - professional awareness meetings, pregnant women meetings, strategic partnerships and, finally, the identification of the Strategy's contributions to the qualification of the maternal and child health care network in the municipality. Final considerations: It is concluded, based on the methodological path from conception to implementation of the São Borjense Mother-Baby strategy, that leading innovative processes and transposing traditional intervention models is only possible through the interaction, sharing and translation of knowledge and practices between academy 9 agents, managers, health professionals and users. The implementation of the São Borjense Mother-Baby Strategy contributed, in short, to the qualification of the local maternal and child health care network, especially regarding the relations and interactions between professionals and pregnant women and the (re) organization of the flows. and network intervention processes. Overcoming vertical models of maternal and child health intervention capable of reducing unnecessary and criteriafree interventions, as well as reducing cesarean sections and maternal and child mortality rates, today, requires more than ever, the induction of technological and innovative strategies that are consistent with local and regional demands. Product and its Applicability: The proposal “São Borjense Mother-Baby Strategy: from conception to implementation” is characterized as Innovative Social Technology, conceived and implemented, in the municipality of São Borja / RS, with the participation of managers, health professionals and pregnant women, based on a collective commitment to qualify the Management and Care Network for Maternal and Child Health in the municipality. In this path, the prospective and entrepreneurial performance of the professional Nurse, that complemented by other professional knowledge, was extremely important to articulate, integrate and synergize talents around a common cause. |
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Backes, Dirce SteinSousa, Francisca Georgina Macedo deHämel, KerstinMarchiori, Mara Regina Caino TeixeiraFerreira, Carla Lizandra de Limahttp://lattes.cnpq.br/8360882545714261Coelho, Camila Pinto Malgarim2020-06-03T18:38:46Z2019-11-22Coelho, Camila Pinto Malgarim. ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO. 2019. 100f. Dissertação (Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS.http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/861Introduction: The Brazilian Ministry of Health, based on the premises of the World Health Organization, has gradually implemented policies of reorientation of the model of the management and care for childbirth and birth, based on practices based on scientific evidence. In addition, it has instituted prospective guidance and qualification measures for the management and care network for maternal and child health. In order to contribute to this paradigmatic process, this study has as its general objective: Implement the São Borjense Mother-Baby Strategy, from the municipality of São Borja, Rio Grande do Sul, based on its own theoretical and methodological approach; and as specific objectives: Describe the methodological path from conception to the implementation of the strategy of Mother-Baby São-Borjense; and Identify contributions of the São Borjense Mother-Baby Strategy to the qualification of the local maternal and child health care network. Methodology: This is an action research, developed from conception to implementation of the São Borjense Mother- Baby Strategy, from March / 2018 to October / 2019, based on the guidelines that regulate the integral attention to maternal and child health nationally speaking, as well as in demands coming from the municipality itself. As a data collection technique for the identification and survey of relevant data, the focus group was used, with the participation of five (5) health managers, twenty seven (27) health professionals from fifteen Family Health Strategy teams and twenty-three (23) pregnant women from the maternal and child health care network of the municipality of São Borja, Rio Grande do Sul. Results: The São-Borjense Mother Baby strategy enabled the establishment of a new movement of attention to pregnant women, newborns and postpartum women in the municipality of São Borja, with a view to reducing maternal and child mortality indicators and, above all, the qualification of health care network of the municipality. It was possible, from a systematized plan of interventions, an unprecedented route from conception to implementation of the Mother-Baby Strategy, as follows: 1st Strategy Frame and agreements with local managers; 2nd Strategy Awareness - Identification of changes and possible solutions through focus groups with professionals and