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PERSPECTIVES OF THE INTERSECTORAL ACTIONS DEVELOPED BY THE COMMUNITY HEALTH WORKERS TOWARDS SOCIAL INCLUSION AND PARTICIPATION

Objective: To identify the frequency of intersectoral actions, social inclusion and social participation, developed by community health workers (CHWs). Methods: Cross-sectional, descriptive and qualitative study, with data collection performed at the Regional Management Collegiate (RMG) of Alto Capi...

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Published in:Revista brasileira em promoção da saúde = Brazilian journal in health promotion 2015-12, Vol.28 (1), p.82
Main Authors: Fracolli, Lislaine Aparecida, Gomes, Maria Fernanda Pereira, Nabão, Fabiana Rodrigues Zequini, de Oliveira, José Aparecido Alves, Pacheco, Cássia Regina Saade, Bahia, Tatiane Ferreira
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Language:English
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Summary:Objective: To identify the frequency of intersectoral actions, social inclusion and social participation, developed by community health workers (CHWs). Methods: Cross-sectional, descriptive and qualitative study, with data collection performed at the Regional Management Collegiate (RMG) of Alto Capivari, in the state of São Paulo, Brazil. Questionnaires were self-filled by 81 community health workers (CHWs), comprising questions about the five skills proposed by the Ministry of Health for the CHWs: Team integration with the population; planning and evaluation; health promotion; prevention and monitoring of environmental and health hazard; and prevention and monitoring of specific groups and morbidities. Results: Intersectoral actions, social inclusion and participation are still under construction in Alto Capivari RMC, pointing out that there are difficulties in implementing these actions. It is observed that social inclusion initiatives are developed by the CHWs, whereas intersectoral actions are identified and proposed but are poorly implemented; and the social participation of CHWs does not occur. Conclusion: This research allowed identifying that the CHWs acting in High Capivari RMC carry out social inclusion initiatives and propose intersectoral actions; these actions, however, are poorly executed. As for the social participation, CHWs do not participate in the Local Health Councils. Objetivo: Identificar a frequência das ações intersetoriais, de inclusão e participação sociais desenvolvidas por Agentes Comunitários de Saúde (ACS). Métodos: Estudo transversal, descritivo e qualitativo, com coleta de dados realizada no Colegiado Gestor Regional (CGR) de Alto Capivari, São Paulo, Brasil. Questionários foram autopreenchidos por 81 Agentes Comunitários de Saúde (ACS), contendo questões sobre as cinco competências que o Ministério da Saúde propõe para os ACS: integração da equipe com a população; planejamento e avaliação; promoção da saúde; prevenção e monitoramento de risco ambiental e sanitário; e prevenção e monitoramento a grupos específicos e morbidades. Resultados: As ações intersetoriais, de inclusão e participação sociais ainda estão em processo de construção no CGR de Alto Capivari, apontando que há dificuldades para sua implementação. As ações de inclusão social são desenvolvidas pelos ACS; já as ações intersetoriais são identificadas e propostas, porém, pouco executadas; e não ocorre participação social dos ACS. Conclusão: A presente pesquisa pe
ISSN:1806-1222
1806-1230
DOI:10.5020/3392