2013
DOI: 10.1590/s0104-12902013000200011 View full text |Buy / Rent full text
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Abstract: ResumoEsta pesquisa pretendeu fazer uma análise dos processos de trabalho dos Agentes Comunitários de Saúde (ACS) que atuam na Unidade de Saúde da Família (USF) Ilha das Caieiras, situada numa região periférica de uma capital do Sudeste do Brasil. Ela fornece serviços de saúde à população residente em um complexo de cinco bairros, cujo território abrange cerca de 2.300 famílias, sendo dividido em áreas, para atuação de uma Equipe de Saúde da Família e microáreas para atuação de cada ACS. Onze ACS que atuam na … Show more

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“…The data show that few professionals remain working in the FHS for a considerable time, corroborating what previous studies have described in the literature, highlighting how professionals do not remain working in PHC (Cotta et al, 2006;Junqueira et al, 2009Junqueira et al, , 2010. Among the significant causes that explain this finding is the 2precariousness" of the work and dissatisfaction with it, stemming from problems related to feeling professionally undervalued; wage policy; instability in the employment relationship -often organized as providing indirect services to the municipal health department (Binda;Bianco;Sousa, 2013); demotivation with working conditions; lack of opportunities for professional growth; interpersonal relationships within the FHS unit; selection and recruitment and lack of adequate infrastructure in the FHS units among others (Medeiros et al, 2010;Junqueira et al, 2009Junqueira et al, , 2010Cotta et al, 2006). Another disadvantageous aspect concerns the appearance of inefficient ways of managing the FHS, such as outsourcing to state foundations or social organizations (SO) (Cotta et al, 2006).…”
Section: Resultssupporting
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“…The data show that few professionals remain working in the FHS for a considerable time, corroborating what previous studies have described in the literature, highlighting how professionals do not remain working in PHC (Cotta et al, 2006;Junqueira et al, 2009Junqueira et al, , 2010. Among the significant causes that explain this finding is the 2precariousness" of the work and dissatisfaction with it, stemming from problems related to feeling professionally undervalued; wage policy; instability in the employment relationship -often organized as providing indirect services to the municipal health department (Binda;Bianco;Sousa, 2013); demotivation with working conditions; lack of opportunities for professional growth; interpersonal relationships within the FHS unit; selection and recruitment and lack of adequate infrastructure in the FHS units among others (Medeiros et al, 2010;Junqueira et al, 2009Junqueira et al, , 2010Cotta et al, 2006). Another disadvantageous aspect concerns the appearance of inefficient ways of managing the FHS, such as outsourcing to state foundations or social organizations (SO) (Cotta et al, 2006).…”
Section: Resultssupporting
“…This is significant as the perspective of those professionals with an average level of education, especially the CHWs, regarding (bio)ethical problems in the FHS is prevalent in the group studied. It seems clear that the fact that the CHWs live and work in the same geographical space implies a different view of their own practice and the problems occurring in it (Binda et al, 2013). However, this context reflects the reality, as the FHS teams usually contain 75.0% of professionals with average levels of education -i.e.…”
Section: Resultsmentioning
“…O trabalho na Atenção Básica é considerado de grande complexidade, visto as constantes mudanças no processo de gestão e do trabalho em saúde. O desempenho do ACS como elo é fortalecido quando, ao percorrer os territórios geográficos, integra-se com a comunidade, acompanha aspectos da qualidade de vida dos indivíduos, buscando demandas para serem atendidas junto aos demais membros da equipe de saúde (15,16) . Estas considerações se assemelham as da presente pesquisa, na qual há o entendimento de que os ACS devem constantemente manter ligação entre comunidade e demais membros da equipe de saúde.…”
Section: Resultsunclassified
“…Its duties include at least one household visit per month to each families registered in the territory that comprises the microarea under its responsibility, and must treat in a differentiated way the groups considered as priority, such as pregnant and nursing mothers, who should be encouraged and oriented about the value of exclusive breastfeeding [4][5][6]. However, it is necessary to emphasize that, in order to obtain the expected success, it is necessary that, during the postnatal home visit, the community health agent be able to provide adequate technical information, as well as physical and emotional support to the nursing mother [3].…”
Section: Introductionmentioning