Programa Saúde da Família: Avaliação da atenção à saúde materno-infantil e representações de saúde de mulheres - Município de Teixeiras MG

• Autor(a) principal: Dias, Glauce
• Data de Publicação: 2006
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: LOCUS Repositório Institucional da UFV
• Texto Completo: http://locus.ufv.br/handle/123456789/2805
• topic: Saúde da família; Avaliação em saúde; Representação social; Family health; Health evaluation; Social representations; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA

The evaluation of programs, services and technologies of the health go through an expansion process and conceptual and methodological diversification, being considered an important support instrument to the necessary decisions to the dynamics of the systems and services of health seeking the implementation of the politics. This study had as objectives: to evaluate the quality of the attention to the maternal-infantile health for the Program of Health of the Family (PSF) of the municipal district of Teixeiras - MG, inside of a perspective centered in the care to the health and in the integralities; to discuss the challenges and limits of PSF as strategy of reorientation of the assistance model and as producing of cares; to analyze in a reflexive way the methods and evaluation models in health in a perspective of the thought care and practiced according to the needs and demands of the usury; to analyze the conceptions and feminine social representations (of the mothers) of the process health-disease. The drawing of the study was observational of traverse cut with quantity -qualitative approach, having participated in the study mothers of smaller children two years old (161), representing 94.7% of this population group, 33 pregnant, representing 82,5% of this population group, 35 active professionals of health in PSF, representing 97,2% of the professionals of the basic attention of the municipal district participated of this research . In the evaluation of the attention to the child's health and of the pregnant woman for PSF, in agreement with the propositions of Donabedian (1990) that relates the structure dimensions, process and result, a system of specific scores was used for analysis of such dimensions and their respective attributes, classifying PSF in the incipient sceneries, middlemen and advanced if it obtained between 0,0 and 33,3%; 33,4 and 66,6%; 66,7 and 100,00%, respectively. Regarding the social representations the Technique of Analysis of Content was used (Minayo, 1992), building semantic attractions and indicators of health in the search of expressing the representation of the process health-disease for the mothers. Semi-structured questionnaires were used in the collection of the information, applied for a single interviewer properly. The results indicated that PSF in the attention to the children's health and pregnant women were classified as intermediate scenery, characterized by a fragmented attention, but with some progresses in the organization of the attention for these groups. In the attention to the children's health, the physical facilities, the quality of the care in the actions addressed to the control of the diarrhea and of the breathing infections, were considered incipient to the community participation and the intersectoriality. The progresses were related to the reception accomplished by PSF and the resolubility. In the attention to the pregnant women's health the attributes characterized as incipient were the physical facilities, the educational activities, the intersectoriality and the community participation; the attributes characterized as middlemen were the material resources, the clinical evaluation, the pregnant woman's card, the reference and against-reference and the resolubility, and the advanced attributes were the reception and the accessibility. The mothers' social representations expressed a pluralist vision of health-disease, of the more holistic to the most biomedical; of the more relates to the most individual. An interesting date found in the study was the presentation of the happiness search as a concept of health for the mothers, retaking Aristotelian philosophical aspects and spinozists. The representation of the health as absence of the disease also appears about important point in the mothers' report. Considering that the constructs is social and no individual and they receive great influence of the local culture and social macro, the assistance model effective hegemonic still supplies strong references to interpret such experiences. PSF in the attention the children's health and of the pregnant women in their practices of health continue centered in the procedures and with their form of disjointed and isolated organization, influenced by the biomedical hegemonic model that it corrupts their actions and it despises the practices of prevention of the diseases and promotion of the health, functions these inherent of PSF. The superation of the biomedical model (flexneriano), still dominant in the local practices of health, actions and services, it will only be rendered with the social actors' participation of all involved in the actions and services of health. This participation can be made possible when the managers and professionals of health understand the users' active paper and of their representations in the planning, in the formulation and in the evaluation of the actions and activities developed by the program, fomenting the health in an ethical and political base.