A contribuição dos trabalhadores na consolidação dos serviços municipais de vigilância sanitária

Garibotti, Vanda; Hennington, Élida Azevedo; Selli, Lucilda

doi:10.1590/s0102-311x2006000500017

Cited by 13 publications

(14 citation statements)

References 3 publications

(3 reference statements)

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“…Este fato constitui uma limitação para o uso do sistema em estudos relacionados à vigilância sanitária. A forma de atuação centrada na regulação é uma 3,4,12,13,24 . O estudo corrobora com esta afirmação ao identificar um maior grupo de procedimentos, presentes no SIA/SUS relacionados ao controle sanitário.…”

Section: Discussionunclassified

Ações de vigilância sanitária no Brasil

Fonseca

Fonseca²

2014

J Manag Prim Health Care

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ResumoApesar da ampliação do campo de atuação, a vigilância sanitária ainda mantém suas atribuições e formas de atuar assentadas na fiscalização, licenciamento de estabelecimentos, julgamento de irregularidades e aplicação de penalidades. Objetivo: Descrever os procedimentos, relacionados à vigilância sanitária, que fazem parte do Sistema de Informação Ambulatorial (SIA) do Sistema Único de Saúde (SUS) em 2012. Metodologia: A partir do Tabnet/DATASUS foram acessadas as informações de produção ambulatorial do SUS por local de atendimento e forma de organização referente à vigilância sanitária em 2012. Assim, foi possível a exploração do banco de dados e a seleção das variáveis do estudo restritas aos procedimentos executados pela vigilância sanitária. As informações foram exportadas para o programa computacional livre R® (versão 3.0.1) para análise descritiva dos dados. Resultados: De quarenta e três procedimentos executados pela Vigilância Sanitária, quatro (9,30%) foram relacionados a atividades educativas, dezenove (44,18%) ações de regulação e licenciamento sanitário, três (6,98%) de investigação de surtos e dois (4,65%) a processo administrativo sanitário. Conclusão: O SIA/SUS é uma ferramenta tecnológica para análise dos procedimentos executados pela vigilância sanitária. Houve predominância de procedimentos regulatórios, mas as atividades de educação sanitária estão presentes no processo de trabalho da vigilância sanitária. AbstractDespite the expansion of the field of action, health surveillance still retains its powers and ways of acting settled in inspection, licensing of establishments, trial irregularities and impose penalties. Objective: To describe the procedures related to the health surveillance which are part of the Ambulatory Care Information System (SIA) of Brazilian Health System (SUS) in 2012. Methodology: From Tabnet /DATASUS been accessed information of SIA by place of service and type of organization related to health surveillance in 2012. Thus, it was possible to work the database and the selection of the variables restricted to procedures performed by health surveillance. Data were exported to the free R ® computer program (version 3.0.1) for descriptive analysis. Results: Forty three procedures performed by the Health Surveillance, four (% 9.30) were related to educational activities, nineteen (44.18%) shares of regulation and licensing sanitary, three (6.98%) outbreak investigation and two (4.65%) the administrative process sanitary. Conclusion: The SIA /SUS is a technological tool for analysis of procedures performed by health surveillance. There was predominance of regulatory procedures, but the health education activities are present in the working process of health surveillance service.

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Section: Discussionunclassified

Ações de vigilância sanitária no Brasil

Fonseca

Fonseca²

2014

J Manag Prim Health Care

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“…In this study, the group of workers presents the conception of a job that is defined in practical terms as an organization of their points of view (learning), the object of their work and the instruments required to perform health surveillance actions. According to some authors (14) , the lack of an academic background and professional qualification in this public health area represents a hindrance to transform surveillance practices. In this construction, there is an association between health surveillance and the theme category professionalism, which is configured as the crystallization of the social representation of the subject, the materialization of what was abstract to the subjects, that is, through the VISAPAF workers' thought and discourse.…”

