Rede intersetorial do Programa Saúde na Escola: sujeitos, percepções e práticas

Abstract

This study evaluated the implementation of the School Health Program (PSE in Portuguese) in the city of Belo Horizonte, Minas Gerais State, Brazil, the mechanisms favoring inter-sector action, and municipal administrators' perceptions concerning inter-sector collaboration. A case study was developed with document search and the application of an online questionnaire. The document search analyzed federal and municipal legislation on the PSE published in the Federal Register and Municipal Register and news on the program published in the Municipal Register. A semi-structured online questionnaire was completed by 30 municipal administrators. Content analysis was used on the qualitative data from the document search and questionnaire. The quantitative data were interpreted by descriptive analysis using Stata v. 13. Integrative mechanisms were identified in the federal and municipal provisions and in the unique PSE model adopted by the city. These mechanisms can potentially promote permanent linkage between health and education. However, the study with municipal administrators showed limited use of these mechanisms and the predominance of a sector-based logic in the program. There was evident difficulty in developing inter-sector collaboration in the program's activities. The potentialities of inter-sector action identified in the official documents and described in the institutional news failed to reverberate in either the administrators' practices or the impact on the schools' territories.

Child mental health care in the context of the Family Health Strategy: an evaluative study

“…In the field of psychosocial care, the co-responsibility of care in the territory is enhanced with actions of the PSE, since in larger municipalities education and health are faced with communities of great territorial extension, with diversity in the profile of social vulnerability and population needs (13) .…”

“…The PSE aims to contribute to the integral formation of public education students with prevention, promotion and health care actions (13) . However, the interest group assessed that actions are far from achieving the objective of the program, as they are punctual and fail to offer expanded attention to mental health care.…”

Professional qualification in the School Health Program from the perspective of Complexity Theory

“…18 In this program, the two main sectors responsible are health and education, but this intersectoral articulation should cover other instances of society, such as social assistance. 7,18 Thinking about the importance of the institutions and agents that are involved in them is necessary for the professionals who participate in the training, mainly because they are part of the main sectors involved and related in the execution of the Health Program in the School.…”

“…5,6 The implementation of the latter must take place on a continuous and permanent basis in search of teachers and health professionals who have the support to plan and carry out the activities proposed by the program. 7 To this end, it is hoped that the interinstitutional and inter-sectoral articulations will be established as recommended by the National Policy on Permanent Education in Health 8 in the planning and execution of these capacities, in order to foster the improvement of school health practices.…”

A prática de promoção da saúde em escolas estaduais de Minas Gerais: avanços e desafios

“…Uma investigação sobre os mecanismos que favorecem a intersetorialidade na implementação do PSE, bem como a percepção dos gestores responsáveis a esse respeito foi conduzida por Chiari et al (2018) que objetivou avaliar a implantação e execução do PSE no município do Belo Horizonte, Minas Gerais, por meio de questionário semiestruturado e aplicado a trinta gestores do município ligados ao PSE. Foram identificados, segundo os autores, mecanismos integradores e potencialmente promotores de ações intersetoriais, referenciados em vastas publicações de normativas tanto na esfera federal quanto municipal, que poderiam subsidiar o desenvolvimento do programa alinhado a essa perspectiva.…”