Identidade da agente comunitária de saúde: tecendo racionalidades emergentes

Rocha, Natália Hosana Nunes; Barletto, Marisa; Bevilacqua, Paula Días

doi:10.1590/s1414-32832013005000031

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…A more detailed analysis (Figure 2) on the distribution of CHWs and vector control policies research shows that 10 countries contain the highest number of publications: Uganda ( 14), Zambia (14), Brazil (14), Kenya (11), Burkina Faso (9), Myanmar (8), India (7), Cambodia (7), Ethiopia (6), and Senegal (6). This distribution corroborates the pattern found in the distribution of the general dataset (Figure 1).…”

Section: Resultssupporting

confidence: 77%

“…The introduction of CHW programs takes advantage of this gendered labor division as they allocate care work inside communities primarily to women and thus reinforce gender inequalities in households and healthcare workforce. 7,10 On the other hand, there is evidence that CHW strategies may reduce gender differences in the implementation of community health services, 11 increasing the coverage of treatment, 12 mobility, and social recognition from women in their communities. 13 Although gender analysis has been frequently used to analyze the role of CHW, the same cannot be said for vector control programs.…”

Section: Introductionmentioning

confidence: 99%

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Examining the Intersection between Gender, Community Health Workers, and Vector Control Policies: A Text Mining Literature Review

Menezes

Nunes

Pimenta

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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Gender intersects with healthcare systems; this is equally true for arboviral vector control efforts. However, there is as yet no comprehensive analysis as to how vector control is gendered. Hence, our objective is to provide the first thematic scoping and spatial distribution of the literature on gender, community health workers, and vector control. The authors use a systematic review approach to collect the academic literature on gender, community health workers, and vector control in Web of Science, Scopus, and PubMed (7,367 articles). After applying the exclusion criteria, 2,812 articles were analyzed using machine learning techniques: text mining and quantitative text analysis. The authors use topic modeling to assess the thematic scope of the literature and analyze the spatial distribution of themes. Our results show that the literature’s spatial scope is strongly represented by the global south as research was conducted mainly in Latin America, Africa, and Asia, places with greater incidence of vector-borne disease and with health systems, which incorporate community healthcare workers. However, there are significant spatial heterogeneities in where and how research is conducted. The topic analysis reveals that the literature predominantly considers issues of sex (e.g., pregnancy) and gender as it relates motherhood. Gendered considerations occur upon implementation of vector control policies, rather than being mainstreamed into their development and delivery. There is a need to deepen the analysis to allow for gendered aspects to be understood beyond binary sex differences and/or reproductive health.

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Section: Resultssupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Examining the Intersection between Gender, Community Health Workers, and Vector Control Policies: A Text Mining Literature Review

Menezes

Nunes

Pimenta

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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show abstract

“…Esse perfil de ACS composto, majoritariamente, por mulheres vai ao encontro de resultados semelhantes em outros estudos, evidenciando que as equipes de saúde, em sua grande maioria, têm como principal característica o predomínio de ACS do sexo feminino (BARALHAS, PEREIRA, 2013;LOPES et al, 2012;ROCHA, BARLETTO BEVILACQUA, 2013). Essa tendência à presença feminina indica que, além de não ser exclusividade da região estudada, ela pode estar relacionada a aspectos culturais ligados à profissão e às funções específicas do ACS.…”

Section: Análise E Discussão Dos Dadosunclassified

Agente Comunitário de Saúde: implicações dos custos humanos laborais na saúde do trabalhador

Santos

Hoppe

Krug

2018

Physis

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Resumo O estudo teve como objetivo investigar o custo humano físico, cognitivo e social no trabalho do agente comunitário de saúde (ACS) e sua relação com possíveis danos à sua saúde. Estudo transversal, descritivo, quantitativo-qualitativo, com 251 ACS de municípios da 13ª Coordenadoria Regional de Saúde-RS. Os dados foram coletados em entrevistas, questionário sociodemográfico e “Inventário de Trabalho e Riscos de Adoecimento” (ITRA). Utilizaram-se para a análise dos dados a média dos escores fatoriais e a Análise de Conteúdo. Todos os fatores relativos aos custos humanos apresentaram avaliação moderada/crítica. Quanto aos danos à saúde, os danos físicos receberam avaliação moderada/crítica, sendo os demais avaliados como positivos/suportáveis. Apesar disso, foi relatada a presença de transtornos psíquicos, em um discurso de banalização do sofrimento advindo do trabalho.

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“…CHAs are closest to the consumers they serve geographically and have greater knowledge of their community’s lifestyles, traditions, and culture than do other members of the FHS team. In making household visits, CHAs study their patients vis-à-vis their sociocultural practices [53]. In doing so, CHAs are the ones best able to identify individual HIV risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil’s Unified Health System

Rahman

Pinto

Wall

2017

IJERPH

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Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil’s Unified Health System (UHS). The outcome, service integration, comprised HIV education, community activities (e.g., health walks and workshops), and documentation services (e.g., obtainment of working papers and birth certificates). Predictors included individual factors (provider confidence, knowledge/skills, perseverance, efficacy); job characteristics (interprofessional collaboration, work-autonomy, decision-making autonomy, skill variety); and organizational factors (work conditions and work resources). Structural equation modeling was used to identify factors associated with service integration. Knowledge and skills, skill variety, confidence, and perseverance predicted greater integration of HIV education alongside community activities and documentation services. Job characteristics and organizational factors did not predict integration. Our study offers an explanatory model that can be adapted to examine other variables that may influence integration of different services in global primary healthcare systems. Findings suggest that practitioner trainings to improve integration should focus on cognitive constructs—confidence, perseverance, knowledge, and skills.

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Identidade da agente comunitária de saúde: tecendo racionalidades emergentes

Cited by 10 publications

References 7 publications

Examining the Intersection between Gender, Community Health Workers, and Vector Control Policies: A Text Mining Literature Review

Examining the Intersection between Gender, Community Health Workers, and Vector Control Policies: A Text Mining Literature Review

Agente Comunitário de Saúde: implicações dos custos humanos laborais na saúde do trabalhador

HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil’s Unified Health System

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