Alda Lacerda

A Busca da Saúde Integral por Meio do Trabalho Pastoral e dos Agentes Comunitários numa Favela do Rio de Janeiro

Esta pesquisa tem como foco pastores de igrejas evangelicas que moram e/ou convivem com a comunidade onde atuam. A radicalidade do gesto de conviver com moradores de favela se enquadra num conjunto de gestos tambem radicais oriundos da religiao presbiteriana. Richard Shaull, considerado o “avo” da teologia da libertacao, ao vir para o Brasil, baseado na vida de Cristo, trouxe a proposta dos seminaristas irem morar em comunidades pobres. Vimos nos questionando se a convivencia com os pobres pode contribuir para a melhoria das suas condicoes de vida, e se o trabalho destes pastores tem alguma relacao com o trabalho desenvolvido pelos agentes comunitarios de saude. Os objetivos deste artigo consistem em identificar as possiveis analogias entre o trabalho dos pastores e dos agentes comunitarios na construcao de uma saude integral na sociedade contemporânea; e discutir como esta convivencia influi na forma de cuidado que e oferecida as classes populares.

Strategic Analysis of Health Care Practices for the Homeless in Rio de Janeiro, Brazil

This chapter systematizes and analyzes a model for working with primary healthcare (PHC) teams specifically for homeless people in the municipality of Rio de Janeiro, a major metropolis in southeast Brazil. The chapter is organized as follows. The introduction reflects on the main theoretical references that underpin the workings of such teams, in Brazilian law called Consultorio na Rua (CnaR) (literally “street clinic teams” or “homeless care teams,” although most of the care is provided at PHC facilities) and, in this chapter, the intervention under study. The specific context where these teams work in the municipal region is then outlined so as to frame the problem that justifies such an intervention as well as its expected outcomes. Next, the section “The case of the CnaR Teams in Rio de Janeiro” presents unpublished primary data from an evaluation study by health personnel with the Rio CnaR teams in 2016. This mode of service forms a strategy directed at the homeless population based on the principle of guaranteeing access to basic services, especially health services, and promoting comprehensive care. The importance of this study is indicated by how recently these teams have been introduced in Brazil and in Rio de Janeiro (about 5 years ago), the complexity and relevance of their work, directed as it is at such vulnerable groups, and the lack of evaluation studies of how the CnaR teams work in practice. The methodology used, strategic analysis, is directed at mapping problems, modeling interventions, and identifying key outcomes and the partnerships established.