A temática ambiental em representações e práticas de profissionais de saúde da família no município de Manaus - AM/Brasil

Abstract

ResumoEvidências científicas mostram que mudanças ambientais antrópicas aumentam riscos de exposição a diversas doenças. Na Estratégia Saúde da Famí-lia -ESF, tarefas com claro enfoque ambiental são prescritas indicando às equipes de profissionais que considerem esses aspectos em suas intervenções. O objetivo desta pesquisa foi conhecer representações e práticas de profissionais de Saúde da Família de Manaus (AM) sobre a questão ambiental e sua interface com a saúde pública. Os dados foram coletados por meio de observação participante e entrevistas semiestruturadas, e a análise qualitativa destes deu-se pela Análise de Conteúdo e Triangulação de Métodos. Resultados da pesquisa revelaram que a maioria dos profissionais não compreende o ambiente de forma sistêmica, mesmo tendo declarado que os fatores ambientais têm grande influência sobre a saúde humana; enquanto intervenções, as práticas educativas seguem metodologias tradicionais e são centradas na culpabilização do indivíduo e na simples transmissão de conhecimentos pontuais; o relacionamento dos profissionais com a comunidade resume-se ao atendimento individual e/ou coletivo. Concluiu-se que, para a ESF contribuir para o reordenamento do sistema, é fundamental o redirecionamento desse novo modelo de política de saúde para efetivar-se como prática social e ambiental. Palavras-chave: Saúde Ambiental; Saúde da Família; Profissionais de Saúde; Promoção da Saúde. Raimunda das Chagas Mendonça AbstractThere are abundant scientific evidences showing that the increased risk of exposure to diseases is a consequence of anthropogenic environmental changes. In the Family Health Strategy, tasks with a clear environmental focus are prescribed, indicating to the professional teams that they should consider these aspects in their health practices. The objective of this research was to study representations and practices of Family Health Professionals of Manaus -State of Amazonas, Northern Brazil -about environmental issues and their interface with public health. Data were collected by means of participant observation and semi-structured interviews, and the qualitative analysis was carried out through Content Analysis and Methodological Triangulation. The results showed that most professionals do not understand the environment in a systemic way, even though they recognize the great impact that environmental factors have on human health; as interventions, the educational practices follow traditional methodologies and focus on blaming the individual and on the simple transmission of knowledge; the professionals' relationship with the community is limited to personal and/or collective care. It is concluded that in order to the Family Health Strategy to contribute to restructure the system, it is essential to redirect this new health policy model so that it becomes effective as a social and environmental practice.

Environmental responsibility through the view of basic health attention workers

“…1 A similar study about environmental issues with employees of the Family Health In this sense, it becomes paramount that social mobilization with a view to participation is the backbone of any educational intervention, so that users do not arise merely as "listeners / viewers" or "in-formants". 5 When subjects are conditioned to just following rules, being sidelined participatory and reflective about their practice balls end up conforming with reality, not setting up a different look on new perspectives of action. 13 Another point worth mentioning refers to the organization and planning of BHU to work in an educational manner, with the theme, because those involved should first discuss and harmonize their efforts and knowledge.…”

“…4 Add up though, the family health teams, we expect the knowledge of reality, ie, the identification of health and socio-environmental problems of their coverage area to better preparation of a local planning. 5 It is seen, then, that environmental changes affect the process of health disease, making it important to broaden the debate on the health and environment interface. Added to this imperative, the need to improve and build new theoretical and practical bases, supporting a health care consistent with assumptions related to ethical responsibility to preserve the planet for this and future generations.…”

A Relação Saúde E Meio Ambiente Na Atenção Primária E Na Estratégia Saúde Da Família: Uma Revisão Narrativa

“…38 As questões relativas aos RSU foram apontadas como principais causadoras de problemas relacionados com a saúde e meio ambiente e ainda, como principal problema ambiental, por profissionais e usuários do serviço de AP (A13, A14). [39][40] Uma outra categoria de resíduos vem ganhando destaque em pesquisas: os RSS. Considera-se que do total de RSU gerados, cerca de 1 a 3% são RSS.…”

Environmental responsibility through the view of basic health attention workers

“…In this sense, it becomes paramount that social mobilization with a view to participation is the backbone of any educational intervention, so that users do not arise merely as "listeners / viewers" or "in-formants". 5 When subjects are conditioned to just following rules, being sidelined participatory and reflective about their practice balls end up conforming with reality, not setting up a different look on new perspectives of action. 13 Another point worth mentioning refers to the organization and planning of BHU to work in an educational manner, with the theme, because those involved should first discuss and harmonize their efforts and knowledge.…”

“…4 With this, it reinforces the importance of social participation, because the people who suffer health problems provocated by the absence or inefficiency of state interventions, ends often being blamed for the social and environmental degradation that unlike. 5 There are actually situations and experience are suffering from very complex and broad issues that usually include power groups, political processes and economic interests.…”