Marta Cocco da Costa

Violência contra mulheres rurais: gênero e ações de saúde

Objective: To analyze from an analytical category of gender, the dimensions of violence against rural women according to health management staff, professiona...

Educação popular em saúde: metodologia potencializadora das ações do enfermeiro

The article aims at making a reflection about utilizing the health popular education as a potentializing methodology of the health actions performed by nurses. Since the 1970s, popular education became outstanding in the realm of health because it utilizes dialogue and listening as care tools and allows the expression of the critical thought and world views by appraising interpersonal exchanges between the scientific and the popular knowledge and learning about the health-sickness process and self-care. In view of the evolution of the public policies, health actions have required new methodologies in order to work with health promotion and prevention of diseases. Thus, Popular Education is capable of rescuing the nurse´s role as an educator under the care perspective, reflecting about the methodology and the utilized working tools and the impacts and results obtained through dialogue, respect and appraisal of the subjects within their collective environment.

Violence against women in the perspective of community health agents

The current study has the objective of learning and understanding how Community Health Agents conceptualize, develop and perform strategies to counter violence against women attending the Family Health Strategies in a northeastern municipality of Rio Grande do Sul. It is an exploratory research, utilizing a descriptive and qualitative approach, carried out with 35 Community Health Agents. Semi-structured interviews were performed to collect the data, which were analyzed using the thematic model. Conceptions of violence against women are centered around violence as a social construction based on gender inequalities and on violence as having a multifactorial construction. Regarding care practices and interventions to counter violence, the following tools are highlighted construction of intervention strategies within the staff forming bonds, listening and dialogue with the women victims of violence; and directing victims to support services. We believe that this study contributes to the visibility of this theme as a need in health care, as well as for the construction of strategies to counter it.O presente estudo visou conhecer e compreender a violencia contra as mulheres na perspectiva dos Agentes Comunitarios de Saude inseridos nas Estrategias de Saude da Familia de um municipio da regiao noroeste do Rio Grande do Sul. Trata-se de uma pesquisa exploratoria, descritiva com abordagem qualitativa, realizada com 35 Agentes Comunitarios de Saude. Para a coleta dos dados, utilizou-se entrevista semiestruturada, e os mesmos foram analisados pela modalidade tematica. As conceituacoes da violencia contra as mulheres centram-se na violencia enquanto construcao social e de desigualdades de genero; e violencia enquanto construcao multifatorial. Em relacao as praticas de cuidado e enfrentamento, observaram-se algumas ferramentas: a construcao de estrategias de cuidado junto com a equipe; vinculo, escuta e dialogo com a mulher vitima de violencia. Acredita-se que este estudo contribua para dar visibilidade a essa problematica como uma necessidade de saude e assistencia e para a construcao de estrategias de enfrentamento.

VIOLÊNCIA CONTRA AS MULHERES NA PERSPECTIVA DOS AGENTES COMUNITÁRIOS DE SAÚDE

The current study has the objective of learning and understanding how Community Health Agents conceptualize, develop and perform strategies to counter violence against women attending the Family Health Strategies in a northeastern municipality of Rio Grande do Sul. It is an exploratory research, utilizing a descriptive and qualitative approach, carried out with 35 Community Health Agents. Semi-structured interviews were performed to collect the data, which were analyzed using the thematic model. Conceptions of violence against women are centered around violence as a social construction based on gender inequalities and on violence as having a multifactorial construction. Regarding care practices and interventions to counter violence, the following tools are highlighted construction of intervention strategies within the staff forming bonds, listening and dialogue with the women victims of violence; and directing victims to support services. We believe that this study contributes to the visibility of this theme as a need in health care, as well as for the construction of strategies to counter it.O presente estudo visou conhecer e compreender a violencia contra as mulheres na perspectiva dos Agentes Comunitarios de Saude inseridos nas Estrategias de Saude da Familia de um municipio da regiao noroeste do Rio Grande do Sul. Trata-se de uma pesquisa exploratoria, descritiva com abordagem qualitativa, realizada com 35 Agentes Comunitarios de Saude. Para a coleta dos dados, utilizou-se entrevista semiestruturada, e os mesmos foram analisados pela modalidade tematica. As conceituacoes da violencia contra as mulheres centram-se na violencia enquanto construcao social e de desigualdades de genero; e violencia enquanto construcao multifatorial. Em relacao as praticas de cuidado e enfrentamento, observaram-se algumas ferramentas: a construcao de estrategias de cuidado junto com a equipe; vinculo, escuta e dialogo com a mulher vitima de violencia. Acredita-se que este estudo contribua para dar visibilidade a essa problematica como uma necessidade de saude e assistencia e para a construcao de estrategias de enfrentamento.