users; 3rd Implementation of the São Borjense Mother-Baby Strategy - professional awareness meetings, pregnant women meetings, strategic partnerships and, finally, the identification of the Strategy's contributions to the qualification of the maternal and child health care network in the municipality. Final considerations: It is concluded, based on the methodological path from conception to implementation of the São Borjense Mother-Baby strategy, that leading innovative processes and transposing traditional intervention models is only possible through the interaction, sharing and translation of knowledge and practices between academy 9 agents, managers, health professionals and users. The implementation of the São Borjense Mother-Baby Strategy contributed, in short, to the qualification of the local maternal and child health care network, especially regarding the relations and interactions between professionals and pregnant women and the (re) organization of the flows. and network intervention processes. Overcoming vertical models of maternal and child health intervention capable of reducing unnecessary and criteriafree interventions, as well as reducing cesarean sections and maternal and child mortality rates, today, requires more than ever, the induction of technological and innovative strategies that are consistent with local and regional demands. Product and its Applicability: The proposal “São Borjense Mother-Baby Strategy: from conception to implementation” is characterized as Innovative Social Technology, conceived and implemented, in the municipality of São Borja / RS, with the participation of managers, health professionals and pregnant women, based on a collective commitment to qualify the Management and Care Network for Maternal and Child Health in the municipality. In this path, the prospective and entrepreneurial performance of the professional Nurse, that complemented by other professional knowledge, was extremely important to articulate, integrate and synergize talents around a common cause.Introdução: O Ministério da Saúde Brasileiro, com base nas premissas da Organização Mundial da Saúde, tem implementado, gradativamente, políticas de reorientação do modelo de gestão e atenção ao parto e nascimento, embasado em 6 práticas baseadas em evidências científicas. Além disso, instituiu medidas prospectivas de orientação e qualificação da rede de gestão e atenção à saúde materno-infantil. No sentido de contribuir e ampliar as iniciativas relacionadas à saúde materno-infantil, o presente estudo teve por objetivo geral: Implementar a Estratégia Mãe-Bebê São-Borjense, no município de São Borja, Rio Grande do Sul, a partir de um percurso teórico-metodológico próprio; e como objetivos específicos: Descrever o percurso da concepção à implementação da estratégia Mãe-Bebê São-Borjense; e Descrever as contribuições da Estratégia Mãe-Bebê São-Borjense para a qualificação da rede de atenção à saúde materno-infantil local. Metodologia: Trata-se de uma pesquisa-ação, desenvolvida da concepção à implementação da Estratégia Mãe-Bebê São-Borjense, no período de março/2018 a outubro/2019, com base nas diretrizes que regulamentam a atenção integral à saúde materno-infantil em nível nacional, bem como em demandas oriundas do próprio município. Utilizou-se, como técnica de coleta de dados para a identificação e o levantamento dos dados pertinentes, o grupo focal, com a participação de cinco (5) gestores de saúde, vinte e sete (27) profissionais de saúde de quinze equipes de Estratégia Saúde da Família e vinte e três (23) gestantes da rede de atenção à saúde materno-infantil do município de São Borja, Rio Grande do Sul. Resultados: A estratégia Mãe Bebê São-Borjense possibilitou a instauração de um novo movimento de atenção às gestantes, recém-nascidos e puérperas no município de São Borja, com vistas à redução dos indicadores de mortalidade materno-infantil e, sobretudo, a qualificação da rede de atenção à saúde materno-infantil do referido município. Possibilitou-se, a partir de um plano sistematizado de intervenções, um percurso inédito da concepção à implementação da Estratégia Mãe-Bebê, conforme segue: 1ª Concepção da Estratégia e acordos com gestores locais; 2º Sensibilização da Estratégia - Identificação de mudanças e possíveis soluções por meio de grupos focais com profissionais e usuárias; 3º Implementação da Estratégia Mãe-Bebê São- Borjense - encontros de sensibilização dos profissionais, encontros de gestantes, parcerias estratégicas e, por fim, a identificação das contribuições da Estratégia para a qualificação da rede de atenção à saúde materno-infantil no município. Considerações finais: Conclui-se, com base no percurso metodológico da concepção à implementação da estratégia Mãe-Bebê São-Borjense, que protagonizar processos inovadores e