Maristela Inês Osawa Vasconcelos

Intersetorialidade e Estratégia Saúde da Família: tudo ou quase nada a ver?

In this study, the understanding of intersectoriality together with the Family Health Strategy (FHS) was analyzed from the perceptions of individuals involved with the social context of primary care in the city of Sobral in the state of Ceará. An analytical study of a qualitative nature was conducted in May 2014. The focal group was the data collection technique with 11 participants chosen for the key functions they perform in their direct interface with the FHS. Data were analyzed using the Lefevre and Lefevre Discourse of the Collective Subject technique (2003). The word cloud analysis technique - a graphical way of viewing linguistic data based on Wordle™ software - was also used. Five discourses on intersectoriality were produced: a) the understanding of the group; b) its importance in the context of the FHS; c) actions performed in the FHS; d) facilitators or obstacles to intersectoriality in the FHS; e) suggestions for enhancing intersectorial cooperation in the FHS. The responses highlighted the complexity of this issue, which requires health managers and professionals to overcome the reductionist model that is derived from a biological perspective on health, the polysemic nature of the term and acknowledging that this is a project under construction.

Colaboração interprofissional no Projeto Saúde e Prevenção na Escola

Inter-professional collaboration implies that there is a sharing of activities with a view to meeting a common goal. This theme was analyzed in the ‘Health and Prevention in Schools’ project (known as PSPE in the Portuguese) as a health promotion device. The aim was to encourage the sharing of ideas and information as well as intersectoral responsibilities and values in adherence to the principles of the National Policy for Health Promotion (PNPS). This was a case study conducted in a medium-sized city, in the northeast of Brazil. Our sources of information came from documents and questionnaires that had been applied to and taken from participants. We used the Inter-professional Collaboration Model designed by D’Amour et al. Based on the dimensions and indicators that were assessed, we identified that the project workers in the PSPE were guided by common goals. We noted that: their planning of actions was not guided by the needs of students, there were few opportunities for members to interact, there was evidence of their having confidence in the ability of others to take on responsibilities, infrastructures were not used properly and the leadership that we studied had little impact. We also noted that there were training processes for members. Our results showed that the level of inter-professional collaboration was at the level of “in development”.Inter-professional collaboration implies that there is a sharing of activities with a view to meeting a common goal. This theme was analyzed in the ‘Health and Prevention in Schools’ project (known as PSPE in the Portuguese) as a health promotion device. The aim was to encourage the sharing of ideas and information as well as intersectoral responsibilities and values in adherence to the principles of the National Policy for Health Promotion (PNPS). This was a case study conducted in a medium-sized city, in the northeast of Brazil. Our sources of information came from documents and questionnaires that had been applied to and taken from participants. We used the Inter-professional Collaboration Model designed by D’Amour et al. Based on the dimensions and indicators that were assessed, we identified that the project workers in the PSPE were guided by common goals. We noted that: their planning of actions was not guided by the needs of students, there were few opportunities for members to interact, there was evidence of their having confidence in the ability of others to take on responsibilities, infrastructures were not used properly and the leadership that we studied had little impact. We also noted that there were training processes for members. Our results showed that the level of inter-professional collaboration was at the level of “in development”.

Formação dos monitores do PRÓ-PET-SAÚDE a partir das necessidades de aprendizagem vivenciadas no PSE.

This is an experience report on the training of monitors PRO-PET-Saude, from the definition of actions to be developed by the ProgramaSaudena Escola (PSE). Such actions evidenced knowledge gaps needed but not supplied within the academic training, triggering a formative process with issues related to adolescence, the EstrategiaSaude da Familia (ESF), in naddition to the matters contained in parts 1 and II of the PSE. Eight thematic workshops with pedagogical framework of the People’s Education and Lifelong Learning, based on meaningful learning and induction of critical reflective postures were performed. This process highlighted the need for actions / projects that bring training and health work, and enable the sharing of knowledge and practices among teachers, students, workers and users.