1007/2012 - Sentidos e métodos da territorialização na atenção primária à saúde: desvelando as relações produção, ambiente e saúde Meanings and methods of territorialization in primary care:
A proposição de metodologias analíticas participativas de base territorial é essencial para a atuação da Atenção Primária à Saúde (APS) centrada nas necessidades de saúde considerando a questão ambiental e o trabalho. Este estudo realizado em município cearense marcado por um modelo de produção agroexportador analisou os processos no território da APS relacionados ao ambiente/trabalho e as repercussões sobre a saúde da comunidade e dos trabalhadores, com vistas à reapropriação do território e proposição de ações focadas nas necessidades de saúde, pelos sujeitos sociais, a partir da elaboração dos mapas: social, ambiental e do trabalho em oficinas conduzidas em pesquisa-ação. A problematização na perspectiva crítica, embasada na participação social e na determinação social do processo saúde-doença referente às relações produção-ambiente-saúde foi etapa fundamental no mapeamento participativo, tendo sido o material qualitativo interpretado à luz da análise do discurso. O processo favoreceu a identificação das necessidades de saúde a reapropriação do território reforçando a atuação intersetorial, fortalecendo a interlocução entre a saúde ambiental e do trabalhador, avançando na superação dos processos contribuintes para a insuficiência das práticas da APS.
Palavras-chave:
Atenção Primária à Saúde
Saúde do Trabalhador
Saúde Ambiental
Determinação das Necessidades de Saúde
Abstract:
The proposition of territory-based participative analytical methodologies is essential to the efficiency of health need-centered primary care, considering the environmental question and work. Conducted in a rural municipality in Ceará, the economy of which is based on agriculture for export, the study analyzed work and environment-related processes in the primary care territory and their repercussions on the health of workers and the community, aiming at the repossession of the territory and the proposition of health need-centered actions by the social subjects through the making of social, environmental and work-related maps in workshops within the famework of action research. Problematizing the situation in a critical perspective, based on social participation and social determination of the health-disease process with regard to the relations between production, environment and health, was the most important step in the participative map making process, with the qualitative material interpreted in light of discourse analysis. The process helped identify the health needs associated with the repossession of the territory, strengthened the cooperation between sectors and the tie between the health of the worker and that of the environment, and represented an advance towards the eradication of the causes of poor primary care provision.
Keywords:
primary care
workersʼ health
environmental health
determination of health needs
Meanings and methods of territorialization in primary care:
Resumo (abstract):
The proposition of territory-based participative analytical methodologies is essential to the efficiency of health need-centered primary care, considering the environmental question and work. Conducted in a rural municipality in Ceará, the economy of which is based on agriculture for export, the study analyzed work and environment-related processes in the primary care territory and their repercussions on the health of workers and the community, aiming at the repossession of the territory and the proposition of health need-centered actions by the social subjects through the making of social, environmental and work-related maps in workshops within the famework of action research. Problematizing the situation in a critical perspective, based on social participation and social determination of the health-disease process with regard to the relations between production, environment and health, was the most important step in the participative map making process, with the qualitative material interpreted in light of discourse analysis. The process helped identify the health needs associated with the repossession of the territory, strengthened the cooperation between sectors and the tie between the health of the worker and that of the environment, and represented an advance towards the eradication of the causes of poor primary care provision.
Palavras-chave (keywords):
primary care
workersʼ health
environmental health
determination of health needs
Pessoa, V. M., RIGOTTO, Raquel Maria, Carneiro, Teixeira, A.C.A. Sentidos e métodos da territorialização na atenção primária à saúde: desvelando as relações produção, ambiente e saúde. Cien Saude Colet [periódico na internet] (2012/jun). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/sentidos-e-metodos-da-territorializacao-na-atencao-primaria-a-saude-desvelando-as-relacoes-producao-ambiente-e-saude/10515?id=10515&id=10515