Social representations of violence against rural women: unveiling senses in multiple views

Se analizan las representaciones sociales de la violencia contra las mujeres desde la perspectiva de gestores municipales, profesionales y trabajadores de salud en el escenario rural de la mitad sur del Rio Grande do Sul. Este estudio con abordaje cualitativo incluye la perspectiva teorico-metodologica de las Representaciones Sociales. Los datos fueron generados por medio del metodo asociativo con preguntas-estimulo de evocaciones de palabras y expresiones. El analisis de la asociacion de palabras fue realizada por medio del programa EVOC, considerando la frecuencia y el orden de la asociacion a los terminos inductores. Las evocaciones de los participantes reconocen la violencia contra las mujeres como destino de genero que inducen a consentimiento, resignacion, culpa y miedo resultando en naturalizacion y banalizacion del fenomeno social. Destaca la necesidad de producir rupturas en las formas tradicionales del cuidado de la salud, en las visiones conservadoras y estereotipadas de la comprension de la violencia, favoreciendo el acceso a servicios de acogida y evitando la reproduccion de inequidades de genero.

Processo de trabalho dos agentes comunitários de saúde: possibilidades e limites

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Práticas de saúde aos usuários em situação de violência: da invisibilidade ao (des)cuidado integral

The aim of this study was to investigate practices of health professionals for users undergoing violence from perspective of comprehensive care. This study was based on a qualitative and descriptive research on graduate-level and technical health professionals who work in the Family Health Strategy programme in a northeastern municipality of Rio Grande do Sul. Data were collected by means of semi-structured interviews and analyzed using thematic mode. Results showed that these professionals do not utilize comprehensiveness to guide their care practices with users undergoing violence. Instead, they still work according to the biomedical model in which intervention is based on referring care to other sectors and the treatment plan.The study highlights the need for more appropriation and further discussion on practices regarding violence guided by the principle of comprehensiveness within the Family Healthcare team.

Violence against rural women: gender and health actions

Objective: To analyze from an analytical category of gender, the dimensions of violence against rural women according to health management staff, professiona...

Work process of community health agents: possibilities and limits

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Representações sociais da violência contra mulheres rurais para um grupo de idosas

Objetivo: Compreender as representacoes sociais da violencia contra mulheres rurais, na perspectiva de idosas, considerando geracao e genero como influencia nesse agravo . Metodos : Estudo qualitativo, fundamentado na Teoria das Representacoes Sociais. Realizado com 12 mulheres rurais idosas de um municipio do Rio Grande do Sul em julho e agosto de 2013.Os dados obtidos por meio de tecnica projetiva e entrevistas semiestruturadas foram analisados atraves do referencial das Representacoes Sociais e analise de conteudo. Resultados: De um lado, as idosas representam a violencia como distante, ancorada em atos extremos de agressao. Por outro, a representam como presente em suas relacoes, mostrando-se vulneraveis a dominacao dos homens no contexto de vida e trabalho. Conclusoes: Revelou-se a invisibilidade da violencia contra mulheres idosas no contexto rural, onde a figura masculina se sobrepoe a feminina. Palavras-chave : Violencia contra a mulher. Saude da populacao rural. Idoso. Atencao primaria a saude. Enfermagem.OBJECTIVE Understand the social representations of violence against rural women, from the perspective of the elderly, considering how the generation and gender influence this aggravation. METHODS Qualitative study, based on the Theory of Social Representations.It was carried out with 12 elderly rural women from a city of Rio Grande do Sul, in July and August of 2013. The data obtained through a projective technique and semi-structured interviews has been analyzed through the reference of the Social Representations and content analysis. RESULTS On one hand, the elderly represent violence as distant distress, anchored in extreme acts of aggression. On the other hand, they represent it as present in their relationships, showing themselves vulnerable to the domination of men in the context of life and work. CONCLUSIONS It was revealed the invisibility of violence against elderly women in the rural context, where the male figure overlaps with the female.