transpor modelos tradicionais de intervenção, somente é possível pela interação, compartilhamento e translação de saberes e 7 práticas entre agentes da academia, gestores, profissionais e usuários de saúde. A implementação da Estratégia Mãe-Bebê São-Borjense contribuiu, em suma, para a qualificação da rede de atenção à saúde materno-infantil local, especialmente no que se refere às relações e interações entre profissionais e gestantes e a (re)organização dos fluxos e processos de intervenção na rede. Superar modelos verticalizados de intervenção em saúde materno-infantil, capazes de reduzir as intervenções desnecessárias e sem critérios, bem como reduzir os percentuais de cesarianas e as taxas de mortalidade materno-infantil requerem, hoje, mais que em outros tempos, a indução de estratégias tecnológicas inovadoras e coerentes com as demandas loco-regionais. Produto e sua Aplicabilidade: A proposta “Estratégia Mãe-Bebê São-Borjense: da concepção à implementação” se caracteriza como Tecnologia Social Inovadora, concebida e implementada, no município de São Borja/RS, com a participação de gestores, profissionais de saúde e gestantes, a partir de um compromisso coletivo em prol da qualificação da Rede de Gestão e Atenção à Saúde Materno-Infantil no município. Nesse percurso, a atuação prospectiva e empreendedora do profissional Enfermeiro que, complementada por outros saberes profissionais, foi fundamental para articular, integrar e sinergizar talentos em torno de uma causa comum.Submitted by ROSIELI LEMOS WOLPATO (rosieli.wolpato@ufn.edu.br) on 2020-06-03T18:38:45Z No. of bitstreams: 2 Dissertacao_CamilaPintoMalgarimCoelho.pdf: 5642829 bytes, checksum: 5d32070b23880ef7d1ab1e13072deb32 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2020-06-03T18:38:46Z (GMT). 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dc.title.por.fl_str_mv |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
title |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
spellingShingle |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO Coelho, Camila Pinto Malgarim Mortalidade perinatal; Assistência perinatal; Indicadores básicos de saúde; Indicadores de qualidade em assistência à saúde. Saúde Materno Infantil |
title_short |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
title_full |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
title_fullStr |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
title_full_unstemmed |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
title_sort |
ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO |
author |
Coelho, Camila Pinto Malgarim |
author_facet |
Coelho, Camila Pinto Malgarim |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Backes, Dirce Stein |
dc.contributor.referee1.fl_str_mv |
Sousa, Francisca Georgina Macedo de |
dc.contributor.referee2.fl_str_mv |
Hämel, Kerstin |
dc.contributor.referee3.fl_str_mv |
Marchiori, Mara Regina Caino Teixeira |
dc.contributor.referee4.fl_str_mv |
Ferreira, Carla Lizandra de Lima |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8360882545714261 |
dc.contributor.author.fl_str_mv |
Coelho, Camila Pinto Malgarim |
contributor_str_mv |
Backes, Dirce Stein Sousa, Francisca Georgina Macedo de Hämel, Kerstin Marchiori, Mara Regina Caino Teixeira Ferreira, Carla Lizandra de Lima |
dc.subject.por.fl_str_mv |
Mortalidade perinatal; Assistência perinatal; Indicadores básicos de saúde; Indicadores de qualidade em assistência à saúde. |
topic |
Mortalidade perinatal; Assistência perinatal; Indicadores básicos de saúde; Indicadores de qualidade em assistência à saúde. Saúde Materno Infantil |
dc.subject.cnpq.fl_str_mv |
Saúde Materno Infantil |
description |
Introduction: The Brazilian Ministry of Health, based on the premises of the World Health Organization, has gradually implemented policies of reorientation of the model of the management and care for childbirth and birth, based on practices based on scientific evidence. In addition, it has instituted prospective guidance and qualification measures for the management and care network for maternal and child health. In order to contribute to this paradigmatic process, this study has as its general objective: Implement the São Borjense Mother-Baby Strategy, from the municipality of São Borja, Rio Grande do Sul, based on its own theoretical and methodological approach; and as specific objectives: Describe the methodological path from conception to the implementation of the strategy of Mother-Baby São-Borjense; and Identify contributions of the São Borjense Mother-Baby Strategy to the qualification of the local maternal and child health care network. Methodology: This is an action research, developed from conception to implementation of the São Borjense Mother- Baby Strategy, from March / 2018 to October / 2019, based