0408/2024 - Núcleos de Prevenção da Violência e Promoção da Saúde: Avanços e desafios Violence Prevention and Health Promotion Centers: Advances and challenges
Este artigo analisa o processo de implementação dos Núcleos de Prevenção de Violência e Promoção da Saúde/NPVPS, criados a partir da Política Nacional de Redução da Morbimortalidade por Acidentes e Violências/PNRMAV. Faz-se um histórico sobre sua criação e analisam-se dados de 531 questionários e de 63 entrevistas de uma pesquisa avaliativa com gestores e profissionais dos três níveis da atenção à saúde sobre o tema. Os dados quantitativos foram descritos e feita análise de conteúdo das entrevistas. Existem Núcleos Estaduais em 56,2% das unidades de atenção primária; 63,5% nas unidades hospitalares e pré-hospitalares 54,4% nas unidades de reabilitação. E Núcleos Municipais em 18,8% das primeiras, 31,5% das segundas e 29,1% das terceiras. Os estaduais apoiam 83,8 das unidades de atenção primária dos municípios; 84,1% da atenção pré e hospitalar e 79,2% das instâncias de reabilitação. Os Municipais apoiam Unidades de Saúde nas seguintes proporções: 96,2% de atenção primária; 97,1% de nível pré e hospitalar; e 93,1% de reabilitação. O estudo encontrou vários problemas no funcionamento dos Núcleos, embora os entrevistados tenham reafirmado o apoio que recebem: características difusas, grande rotatividade, escassez de profissionais e falta de apoio técnico, político e financeiro.
Palavras-chave:
Núcleo de Prevenção de Violência; Política de saúde; Prevenção de acidente
Abstract:
This article analyzes the implementation process of the Violence Prevention and Health Promotion Centers/NPVPS, created based on the National Policy for Reducing Morbidity and MortalityAccidents and Violence/PNRMAV. This process was monitored through data531 questionnaires and 63 interviewsan evaluative survey with managers and professionalsthe three levels of health care were analyzed. Quantitative data were described and content analysis of the interviews was carried out. There are state centers in 56.2% of primary care units; 63.5% in hospital and pre-hospital units, 54.4% in rehabilitation units. Municipal Nuclei in 18.8% of the first, 31.5% of the second and 29.1% of the third. The State ones support 83.8 of the primary care units in the municipalities; 84.1% pre and hospital care and 79.2% of rehabilitation instances. Municipalities support Health Units in the following proportions: 96.2% of primary care; 97.1% of pre and hospital-level units; and 93.1% of those referring to rehabilitation. Although interviewees reaffirmed the support they receive, the study found several problems in the functioning of the Centers: diffuse characteristics, high turnover, shortage of professionals and lack of technical, political and financial support.
Keywords:
Violence Prevention Center; Health policy; Accident prevention
Violence Prevention and Health Promotion Centers: Advances and challenges
Resumo (abstract):
This article analyzes the implementation process of the Violence Prevention and Health Promotion Centers/NPVPS, created based on the National Policy for Reducing Morbidity and MortalityAccidents and Violence/PNRMAV. This process was monitored through data531 questionnaires and 63 interviewsan evaluative survey with managers and professionalsthe three levels of health care were analyzed. Quantitative data were described and content analysis of the interviews was carried out. There are state centers in 56.2% of primary care units; 63.5% in hospital and pre-hospital units, 54.4% in rehabilitation units. Municipal Nuclei in 18.8% of the first, 31.5% of the second and 29.1% of the third. The State ones support 83.8 of the primary care units in the municipalities; 84.1% pre and hospital care and 79.2% of rehabilitation instances. Municipalities support Health Units in the following proportions: 96.2% of primary care; 97.1% of pre and hospital-level units; and 93.1% of those referring to rehabilitation. Although interviewees reaffirmed the support they receive, the study found several problems in the functioning of the Centers: diffuse characteristics, high turnover, shortage of professionals and lack of technical, political and financial support.
Palavras-chave (keywords):
Violence Prevention Center; Health policy; Accident prevention
Souza, E.R, Andrade, C.B, Costa, D.H. Núcleos de Prevenção da Violência e Promoção da Saúde: Avanços e desafios. Cien Saude Colet [periódico na internet] (2024/dez). [Citado em 05/04/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/nucleos-de-prevencao-da-violencia-e-promocao-da-saude-avancos-e-desafios/19456
