Processo de trabalho na Estratégia de

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Our aim was to systematically review data about the risk of sexually transmitted infections (STI) and bacterial vaginosis among lesbian women and to suggest strategies to improve prevention, diagnosis and treatment. A search strategy for lesbian, STI and bacterial vaginosis was applied to PubMed, LILACS and BDENF databases. Of 387 unique references retrieved, 22 fulfilled the inclusion criteria (cross-sectional studies reporting prevalence for 8 STIs/bacterial vaginosis and history of a STI). The most frequent infection reported was bacterial vaginosis, and none study reported data on hepatitis B. A wide range of prevalence was observed for most infections. In terms of risk factors, the number of sexual partners, the past or current smoking, a history of forced sex and sexual stigma seem to increase the risk of STI and bacterial vaginosis. The findings of this review are discussed considering guidelines directly addressing the LGBT community’s health and relevant studies investigating both safe sexual practices and the intricate relationship between LGBT people and their care providers. A set of recommendations to improve preventive care for lesbian women is proposed. Affirming that little is known about the extent of STIs and bacterial vaginosis transmission in female-to-female sexual activities or about the risk factors for STI and bacterial vaginosis among lesbian women is reasonable. In fact, the overall quality of the studies was low or very low with significant uncertainty around their findings. However, we consider that the available knowledge indicates some paths to be followed by care providers and policy decision-makers to improve their actions towards better sexual health of lesbian women.

Objective:to analyze elements of the nursing work process in the Street Medical Offices, highlighting the challenges and potentialities of care for homeless people. Method:this is an exploratory research of qualitative nature supported by the perspective of the health work process. The study was conducted through semi-structured interviews with nurses from the teams of the street medical offices at the city of Maceió and data were analyzed according to the content analysis technique, approaching issues related to the object, instruments and purposes of the nursing work process. Results:the identified themes were: Need for health care in the context of social and health vulnerability; Strategic planning and teamwork as tools for organizing the work process; Purposes and products of work: guaranteeing the right to access and care. . Before a work object designed by serious health needs resulting from the social vulnerability of this population, nurses use different instruments in their work process: strategic planning, acting in multiprofessional team and valorization of the light technologies of reception and bonding. Conclusion:apart from the difficulties, the study presents a successful experience that explores the potentiality of sharing relationships of humanized care.

OBJECTIVE: to analyze the meanings Primary Health Care users attribute to their health-disease process and the services used. METHODS: this qualitative research uses the focus group technique to interview two groups of users the service monitors. The first is a group of elderly people and the second of pregnant women. To analyze the meanings, the discourse analysis technique and the reference framework of health promotion are used. RESULTS: the group of elderly, being mostly female arterial hypertension and diabetes mellitus patients, visualizes the health-disease process as the evolution of human existence controlled by divine power, signifying the health service as a blessing in the control of the disease. The Group of young pregnant women signified health as the ability for self-care and disease as the disability for that purposes, considering the Primary Health Care service as responsible for the recovery of individual and family health. FINAL CONSIDERATIONS: the users demonstrated dissatisfaction with bureaucratic and vertical relations present at the health services. In each group, it was observed that the meanings for health and disease and meanings of the health service the users elaborated can be related.

Objetivo: avaliar o grau de satisfação dos usuários em relação ao Acesso e Acolhimento oferecidos pela Estratégia de Saúde da Família de uma capital do nordeste brasileiro. Método: estudo transversal, descritivo, exploratório, de abordagem quantitativa realizado entre setembro de 2015 e março de 2016, que utilizou questionário de Kloetzel, que aborda questões referentes à qualidade da última consulta no serviço de saúde. Compuseram a amostra 202 indivíduos cadastrados na Unidade de Saúde. Os dados foram consolidados, tabulados e sistematizados com auxílio dos programas Google Documentos, Microsoft Excel e SPSS versão 13.0. Para avaliar a relação entre dados categóricos utilizou-se o teste de qui-quadrado, e para a comparação de média entre os grupos o teste de T para amostras independentes. Resultados: o grau de satisfação dos usuários é positivo, a maior parte dos usuários classifica os serviços prestados como “muito bom” ou “bom”.  Os pontos de maior satisfação foram quanto à “forma de agendamento da consulta” (59%) e “facilidade de acesso” à unidade (54,5%), enquanto que o “tempo despendido na sala de espera” foi o único ponto de insatisfação (62,4%). O grau de satisfação dos usuários não sofreu alterações segundo o perfil sóciodemográfico. Conclusões: o estudo contribui com o tema pesquisado instrumentalizando os profissionais de saúde e gestores quanto à relação existente entre acesso, acolhimento e satisfação do usuário, possibilitando caminhos para a melhoria da qualidade dos serviços da Estratégia Saúde da Família. Descritores: Satisfação do Paciente; Atenção Primária à Saúde; Estratégia de Saúde da Família; Acesso aos Serviços de Saúde.

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Objectives: to identify and analyze possibilities for recognizing health needs in the nurses’ work at Family Health Strategy. Methods: a qualitative study with interviews and observation of the nurses’ work in the countryside of São Paulo. The empirical material was subjected to thematic content analysis and interpreted in the light of the health work process. Results: two themes emerged: Possibilities utilized and Possibilities neglected to recognize health needs. Careful observation, welcoming, attention, listening, bonding and dialogue developed by nurses, in live work in action with users, touched on the possibilities, which, taken advantage of, were evidenced in care in spontaneous demand, scheduled consultation, examination gynecological and group activities. Final Considerations: nurses are able to recognize health needs, which can expand their clinical practice and interprofessionality in Family Health.