0021/2016 - A (des)valorização do agente comunitário de saúde na Estratégia Saúde da Família Is the value of Community Healthcare Agents in Brazil’s Family Health Strategy receiving full recognition?
• Carla Guanaes-Lorenzi - Guanaes-Lorenzi, Carla - Universidade de São Paulo. FFCLRP-USP, Psicologia - <carlaguanaes@gmail.com>
Coautor(es):
• Ricardo Lana Pinheiro - Pinheiro, Ricardo Lana - Universidade de São Paulo. FFCLRP-USP, Psicologia - <ricardolanap@yahoo.com.br>
Área Temática:
Ciências Sociais
Resumo:
Este artigo discute sentidos produzidos por agentes comunitários de saúde (ACS) de uma cidade pequena de São Paulo sobre sua (des)valorização, considerando seu trabalho com redes sociais na Estratégia Saúde da Família (ESF). Foram realizados grupos de discussão com 28 agentes de seis unidades de saúde, os quais foram audiogravados e transcritos. A análise qualitativa do material permite identificar nas práticas discursivas dos ACS uma tensão em torno des/valorização de seu trabalho. Sentidos de valorização surgem quando destacam sua atuação próxima à comunidade e seu potencial para construção de vínculos, mas são tensionados por sentidos de desvalorização referidos a aspectos macroestruturais, como baixos salários e pouco reconhecimento de sua função comparativamente à profissionais de nível superior. Concluímos que a presença de uma visão ainda pautada na fragmentação dos processos de trabalho e em uma expectativa de resolutividade imediata das demandas da população através de ações individuais dos profissionais de saúde pode dificultar a apropriação, pelos ACS, de uma concepção mais abrangente de Atenção Primária, como articuladora da Rede de Atenção à Saúde e organizadora do Sistema Único de Saúde.
Palavras-chave:
Atenção Primária à Saúde
Estratégia Saúde da Família
Agentes Comunitários de Saúde
Satisfação no Emprego
Abstract:
This article discusses meanings produced by Community Health Agents (CHA) of a small town in São Paulo State (Brazil) about their appreciation/depreciation, considering their work with social networks in the Family Health Strategy. It was develop discussion groups with 28 CHA of 6 family health unities, which were audio recorded and transcribed. The qualitative analysis of the material allowed identifying in CHA´ discursive practices a tension concerning the de/appreciation of their work. Meanings of appreciation appeared when CHA highlight their proximity to the community and their potential for building connections; however, these meanings were tensioned by meanings of depreciation, usually referred to macrostructural features, such as low incomes and few recognition of their work comparing to professional with higher education. We conclude that a view still based on the fragmentation of work processes and on the expectancy of immediate solution of the community demands, can make it difficult to CHA to assimilate a broader conception of Primary Health Care, as the articulator of the Network of Health Attention and organizer of the Unified Health System.
Keywords:
Primary Health Care
Family Health Strategy
Community Health Workers
Job Satisfaction
Is the value of Community Healthcare Agents in Brazil’s Family Health Strategy receiving full recognition?
Resumo (abstract):
This article discusses meanings produced by Community Health Agents (CHA) of a small town in São Paulo State (Brazil) about their appreciation/depreciation, considering their work with social networks in the Family Health Strategy. It was develop discussion groups with 28 CHA of 6 family health unities, which were audio recorded and transcribed. The qualitative analysis of the material allowed identifying in CHA´ discursive practices a tension concerning the de/appreciation of their work. Meanings of appreciation appeared when CHA highlight their proximity to the community and their potential for building connections; however, these meanings were tensioned by meanings of depreciation, usually referred to macrostructural features, such as low incomes and few recognition of their work comparing to professional with higher education. We conclude that a view still based on the fragmentation of work processes and on the expectancy of immediate solution of the community demands, can make it difficult to CHA to assimilate a broader conception of Primary Health Care, as the articulator of the Network of Health Attention and organizer of the Unified Health System.
Palavras-chave (keywords):
Primary Health Care
Family Health Strategy
Community Health Workers
Job Satisfaction
Guanaes-Lorenzi, Carla, Pinheiro, Ricardo Lana. A (des)valorização do agente comunitário de saúde na Estratégia Saúde da Família. Cien Saude Colet [periódico na internet] (2016/jan). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-desvalorizacao-do-agente-comunitario-de-saude-na-estrategia-saude-da-familia/15443?id=15443
