RESUMOEm relação ao sexo, prevaleceu a violência moral/psicológica (59%) e a sexual (100%) no feminino, e a violência física (46,1%) e a negligência (100%) no sexo masculino. Conclusão: Houve um aumento significativo no número de notificações, o que deu visibilidade ao problema. Tal fato demonstra uma necessidade de constante qualificação dos profissionais que participam no processo de atendimento às pessoas que sofreram ou que vivem em situações de violência e a importância do preenchimento efetivo e padronizado das fichas de notificações, pois as informações obtidas pelo seu preenchimento, além de dar visibilidade ao problema, são essenciais para a elaboração de políticas de atendimento consistentes e comprometidas com a realidade da infância vitimada. Palavras-chave: maus-tratos infantis; violência; criança; defesa da criança e do adolescente. ABSTRACTObjective: Describing the notifications of violence against children and adolescents at the 19th Health Region of Brejo Santo, Ceará, Brazil. Methods: Cross-sectional study. All reports of violence against children and adolescents contained in the Notifiable Diseases Information System (SINAN) between 2010 and 2014 were used. The following variables were considered: gender, age, race, place of occurrence, recurrence, relationship to the victim and type of violence. Data were extracted and presented in tables in the form of absolute and percentage frequency. Results: During the study period, 40 reports of violence against children and adolescents were recorded in the municipalities of the 19th Health Region of Brejo Santo, representing 53.3% of the total 75 calls. There was an increase in reports of almost 1050%, from 3 notifications in 2010 to 23 reports in 2014. The psychological and moral violence had the highest number of notifications. Regarding gender, moral/psychological (59%) and sexual (100%) violence prevailed in females; physical violence (46.1%) and negligence (100%) prevailed in males. Conclusion: There was a significant increase in the number of notifications, which gave visibility to the issue. This shows a need for constant qualification of the professionals who participate in the process of care for people who have suffered or who live in situations of violence; and the importance of effective and standardized filling of the notifications files; as information obtained by its filling, besides giving visibility to the issue, are essential for the development of consistent service policies, committed to the reality of victimized children.

Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.

Objective: To understand the daily demands of Family Health Strategy in clinical practice of the team and social vulnerabilities of community territory. Method: Research with qualitative approach, in a critical-refl exive perspective, held with two teams of the Family Health Strategy, in the city of Fortaleza, State of Ceará, Brazil. The participants were 22 users and 19 health professionals from the basic health network. Data from the interviews and observation were analyzed under the assumptions of critical hermeneutics. Results: We highlight the unveiling of sufferings and daily clashes, the infl uence of social determinants on health and psychosocial demands, limits and possibilities of everyday clinical practice. Conclusion: The clinic attention must recognize the perceptions and living conditions by listening and promoting health in the community. Descriptors: Family Health Strategy; Social Vulnerability; Social Determinants of Health; Health Systems; Public Health. RESUMO Objetivo:Compreender as demandas cotidianas da Estratégia Saúde da Família na prática clínica da equipe e as vulnerabilidades sociais do território comunitário. Método: Pesquisa com abordagem qualitativa, numa perspectiva crítico-refl exiva, realizada com duas equipes da Estratégia Saúde da Família, no município de Fortaleza, Estado do Ceará, Brasil. Os participantes foram 22 usuários e 19 profi ssionais de saúde da rede básica de saúde. Os dados das entrevistas e observação foram analisados sob os pressupostos da hermenêutica crítica. Resultados: Evidenciam-se o desvelamento de sofrimentos e enfrentamentos cotidianos, a infl uência dos determinantes sociais na saúde e as demandas psicossociais, limites e possibilidades da prática clínica cotidiana. Conclusão: Considera-se que a atenção clínica deve reconhecer as percepções e condições de vida pela escuta e ações de promoção de saúde na comunidade. Descritores: Estratégia Saúde da Família; Vulnerabilidade Social; Determinantes Sociais da Saúde; Sistemas de Saúde; Saúde Pública. RESUMENObjetivo: Conocer las demandas diarias de la Estrategia de Salud Familiar en la práctica clínica del personal y las vulnerabilidades sociales en la comunidad. Método: Estudio cualitativo, bajo la perspectiva crítica y refl exiva, realizado con dos personales de la Estrategia de Salud Familiar en la municipalidad de Fortaleza, Brasil. Los participantes fueron 22 usuarios y 19 profesionales de salud en la red básica de salud. Tanto los datos de las entrevistas como los de la observación se los evaluaron bajo la hermenéutica crítica. Resultados: Fueron manifestados sufrimientos y enfrentamientos diarios, así como la infl uencia de los determinantes sociales en la salud y las demandas psicosociales, los límites y las posibilidades en la práctica clínica diaria. Experiences in the Family Health Strategy: demands and vulnerabilities in the territory Pinto AGA, et al. RESEARCH Experiences in the Family

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Introduction: Dengue fever is currently a major endemic health issue in the city of Brejo Santo, located in the Brazilian Northeast outback, due to the rising morbidity and mortality rates in the area. The mosquito Aedes aegypti, the main vector of dengue fever virus, is highly adapted to the domestic environment. Since 1981 Brazil has been living with epidemic outbreaks of dengue fever.