Encaminhamentos à mulher em situação de violência conjugal

Abstract

ResumoAs ações de enfrentamento à violência não são exclusivas do setor saúde, sendo preciso aporte de uma rede intersetorial. AbstractActions against violence are not the responsibility of the health sector alone. They require an intersectoral network support. This is a research based on the Grounded Theory method, approved by the Ethics Committee. Fifty-two professionals working in the Family Health Strategy were interviewed in order to understand the meanings attributed by these professionals concerning women in situations of domestic violence. Women in domestic violence situations are referred to a psychologist and a social worker from the Family Health Strategy Nucleus. Some centers were mentioned as external referrals: Reference Center, Women's Police Station, Institute of Forensic Medicine and hospital space or maternity. However, the lack of knowledge about the services and intersectoral disarticulation harms women's care. Knowledge about the services, understanding about the flow and intersectoral coordination are the improvements suggested. As autoras declaram não haver conflitos de interesse. Keywords

O CREAS PAEFI na perspectiva de mulheres vítimas de violência e profissionais: uma análise a partir da Teoria Bioecológica do Desenvolvimento Humano

“…A mulher precisa, para o enfrentamento da violência, de uma rede de apoio composta de relações estáveis, de serviços qualificados e que funcionem em diferentes horários, além de profissionais preparados (Garcia, Duarte, Freitas & Silva, 2016;Labronici, 2012). No entanto, estudos têm mostrado que a rede de atendimento à mulher vítima de violência é, muitas vezes, identificada como uma rede fragmentada e distante da realidade vivida pelas mulheres (Dutra et al, 2013;Gomes, Erdmann, Mota, Carneiro, Andrade & Koerich, 2013;Santi, Nakano & Lettiere, 2010). Essa realidade evidencia que, mesmo que existam os serviços especializados, a atuação de um serviço, de forma isolada, não evita que a mulher passe por novas situações de violência (Meneghel, Bairros, Mueller, Monteiro, Oliveira & Collaziol, 2011;Vieira et al, 2015).…”

Instrumentos para articulação da rede de atenção às mulheres em situação de violência: construção coletiva

“…We have to talk to the other SARCS [...] One of the obstacles to the referral of women is the lack of knowledge about the functioning of services. This has been verified in a study carried out with professionals who demonstrate little knowledge about the work done in the Reference Center and the SPOM, as well as about the articulation between them (15) . The process of interaction between the different sectors that integrate the network will only be consolidated through mutual knowledge.…”

“…The service flowchart is considered a strategy that favors referrals. Primary health care professionals point out that the establishment of a flow and its knowledge contributes to directing the paths to be followed and the search for support in the social network (15) . Knowledge regarding the services is determined through existing information and communication flow (16) .…”

Processo de trabalho e planejamento das ações de saúde

“…In health education, professionals should systematically use knowledge, teaching skills, active / participatory methodologies, emphasizing dialogue, formal and informal knowledge, acting as facilitators, stimulating the development of individual and collective capacities aimed at improving people's health conditions and groups and not only the creation of groups of specific pathologies. 9 Health education is thus characterized as an important instrument for working with the community, through initiatives aimed at a policy focused on health promotion, with the encouragement of the autonomy of the people, community empowerment, ensuring access health information, the development of skills and decision-making in their social, political and cultural contexts.…”

“…Health promotion is considered as a mediating strategy between people and the environment, strengthening the participation of social and community actors in modifying the determinants and determinants of the health-disease process through a complex and expanded conception seeking to develop health capacities. [8][9] According to several authors, 10 health education enables the transformation of reality through the critical sensitization of individuals, since it allows the shared construction of knowledge by integrating scientific-popular knowledge and differentiated forms of care that favor learning significant "as a process of understanding, reflection and attribution of meanings of the subject in interaction with the social environment, when constructing the culture and because it is constituted". 11 It is believed that educational practices should be developed through reflection that starts from the reality of the subject, which proposes the emancipation and autonomy of the same by a liberating pedagogy.…”