Sanitary Conditions of Primary Health Care Services from the perspective of Sanitary Surveillance

Yara Lima, Mariluce Souza, Bianca Maria Paz, Ediná Costa
2019 Millenium  
112 112 RESUMO Introdução: A vigilância sanitária (Visa) tem por objeto o risco associado a produtos e serviços e se insere nas atividades relacionadas a Atenção Primária à Saúde (APS) em sua estrutura e processos. Objetivos: Analisar a percepção dos profissionais da Visa sobre as condições sanitárias (CS) nos serviços da APS. Métodos: Participaram do Grupo Focal (GF) profissionais das equipes de Visa de quatro Distritos Sanitários de Salvador. Procedeuse a análise dos relatos com base em
more » ... s com base em documentos e normativas do MS. Resultados: Os participantes do GF associaram CS aos riscos à saúde, ressaltando problemas referentes a estrutura dos serviços e disposição de equipamentos/materiais para ações no âmbito da APS. Expuseram estratégias para minimização dos riscos como manutenção preventiva de equipamentos, disposição dos materiais para a prestação do cuidado, monitoramento e organização do processo de trabalho de forma adequada. Constataram a "persistência" como importante na atuação dos profissionais da Visa para alcance da minimização dos riscos à saúde de trabalhadores e usuários na APS. Conclusões: A técnica de coleta de dados GF possibilitou a discussão do tema e a reflexão dos profissionais sobre suas práticas. Entretanto, constatou-se que para a execução de GF o foco na temática se constitui como um desafio. Considera-se que, houve dificuldade dos profissionais da Visa abordarem as possiveis implicações das CS sobre serviços de APS e no que tange a saúde da população. ABSTRACT Introduction: Sanitary surveillance (SS) is aimed at the risk associated with products and services and is part of the activities related to Primary Health Care (PHC) in its structure and processes. Objectives: To analyze the perception of SS professionals on the sanitary conditions (SC) of PHC services. Methods: Professionals of Sanitary surveillance teams Participated of a Focus Group (FG) of four Sanitary Districts of Salvador. The reports were analyzed based on documents and regulations of the Ministry of Health (MOH). Results: The participants of the FG associated SC to health risks, highlighting problems regarding the structure of services and provision of equipment/materials for actions under the PHC. They presented strategies to minimize risks such as preventive maintenance of equipment, supply of materials for the provision of care, and monitoring and organization of the work process in an appropriate manner. They considered "persistence" as an important trait for the work of SS professionals to achieve the minimization of health risks of workers and users in the PHC. Conclusions: The data collection technique of FG enabled the discussion of the topic and the reflection of professionals on their practices. However, it was found that for the implementation of FG, the focus on the theme is challenging. It is considered that it was difficult for SS professionals to address the possible implications of SC on PHC services and on the health of the population. RESUMEN Introducción: La vigilancia sanitaria (Visa) tiene por objeto el riesgo asociado a productos y servicios y se inserta en las actividades relacionadas a Atención Primaria a la Salud (APS) en su estructura y procesos. Objetivos: Analizar la percepción de los profesionales de Visa sobre las condiciones sanitarias (CS) en los servicios de APS. Métodos: Participaron del Grupo Focal (GF) profesionales de los equipos de Visa de cuatro Distritos Sanitarios de Salvador. Se procedió al análisis de los relatos basados en documentos y normativas del MS. Resultados: Los participantes del GF asociaron CS a los riesgos a la salud, resaltando problemas referentes a la estructura de los servicios y disposición de equipos / materiales para acciones en el ámbito de la APS. Se expusieron estrategias para minimizar los riesgos como mantenimiento preventivo de equipos, disposición de los materiales para la prestación del cuidado, monitoreo y organización del proceso de trabajo de forma adecuada. Constataron la "persistencia" como importante en la actuación de los profesionales de Visa para alcanzar la minimización de los riesgos a la salud de trabajadores y usuarios en la APS. Conclusiones: La técnica de recolección de datos GF posibilitó la discusión del tema y la reflexión de los profesionales sobre sus prácticas. Sin embargo, se constató que para la ejecución de GF el foco en la temática se constituye como un desafío. Se considera que ha habido dificultad para que los profesionales de Visa aborden las posibles implicaciones de las CS sobre servicios de APS y en lo que se refiere a la salud de la población. 117 the planning of certain strategies, such as the participation of more than one moderator, the availability of extensive registry and recording material, and technical support were fundamental to overcoming the problems that emerged in the process. Poor communication with professionals was an obstacle to the optimization of the procedures necessary to make contacts and to the meeting of the participants, as well as the care with punctuality and establishment of time limits for the entry of participants in the space of the activity. The FG gives the participants the opportunity to dialogue that can result in a critical re-elaboration on the theme. In the case of this study, it is possible to think that this new perception may occur directly in the actions carried out in the work environment of the participants, be it in the scope of surveillance or assistance. Each FG has its own dynamics, but the activities that are apparently considered simple can hide difficulties and obstacles, which were exposed in this article. It is worth emphasizing the interaction between the participants and the possibility developed in the group to revisit the reality, discussed through the vision of others. Despite some limitations to its use, the technique of FG stands out for its potentialities, especially when it is considered that the experiences lived by professionals with authority of police in the field of health are unique and very particular, not of easy general access. Thus, this the technique applied to this group of professionals is a very rich and important tool for research involving the subject. Regarding the issues related to the perception of sanitary surveillance professionals about the sanitary conditions in PHC services, it was difficult for them to express their understanding of sanitary conditions, as well as to correlate the possible implications of sanitary conditions in health service units for the team work process and the health of the population. However, the FG contributed to the identification of problems related to the work process of sanitary surveillance professionals in relation to the strategies for risk minimization in the health services studied that presented a difficult articulation of municipal management with sanitary surveillance. This points to the need to make efforts to broaden and discuss the importance of communication about risks in the formation of health conscience that reaches the users of health services, but also sensitize the professionals of the PHC and of sanitary surveillance with consistent scientific arguments to support the technical performance of sanitary surveillance professionals so that they can confront the interests that often weaken health relationships in different contexts of health systems (Silva, Costa, Lucchese, 2018) . It is also necessary to take care not to accept actions of sanitary surveillance that disregard the complexity of the actions that occur in PHC services, based on the perspective that the actions have a lower technological density.
doi:10.29352/mill0209.09.00235 fatcat:lpx2yyji45guxh6bysarvkphfu