Um estudo sobre o Nasf-AB em um município paulista de pequeno porte

• Autor(a) principal: Coneglian, Rosana Cristina [UNIFESP]
• Data de Publicação: 2019
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://repositorio.unifesp.br/handle/11600/53397
• topic: primary health care; family health; health policy; matrix support; occupational health; Atenção Primária à Saúde; Saúde da Família; Política de Saúde; Apoio Matricial; Saúde do Trabalhador; Saúde Coletiva

In Brazil, the National Policy of Basic Attention met and systematized formulations guided by the principles and directives of Public Health System, notably integrality, universality and equal access. In our country of continental dimensions, in which most municipalities are small, the federal manager has induced policies and devices to strengthen PHC. However, there are several obstacles in this trajectory, especially regarding integrality. One of the devices financially induced by the federal manager is the Expanded Nucleus of Family Health and Basic Care, created in 2008, and consists of multiprofessional teams whose attributions are technical-pedagogical support and assistance to the PHC teams and the users. This thesis, the result of a qualitative research of the ethnographic type, conducted by the author during two years of work in a Expanded Nucleus of Family Health and Basic Care of a small municipality, has the objective of discussing some questions and aspects that seemed central in the experience of the problems that were placed in the day to day work. The spectrum of impediments and embarrassment is wide ranging from national, state, and local policy issues, which include system funding, management, training and hiring of the workforce, to power relations within teams, with the municipal Public Health System authorities, among PHC professionals and users, among others. In the reality of a public health system in a small municipality, research questions were posed to the Expanded Nucleus of Family Health and Basic Care researcher/worker, concerning questions about the (im)possibilities of effective responses to the health situation of the population of the municipality by the PHC teams, be it from the Expanded Nucleus of Family Health and Basic Care or the Family Health units, considering the restrictions and working conditions that generated evident repercussions on the health of the local workers.