Analysis of access to the psychosocial care network for users of alcohol and other drugs in rural areas

Abstract

Objectives: To analyze the access to the Psychosocial Care Network for rural residents with problems related to alcohol abuse and other drugs. Methods: Qualitative research, based on the Empowerment Evaluation framework. Data collection took place from March to December 2017 and was carried out through triangulation of qualitative methods with 42 Psychosocial Care Network workers in a municipality in Rio Grande do Sul, Brazil. Data analysis was performed by thematic analysis. Results: The challenges of access are identified due to cultural issues and the lack of resources to structure the network in its connection with rural territories. Support strategies for access include articulation with other services through matrix support. Conclusions: The access to the network is precarious for prevention and continuity of care. It is suggested a greater articulation of the network with the rural teams and an investment in the structure of the network.

Playful activity with robot for hand hygiene of elementary school students: quasi-experimental study

“…In the rural context, it is evident that access barriers are imposed by the lack of human resources in preventive work and structural transport resources, financial shortages and technologies that bring teams closer to rural territories. Thus, residents of rural areas deserve greater attention from public entities, with the purpose of developing policies that ensure better accessibility for this population, especially to health and education services (24) .…”

Atividade lúdica com robô para higienização das mãos de estudantes do ensino fundamental: estudo quase-experimental

“…No contexto rural, evidencia-se que as barreiras de acesso são impostas pelas fragilidades dos recursos humanos no trabalho preventivo e recursos estruturais de transporte, carências financeiras e de tecnologias que aproximem as equipes dos territórios rurais. Assim, moradores de áreas rurais merecem maior atenção das entidades públicas, com o propósito de elaborar políticas que garantam melhor acessibilidade dessa população, principalmente aos serviços de saúde e de educação (24) .…”

Apoio matricial na atenção especializada respaldado no modelo de atenção às condições crônicas: pesquisa avaliativa

“…Contudo, os resultados evidenciaram as capacitações como exemplificação das ações vinculadas ao apoio matricial, o que pode sugerir uma postura ainda enraizada no modelo vertical, hierárquico, cujos especialistas precisam capacitar os profissionais da APS. Ações de matriciamento fornecem espaços para o diálogo entre as equipes e oportunizam o protagonismo dos profissionais, sua busca por novos saberes e novas práticas, sendo relevantes para a qualificação do serviço (22) .…”