on the guidelines that regulate the integral attention to maternal and child health nationally speaking, as well as in demands coming from the municipality itself. As a data collection technique for the identification and survey of relevant data, the focus group was used, with the participation of five (5) health managers, twenty seven (27) health professionals from fifteen Family Health Strategy teams and twenty-three (23) pregnant women from the maternal and child health care network of the municipality of São Borja, Rio Grande do Sul. Results: The São-Borjense Mother Baby strategy enabled the establishment of a new movement of attention to pregnant women, newborns and postpartum women in the municipality of São Borja, with a view to reducing maternal and child mortality indicators and, above all, the qualification of health care network of the municipality. It was possible, from a systematized plan of interventions, an unprecedented route from conception to implementation of the Mother-Baby Strategy, as follows: 1st Strategy Frame and agreements with local managers; 2nd Strategy Awareness - Identification of changes and possible solutions through focus groups with professionals and users; 3rd Implementation of the São Borjense Mother-Baby Strategy - professional awareness meetings, pregnant women meetings, strategic partnerships and, finally, the identification of the Strategy's contributions to the qualification of the maternal and child health care network in the municipality. Final considerations: It is concluded, based on the methodological path from conception to implementation of the São Borjense Mother-Baby strategy, that leading innovative processes and transposing traditional intervention models is only possible through the interaction, sharing and translation of knowledge and practices between academy 9 agents, managers, health professionals and users. The implementation of the São Borjense Mother-Baby Strategy contributed, in short, to the qualification of the local maternal and child health care network, especially regarding the relations and interactions between professionals and pregnant women and the (re) organization of the flows. and network intervention processes. Overcoming vertical models of maternal and child health intervention capable of reducing unnecessary and criteriafree interventions, as well as reducing cesarean sections and maternal and child mortality rates, today, requires more than ever, the induction of technological and innovative strategies that are consistent with local and regional demands. Product and its Applicability: The proposal “São Borjense Mother-Baby Strategy: from conception to implementation” is characterized as Innovative Social Technology, conceived and implemented, in the municipality of São Borja / RS, with the participation of managers, health professionals and pregnant women, based on a collective commitment to qualify the Management and Care Network for Maternal and Child Health in the municipality. In this path, the prospective and entrepreneurial performance of the professional Nurse, that complemented by other professional knowledge, was extremely important to articulate, integrate and synergize talents around a common cause. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-11-22 |
dc.date.accessioned.fl_str_mv |
2020-06-03T18:38:46Z |
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.citation.fl_str_mv |
Coelho, Camila Pinto Malgarim. ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO. 2019. 100f. Dissertação (Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS. |
dc.identifier.uri.fl_str_mv |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/861 |
identifier_str_mv |
Coelho, Camila Pinto Malgarim. ESTRATÉGIA MÃE-BEBÊ SÃO-BORJENSE: DA CONCEPÇÃO À IMPLEMENTAÇÃO. 2019. 100f. Dissertação (Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS. |
url |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/861 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Franciscana |
dc.publisher.program.fl_str_mv |
Mestrado Profissional em Saúde Materno Infantil |
dc.publisher.initials.fl_str_mv |
UFN |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Saúde Materno Infantil |
publisher.none.fl_str_mv |
Universidade Franciscana |
dc.source.none.fl_str_mv |
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UFN |
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UFN |
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Repositório Institucional Universidade Franciscana |
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Repositório Institucional Universidade Franciscana |
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Repositório Institucional Universidade Franciscana - Universidade Franciscana (UFN) |
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