Objective Identify nurses' emancipatory practices in primary care, to contribute to the improvement of health care. Method A case study type social research of qualitative nature, in which nurses of a primary health care service unit in São Paulo were interviewed. Results The home visit was identified as a nursing practice possible to be expanded in order to identify social determinants of health, triggering emancipatory practices in the service. This expansion occurred because the design of health care labour intended by the service team changed its focus from the traditional object of health services, the disease. Conclusion First, it is advocated that social policies lead projects with the purpose of improving health needs. On the other hand, the daily labour needs to provide opportunities for reflection and discussion of healthcare projects, leading workers to propose labour-processes targeted to both the social determinants of health and people's illness.
Objective: to identify key characteristics of governmental programs for attention to women's health for breast cancer control. Methodology: document review in folders and websites of governmental agencies and NGOs, from March 2010 to June 2011. Found materials were pre-analyzed, analytically described, and interpreted according to theoretical references. Results: from analysis, there were at Federal level, the National Program for Cervical and Breast Cancer Control, named “Viva Mulher”; in Paraná State, the Program for Prevention and Control of Gynecological Cancer; and at municipality of Curitiba, the Women of Curitiba Program. Conclusion: those programs aimed at cancer early detection, highlighting the nurse practitioners and physician services. The number of diagnoses increased, suggesting greater supply. With scientific advances in this area, it is clear that most current programs improved strategies for breast cancer control. Descriptors: governmental programs, strategies, breast neoplasias.RESUMO Objetivo: identificar as principais características dos programas governamentais de atenção à saúde da mulher para o controle do câncer de mama. Metodologia: revisão documental em folders e sites de órgãos públicos e ONGs, de março de 2010 a junho de 2011. Os materiais encontrados foram pré-analisados; descritos analiticamente; e interpretados à luz do referencial. Resultados: da análise emergiram; em nível Federal, o Programa Nacional de Controle do Câncer do Colo do Útero e de Mama - Viva Mulher; em nível Estadual do Paraná, o Programa de Prevenção e Controle do Câncer Ginecológico; e em nível Municipal de Curitiba, o Programa Mulher Curitibana. Conclusão: os programas visam à detecção precoce, sendo o enfermeiro e o médico os profissionais destacados. Houve aumento no número de diagnósticos, sugerindo maior oferta; e com os avanços científicos na área, percebe-se que os programas mais atuais aperfeiçoaram estratégias para o controle do câncer de mama. Descritores: programas governamentais; estratégias; neoplasias da mama.RESUMENObjetivo: identificar las principales características de los programas gubernamentales de atención a la salud da mujer para el control del cáncer de seno. Metodología: revisión de documentos en folletos y sitios del gobierno y organizaciones no gubernamentales, de marzo del 2010 a juño del 2011. Los materiales encontrados fueron pre-analizados; descriptos analíticamente y interpretados a la luz de la referencia. Resultados: del análisis surgió, a nivel Federal, el Programa Nacional de Control del Cáncer de Cuello de Útero y de Seno - Viva Mujer, a nivel del Estado de Paraná, el Programa de Prevención y Control del Cáncer Ginecológico y, a nivel de la Ciudad de Curitiba, el Programa Mujer Curitibana. Conclusión: los programas están dirigidos a la detección temprana, y los profesionales en relieve son enfermeras y médico. Se puede observar el incremento en el número de diagnósticos, sugiriendo mayor disponibilidad; y con los avances científicos en el área, se puede observar que los programas más actuales han mejorado estrategias para el control de cáncer de seno. Descriptores: programas de gobierno; estrategias; neoplasias de la mama.
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