Section: Professional Identitymentioning

confidence: 99%

“…The Agency appears as a landmark which made the workers seem redundant. Hence, in the same perspective of valuation of these public health professionals, this statement is meaningful: "these healthcare workers are often appointed as potential subjects to change and reformulate the practices and are often said to be a burden, a problem to be solved" (14) . Thus, the professionals endure a moment of tension and insecurity, which is justified by the arrival of new professionals and by the fear that VISAPAF will decentralize power.…”

Section: Professional Identitymentioning

confidence: 99%

Social representations of health surveillance among workers

Souza¹,

Dall'Agnol

2008

Rev. Latino-Am. Enfermagem

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, it was not until the past decades that they became study themes. Studies mostly deal with their historical construction in the social-politicaleconomic setting, contextualizing them with social relationships of production and consumption (3)(4) . In specialized VISAPAF literature, except for two studies (5)(6) , the absence of citation of who performs the sanitary control is signaled. There is also minimum information regarding the work process. This reveals a historical-cultural silencing of surveillance workers, which seems to transmit a feeling of devaluation for the actions developed by the group, which they understand and express on a daily basis. Is it possible to have health surveillance, or its history, without subjects? Who are the subjects responsible for health surveillance actions? How is the knowledge constructed and how is it manifested in daily practices?In this perspective, the social representation concept permitted an analysis of these questions, since it is contrary to the subject epistemology or the object itself (7)(8) . The investigation of VISAPAF workers' social representations regarding health surveillance also received attention. They integrate the cognitive and affective dimensions, which are structured on the social reality these subjects are inserted in. The assumption was to use, explicitly, when conducting the research, a knowledge modality generated through daily life communication, which has the practical goal of guiding behaviors in social situations. Hence, the approach was meant to consider the historical-socialcultural complexity VISAPAF was constructed in. METHODOLOGICAL PROCEDURESIn this exploratory-interpretative study, a qualitative approach was adopted, using the theoretical concepts of Social Representations Theory. They constitute a vast field for studies intended to encompass the cognitive, affective and social dimensions (9) . As a complementary approach toMoscovici's theory, the perspective closest to the original propositions was adopted as a reference, led by Denise Jodelet, in Paris. This is explained because "this is the most used approach by researchers who intend to fully understand the representation of a given object by a given social set". Site and SubjectsThree health surveillance centers were After that, the signifiers were further studied.They were obtained from the word calling test, through the associations or confrontations with the meanings explored from the reports obtained by the semistructured interviews. Taking into account the French studies' perspectives to reach the saturation rate of the interviewed subjects (11) , a number of 30 participants was obtained. They were chosen by the "snowball"technique. For each of the study fields, the first worker was randomly chosen and, at the end of the interview, the respondent was asked to indicate a colleague and so on, until reaching the planned number of interviews for each site. Whenever an indicated subject could not participate, the snowball process was repeated with a new indication. The differe...

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“…Quanto aos recursos humanos, alguns autores apontaram como principais problemas: dificuldades técnico-operacionais no desenvolvimento das ações descentralizadas, capacitações limitadas ou inexistentes, ausência de política de recursos humanos, contratos e condições de trabalho precários, alta rotatividade e número reduzido de profissionais 8,10,13,14,15 ; as principais dificuldades enfrentadas pelas vigilâncias sanitárias municipais relacionadas ao financiamento foram: falta de autonomia na gestão e insuficiência dos recursos financeiros, desconhecimento e dificuldades na utilização do incentivo para a execução das ações de vigilância sanitária 4,10,11,14,15 . Os problemas da organização dos serviços dizem respeito à precariedade da gestão; falta de autonomia na gestão do trabalho; abordagem fragmentada do campo de atuação 15 ; priorização de ações voltadas ao controle e fiscalização de produtos e serviços e deficiente articulação dos serviços com o território sobre o qual atuam 11 .…”

Section: Introductionunclassified

“…Os problemas da organização dos serviços dizem respeito à precariedade da gestão; falta de autonomia na gestão do trabalho; abordagem fragmentada do campo de atuação 15 ; priorização de ações voltadas ao controle e fiscalização de produtos e serviços e deficiente articulação dos serviços com o território sobre o qual atuam 11 .…”

Section: Introductionunclassified