Mariluce Karla Bomfim de Souza

Assistance for the adolescent victim of violence: participation of local health managers

This qualitative study aimed at analyzing the participation of the local health managers in the assistance provided to the adolescent victim of violence in the city of Itabuna, Bahia, Brazil. Specific objectives of this study were: to identify how the local health managers perceive violence and its repercussions in adolescence; to identify the public healthcare policies directed to the adolescent implanted by the health system of Itabuna-BA, focusing on violence and on the actions developed by the local health managers toward an effective implantation of these policies. The data collected from interviews and documents were analyzed using the technique of content analysis. Analytical categories: Violence as any form of physical, moral, psychical or social aggression, omission and disrespect to the human rights; Violence has psychological repercussions in adolescence, causes pain and suffering, compromises the life and the future and generates violence; Assistance for the adolescent victim of violence: limitations and advances of a policy in construction. The results show that the managers have put forth efforts for the effective implementation of the Adolescent Health Program, with the intention to include violence as a focal issue of their actions.

The humanization in the basic health care services: conceptions of health professionals

Objective: to analyze the conception of higher-level professionals who assume the management of the Family Health Units about the humanization as a criterion for (re) organization of the service and of improvement of the care provided to the user. Methodology: it is a qualitative study, with professionals who assume the management of the units in which the Humanization Policy was implemented, in a Bahia municipality, in 2010. The data were collected through eight interviews and, for making the analysis, we have used the content analysis technique. The research project was approved by the Ethics Research Committee, according to the Opinion no 038/2010. Results: there is plurality of understandings about the humanization, which might be characterized as a positive aspect if it is used to unify the ideas for the collective building of interventions within the local health coverage. However, the viewpoints presented by each respondent are still reduced due to the breadth of the concept of humanization. Conclusion: the findings have revealed the importance of making use of the assumptions of the Humanization Policy to guide practices and reorganize the service in the pursuit for a quality care. Descriptors: Humanization, Health Services; Management. RESUMO Objetivo: analisar a concepção dos profissionais de nível superior que assumem a gerência das Unidades de Saúde da Família acerca da humanização como critério de (re) organização do serviço e de melhoria da assistência prestada ao usuário. Metodologia: estudo qualitativo, com profissionais que assumem a gerência das unidades em que foi implantada a Política de Humanização, em um município baiano, no ano de 2010. Os dados foram coletados por intermédio de oito entrevistas e, para a análise, utilizou-se a técnica de análise de conteúdo. O projeto de pesquisa foi aprovado pelo Comitê de Ética, segundo o Parecer no 038/2010. Resultados: há pluralidade de entendimentos sobre a humanização, fato que pode ser caracterizado como aspecto positivo se utilizado no sentido de congregar ideias para a construção coletiva de intervenções no âmbito da saúde local. Contudo, as visões apresentadas por cada profissional ainda são reduzidas devido à amplitude do conceito da humanização. Conclusão: os achados revelaram a importância de se utilizar os pressupostos da Política de Humanização para nortear práticas e reorganizar o serviço na busca por uma assistência de qualidade. Descritores: Humanização; Serviços de Saúde; Gerenciamento. RESUMEN Objetivo: analizar la concepción de los profesionales de nivel superior que asumen la gerencia de las Unidades de Salud de la Familia acerca de la humanización como criterio de (re)organización del servicio y de mejoría de la asistencia prestada al usuario. Metodología: estudio cualitativo, con profesionales que asumen la gerencia de las unidades en que fue implantada la Política de Humanización, en un municipio bahiano, en el año de 2010. Los datos fueron recogidos por intermedio de ocho entrevistas y, para el análisis, se utilizó la técnica de análisis de contenido. El proyecto de investigación fue aprobado por el Comité de Ética, según parecer no 038/2010. Resultados: hay pluralidad de entendimientos sobre la humanización, hecho que puede ser caracterizado como aspecto positivo si utilizado en el sentido de congregar ideas para la construcción colectiva de intervenciones en el ámbito de la salud local. Con todo, la visión presentada por cada profesional todavía es reducida, debido a la amplitud del concepto de la humanización. Conclusión: los hallados revelaron la importancia de utilizarse los presupuestos de la Política de Humanización para nortear prácticas y reorganizar el servicio en la búsqueda por una asistencia de calidad. Descriptores: Humanización; Servicios de Salud; Gerenciamiento. Nurse, Federal University of the Bahia Reconcave. Salvador (BA), Brazil. E-mail: josecarneirojr@hotmail.com; Nurse, PHD in Public Health. Federal University of the Bahia Reconcave. Salvador (BA), Brazil. E-mail: marilucejbv@yahoo.com.br ORIGINAL ARTICLE Oliveira Junior JC de, Souza MKB de. The humanization in the basic health care... English/Portuguese J Nurs UFPE on line., Recife, 7(6):4370-7, June., 2013 4371 DOI: 10.5205/reuol.4164-33013-1-SM.0706201308 ISSN: 1981-8963 The SUS is a single and social project whose principles of universality, integrality and equity are grounded in the Brazilian Federal Constitution of 1988. The Health Organic Law no 8080/90 asserts that the State has the duty to assure the health in practices of planning and implementation of economic, social, and, consequently, health policies aimed at reducing risks of diseases and other health problems, as well as the establishing conditions that assure universal and egalitarian access to actions and services for its promotion, protection and recovery. 1 For ensuring the access the health service, the public health system is organized into levels of health care, being that one of them is the Basic Health Care (known as ABS). The Brazilian Ministry of Health, through the Ordinance no 2488, of October 21st, 2011, characterizes the Basic Care as “a set of health actions, both individually and collectively, which covers the health promotion and protection, disease prevention, diagnosis, treatment, rehabilitation, damage reduction and health maintenance with the purpose of developing an integral care. Moreover, “it adds that the ABS should be “the preferential contact of users”, and should be guided by “the principles of universality, accessibility, bonding, continuity of care, integrality of care, accountability, humanization, equity and social participation”. By highlighting the principle of humanization, this is operationalized with the rescue of the basic fundamentals that guide the health practices in the SUS, thereby recognizing managers, executive managers, workers and users as active subjects and protagonists of health actions; the building of different spaces for meetings among the subjects, as well as the knowledge exchange; the networking with multiprofessional teams, with transdisciplinary action; the care for demands of different subjects and the pact between the different levels of management of the SUS and the different levels of achievement of the public health policies.