Movements of permanent health education triggered by the training of facilitators

Abstract

Autonomy and control and also a tenuous relationship between tutorship and autonomy were highlighted, in the plan of organization. In conclusion, the program was an important device that suffered captures/overcoding but also produced changes in practice. Movimientos de la educación permanente en salud desencadenados a partir de la formación de facilitadoresSe tuvo por objetivo cartografiar los movimientos de educación permanente en salud, en la región de Araraquara, Sao Paulo, Brasil, iniciados a partir del curso de Facilitadores de Educación Permanente en Salud, del Ministerio de la Salud y Escuela Nacional de Salud Pública. Es un estudio de abordaje cualitativo, sustentado por el referencial teórico del análisis institucional en la línea esquizoanalítica, siendo los datos recolectados mediante grupos operativos con alumnos terminando el referido curso. Los resultados fueron agrupados en dos planos: micropolítica y organización. Con relación a la micropolítica, apuntan que hubo producción de diferentes conceptos sobre educación permanente y diferentes formas de institucionalización de la misma. En el plano de la organización se destacan la autonomía y el control y también la tenue relación entre tutela y autonomía.Concluimos que el curso fue un importante dispositivo que sufrió capturas, pero también produjo cambios en las prácticas.Descriptores: Educación; Política de Salud; Formación de Recursos Humanos. IntroductionThis study, based on the theoretical methodological framework of institutional schizoanalysis Based on significant learning, the PHE also proposes that this analysis be developed through dialogue, in round tables addressing the problems and difficulties faced in the routine in which care is developed, in management, in the training of professionals to work in the Brazilian Health System and in social participation and control (4)(5)(6)(7) . PHE operates in the micropolitics of the work process and, from this perspective, it involves the molar (macro) and molecular (micro) levels not as opponents, but 413 www.eerp.usp.br/rlae Fortuna CM, Franceschini TRC, Mishima SM, Matumoto S, Pereira MJB.as expressions of the routines of policies, economies, desires and ways of living (2,8) .To disseminate and encourage conversation tables within the PHE throughout the country, the MH triggered several strategies, among them, training PHE facilitators (8) . The ministry sought to inspire workers, managers, professors, students and users of the health system to play a role in which they would facilitate and coordinate dialogue and reflection about the work performed in round tables, thereby causing discomfort and at the same time promoting a re-invention of collectives moving toward the principles of the Single Health System (SUS) (4,8) . The program to train PHE facilitators introduced a device -the PHE round table (4,6,8) , which is an arrangement capable of producing a new and innovative way of working in health but which could also be apprehended by the established movements (8) .Therefore, this study maps t...

Managers' perspective on continuous health education in a region of São Paulo State

“…The challenge that is being faced points to the idea of the collective in action, and that these collectives are put into action, so it seems necessary that there is a permanent process of self-management and self-evaluation of these collectives in order to reflect on the action at work and seek the most appropriate forms of action to the principles and values placed in its development, in the case of health work and SUS (2,5,19) . This is certainly a task of great difficulty, if we consider the form of organization of work in the health care system that has been ongoing, centered on attention to the demands and the hegemony of certain professional categories, reinforcing the existing fragmentation at work and the distance of comprehensive and integrated care.…”

“…This confusion relates to EPS concepts and Continuing Education. The mistakes made explicit by the managers also feature in health personnel training experiences to operate the concepts and practice of EPS, where the EPS actions are still presented as the fulfillment of previously structured courses, and the promotion of events and actions for specific professional categories (5) .…”

“…In this context, all are learners and subjects creating new possibilities for shaping of the group power relations. The applied perspective is that different actors can be active in the scenario of training and working, and that events can produce differences; affecting, modifying, and producing jolts in being subject, putting this collective in permanent production, therefore operationalizing significant learning (5) .…”

“…In other words, it can be said that EPS is sustained by actions grounded by meaningful learning design, and that the analysis of problems/situations that need to be faced in everyday life are developed by the dialogue of different subjects in discussion groups (3)(4)(5) . However, it is important to consider that this process does not occur in isolation from macro-structural contexts, because EPS will always operate "in the micropolitics of the work process, and in this sense, involves molar (macro) and molecular (micro) levels not as opponents, but as an expression in everyday policies, economies, desires and ways of living life" (5) .…”

“…However, it is important to consider that this process does not occur in isolation from macro-structural contexts, because EPS will always operate "in the micropolitics of the work process, and in this sense, involves molar (macro) and molecular (micro) levels not as opponents, but as an expression in everyday policies, economies, desires and ways of living life" (5) .…”