0045/2023 - CARACTERÍSTICAS DO TRABALHO DO AGENTE COMUNITÁRIO DE SAÚDE NA PANDEMIA DA COVID-19 EM MUNICÍPIOS DO NORDESTE BRASILEIRO CHARACTERISTICS OF COMMUNITY HEALTH AGENTS\' WORK IN THE COVID-19 PANDEMIC IN MUNICIPALITIES OF NORTHEASTERN BRAZIL
Os Agentes Comunitários de Saúde (ACS), compuseram uma força de trabalho na linha de frente dos sistemas de saúde no combate a Covid-19. O estudo identificou as condições estruturais para organização e caracterização do trabalho dos ACS em três municípios do Nordeste brasileiro no período pandêmico. Realizou-se um estudo qualitativo de casos múltiplos. Foram entrevistados 28 sujeitos entre agentes comunitários e gestores municipais. A produção dos dados cotejou as entrevistas com a análise documental. As categorias operacionais que emergiram da análise dos dados foram: condições estruturais e características das atividades. Os resultados deste estudo revelaram a escassez nas condições estruturais das unidades de saúde, que durante a pandemia realizou-se adaptações improvisadas dos espaços internos. Quanto às características do trabalho, evidenciou-se ações permeadas por aspectos burocráticos, de cunho administrativo no interior das unidades de saúde, acarretando no esvaziamento de sua função vincular de articulação territorial e mobilização comunitária. Assim, as alterações em seu trabalho podem ser vistas como sinalizadores da fragilização do sistema de saúde e, especialmente, da Atenção Primária à Saúde.
Palavras-chave:
Atenção Primária à Saúde. Agentes Comunitários de Saúde. Orientação comunitária. Covid-19.
Abstract:
The Community Health Agents (CHW), made up a workforce on the front line of health systems in the fight against the Covid-19 pandemic. The study identified the structural conditions for the organization and characterization of the work of ACS in three municipalities in the Brazilian Northeast during the pandemic period. A qualitative study of multiple cases was carried out. Twenty-eight subjects were interviewed, among community agents and municipal managers. The production of data compared the interviews with document analysis. The operational categories that emergedthe data analysis were: work organization and activities characteristics. The results of this study show a scarcity in the structural conditions of the health units, which during the pandemic, as an alternative, improvised adaptations of the internal spaces of the health units were carried out. There were also changes in their work, both due to the intensification of attributions and new demands, mainly of an administrative nature within the health units, with function deviation, bureaucratic activities and distancethe territory. Such results can be seen as signs of the weakening of the health system and, especially, of Primary Health Care.
Keywords:
Primary Health Care. Community health workers. Community orientation. Covid-19.
CHARACTERISTICS OF COMMUNITY HEALTH AGENTS\' WORK IN THE COVID-19 PANDEMIC IN MUNICIPALITIES OF NORTHEASTERN BRAZIL
Resumo (abstract):
The Community Health Agents (CHW), made up a workforce on the front line of health systems in the fight against the Covid-19 pandemic. The study identified the structural conditions for the organization and characterization of the work of ACS in three municipalities in the Brazilian Northeast during the pandemic period. A qualitative study of multiple cases was carried out. Twenty-eight subjects were interviewed, among community agents and municipal managers. The production of data compared the interviews with document analysis. The operational categories that emergedthe data analysis were: work organization and activities characteristics. The results of this study show a scarcity in the structural conditions of the health units, which during the pandemic, as an alternative, improvised adaptations of the internal spaces of the health units were carried out. There were also changes in their work, both due to the intensification of attributions and new demands, mainly of an administrative nature within the health units, with function deviation, bureaucratic activities and distancethe territory. Such results can be seen as signs of the weakening of the health system and, especially, of Primary Health Care.
Palavras-chave (keywords):
Primary Health Care. Community health workers. Community orientation. Covid-19.
França, C.J, Nunes, C.A, Nunes, F.G.S., Vilasbôas, A. L. Q, Aleluia, I. R. S, Pereira, R. A. G, Prado, N.M.B.L. CARACTERÍSTICAS DO TRABALHO DO AGENTE COMUNITÁRIO DE SAÚDE NA PANDEMIA DA COVID-19 EM MUNICÍPIOS DO NORDESTE BRASILEIRO. Cien Saude Colet [periódico na internet] (2023/fev). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/caracteristicas-do-trabalho-do-agente-comunitario-de-saude-na-pandemia-da-covid19-em-municipios-do-nordeste-brasileiro/18671?id=18671&id=18671
