Saúde sexual e reprodutiva: competências da equipe na Atenção Primária à Saúde

Abstract

Resumo Os direitos à saúde sexual e reprodutiva foram desenvolvidos recentemente advindos da luta pela cidadania e pelos Direitos Humanos. Embora haja um reconhecimento da necessidade de formação por competências nesta área, sua delimitação ainda não foi explorada no Brasil. Este trabalho teve como objetivo construir um referencial de competências transversais para a atenção em Saúde Sexual e Reprodutiva na Atenção Primária à Saúde a partir da visão de especialistas. Trata-se de um estudo exploratório-descritivo, de abordagem mista, através da técnica Delphi online, realizado com 41 especialistas em saúde Sexual e reprodutiva e direitos sexuais e reprodutivos. Foram realizadas três rodadas de Delphi. Das 36 competências resultantes da análise qualitativa, 32 alcançaram consenso, sendo classificadas em quatro domínios: ética e princípios profissionais; liderança e gestão; trabalho com a comunidade, saúde e educação, aconselhamento e avaliação; e, provisão do cuidado. Os resultados corroboram conteúdos de competências preconizadas na literatura internacional e apresentam inovações para a prática. Por serem transversais, estas podem subsidiar o planejamento de ações das equipes no âmbito da saúde sexual e reprodutiva.

Sexual and reproductive health in riverine communities: integrative review

“…It is possible to observe that there was no concentration of studies in a single professional category, and this diversity was included in the findings. This result goes hand in hand with the recognized need for interdisciplinary work when addressing SRH in different populations (4) .…”

“…It is also worth noting that the term used in the studies (18,25) was family planning, which goes against the expanded understanding of SRH, which point that the use of the term reproductive planning includes all individuals, regardless of whether or not they are in a family. Thus, these population should have the right to access information and methods of fertility control, with no relation to economic demography (1,4) . The findings of this review do not indicate the sources of information/knowledge and the fertility control means of the different riverine communities.…”

“…These definitions of sexual and reproductive health (SRH) sought to dispel the idea of reproduction as a duty or destiny of women, to explicitly incorporate men in reproductive issues, to disassociate sexuality from reproduction and to abandon birth planning goals, consolidating the notions of reproductive rights and sexual rights (1,4) .…”

Poverty, Reproductive Health and Public Health Policies in Chile

“…The mitigation of the poor results in reproductive health in poor communities, must focus on the changes required by the segmented and fragmented health practice, both in health programs as well as in social programs. The best practices for an integrated management are reached through the articulation of activities and fluid relations between disciplines, professions, departments, institutions, and organizations [78]. Thus, it is overcome the ambivalence of the responsibilities and the institutional segmentation in the execution of the reproductive health policy, among other [79].…”

Evaluation of the implementation of sexual and reproductive health actions in Primary Care: scope review

“…4 However, implementing it universally, longitudinally and comprehensively is still a major challenge. 36 In contrast to this broad scope, it was found that the focus of interventions examined by the included studies was usually restricted to some actions. Six (6) studies evaluated the implementation of prenatal care [18][19][20][21]28,29 and four (4) examined the implementation of reproductive planning care.…”