Agentes Comunitários de Saúde: uma perspectiva do capital social

Santos, Cleberson Williams dos; Filho, Milton Cordeiro Farias

doi:10.1590/1413-81232015215.23332015

Cited by 15 publications

(13 citation statements)

References 13 publications

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“…En efecto, urge profundizar un diálogo fructífero a partir de la construcción de una perspectiva intercultural en la elaboración de los programas de atención en salud que contribuya a promover nuevas vías de acercamiento mutuo entre los agentes de la biomedicina y la gente de El Cajón, portadora de un profundo conocimiento sobre la medicina local. Aquí los enfermeros y agentes sanitarios constituyen interlocutores culturales privilegiados, pues hacen uso de las herramientas conceptuales de ambos mundos (13)(14)(15)(16)(17).…”

Section: Discussionunclassified

Enfermeiros e agentes sanitários como impulsores da aderência terapêutica: uma pesquisa etnográfica em Catamarca, Argentina

Martínez

2018

Rev. Cienc. salud

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Objetivos: el objetivo central de este artículo es analizar el rol del enfermero y del agente sanitario locales en el área del Valle del Cajón, Catamarca, Argentina, estudio que está focalizado en su intervención en la adherencia terapéutica de los pacientes. Desarrollo: a partir de la utilización de una metodología cualitativa de carácter etnográfico, se exponen los resultados obtenidos mediante entrevistas abiertas de sesiones múltiples, observación participante, registros fílmicos y diarios de campo. La investigación muestra que las siguientes son intancias que sostienen la adherencia terapéutica: la alta valoración que los enfermeros y los agentes sanitarios poseen para la gente local y los demás trabajadores de la salud; su intervención con resultado favorable en los itinerarios terapéuticos; el conocimiento que poseen de las formas de concebir el proceso de salud y enfermedades nativas; su pertenencia a la organización social local; su intervención como mediadores culturales entre los pobladores y los médicos; su pericia en el manejo de la farmacopea local y su activa participación en funciones que exceden el sistema de salud, entre otras. Conclusiones: se postula que los enfermeros y agentes sanitarios son engranajes centrales de la APS y su práctica cotidiana en el Valle del Cajón constituye un soporte decisivo en lo referido al seguimiento de los tratamientos terapéuticos.

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Section: Discussionunclassified

Enfermeiros e agentes sanitários como impulsores da aderência terapêutica: uma pesquisa etnográfica em Catamarca, Argentina

Martínez

2018

Rev. Cienc. salud

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“…Besides that, there is evidence that, although they represent the link between the community and healthcare services, the CHA themselves do not recognize their importance, thereby detracting from and limiting their initiatives (30) . The entirety of the healthcare of a child demands, however, care from all professionals, each on fulfilling his/her own mission, with shared action, to understand the peculiar growth characteristics and the development of the child.…”

Section: Discussionmentioning

confidence: 99%

Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

et al. 2017

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Introduction: Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care. Objective: To know the diffi culties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective. Method: Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the fi eld of primary health care. Data was obtained from focal groups and submitted to content analysis. Results: The main diffi culties for nutritional counseling were clustered in the category of 'perceptions and beliefs related to child feeding'. The 'problems of infrastructure and healthcare' and 'maintenance of the hegemonic medical model' are the main diffi culties for following-up growth. Final considerations: Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care. Descriptors: Child Nutrition; Childcare; Primary Health Care; Research, Qualitative; Nursing Primary Health Care. RESUMO Introdução:Aconselhamento nutricional e acompanhamento do crescimento são prioritários na assistência à criança, porém, ainda não estão plenamente incorporados na atenção básica. Objetivo: Conhecer as difi culdades para realizar aconselhamento nutricional e acompanhamento do crescimento infantil, na perspectiva de profi ssionais de saúde. Método: Estudo qualitativo, fundamentado no referencial de Donabedian, desenvolvido com 53 profi ssionais de saúde da atenção básica. Dados foram obtidos por grupos focais e submetidos à análise de conteúdo. Resultados: As principais difi culdades para o aconselhamento nutricional reuniram-se na categoria 'percepções e crenças relacionadas à alimentação infantil'. Para o acompanhamento do crescimento, as categorias 'problemas de infraestrutura e funcionamento dos serviços de saúde' e 'manutenção do modelo médico hegemônico' representaram as principais difi culdades. Considerações fi nais: Além de investimentos na infraestrutura, é imprescindível que capacitações em serviço considerem crenças e experiências dos profi ssionais para que, de fato, o aconselhamento nutricional e acompanhamento do crescimento infantil sejam incorporados na atenção básica. Descritores: Nutrição da Criança; Cuidado da Criança; Enfermagem de Atenção Primária; Pesquisa Qualitativa; Atenção Primária à Saúde. RESUMENIntroducción: El asesoramiento nutricional y el acompañamiento del crecimiento son prioridad en la atención del niño aunque todavía no estén plenamente incorporados en la atención básica. Objetivo: Conocer las difi cultades para desempeñar el asesoramiento nutricional Diffi culties in nutritional counseling and child growth follow-up: from a professional perspective Difficulties in nutritional counseling and child growth follow-up: from a professional perspective Palombo CNT, et al.

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“…In Brazil, CHWs are part of the SUS (#10507/2002; #11.350/2006) and are embedded in the National Primary Care Policies (PNABs), working within FHTs or CHW teams (Table 1). As Santos and Farias Filho (2016) and Maciazeki- Gomes et al (2016) report, a weak connection with the FHT means reduced capacity to transfer knowledge from nurses and doctors to the community and vice versa. Whilst not legislated federally, CHWs are supervised by nurses that work in health clinics.…”

Section: Connection With Health Facilities and Supervisionmentioning

confidence: 99%

How do community health workers institutionalise: An analysis of Brazil’s CHW programme

Krieger

Wenham²,

Pimenta

et al. 2021

Global Public Health

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Community health workers (CHWs) are framed as the link between communities and the formal health system. CHWs must establish trusting relationships with the community and with the broader health service. How to find the optimal balance between the various strands of work for CHWs, and how to formalise this, has been the focus of different studies. We performed an extensive documentary analysis of federal legislation in Brazil to understand the institutionalisation of the CHW workforce in Brazil over the last 3 decades. The paper offers three contributions to the literature: the development and application of an analytical framework to consider the institutionalisation process of CHWs; a historical analysis of the professional institutionalisation of CHW in Brazil; and the identification of the paradoxes that such institutionalisation faces: firstly, institutionalisation focused on improving CHW remuneration created difficulties in hiring and paying these professionals; when CHW are incorporated within state bureaucracy they start to lose their autonomy as community agents; and that the effectiveness of CHW programmes depends on the improvement of clinical services in the most deprived areas.

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Agentes Comunitários de Saúde: uma perspectiva do capital social

Cited by 15 publications

References 13 publications

Enfermeiros e agentes sanitários como impulsores da aderência terapêutica: uma pesquisa etnográfica em Catamarca, Argentina

Enfermeiros e agentes sanitários como impulsores da aderência terapêutica: uma pesquisa etnográfica em Catamarca, Argentina

Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

How do community health workers institutionalise: An analysis of Brazil’s CHW programme

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