Programa de Pós-Graduação em Saúde, Ambiente e Sociedade na Amazônia - PPGSAS/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/10372
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Item Acesso aberto (Open Access) A implementação da política nacional de promoção da saúde na atenção primária sob a perspectiva de profissionais de saúde(Universidade Federal do Pará, 2018-09-04) EUCLIDES, Kelly Lene Lopes Calderaro; NASCIMENTO, Liliane Silva do; http://lattes.cnpq.br/1267238580647081Health promotion provides the involvement of all the actors of doing and being health, in order to be protagonists and active participants in achieving and continuing care. It brings a new view to ensure health in a universal, equitable and integral way that involves political, social, ethical, cultural and spiritual features. The implementation of the policy in primary care focuses on changes in the treatment of users, through actions that reach the full care of the individual and their families, considering the social determinants of health that make up this universe. This study aimed to understand the implementation of the National Policy on Health Promotion in primary care from the perspective of professionals working at this entry into the health system. It was a qualitative exploratory study developed in the city of Benevides, State of Pará, in 2018. We found that professionals knew about this policy and seek to implement it in their actions. However, this perception does not exempt the actions, which are still confused with attributions recommended by the Ministry of Health, or activities with ends in themselves.In primary care is essential to carry out collective health actions, in which everyone must be protagonists for health production. Health professionals should develop awareness of health promotion to users and produce their actions based on praxis, where care is not limited to meeting welfare. Thus, the real change in the praxis and paradigms of health care models is urgent, highlighting the importance of intersectoriality and multiprofessional work for the integral health promotion, its concepts and functioning, which must be capillarized professionals and makers of the health system in all their activities and levels of action and / or management.Item Acesso aberto (Open Access) Percepções, vivências e perspectivas de professores sobre o Programa Saúde na Escola(Universidade Federal do Pará, 2019-04-25) PEREIRA, Fabrício Moraes; NASCIMENTO, Liliane Silva do; http://lattes.cnpq.br/1267238580647081Health at school is the subject of relevant discussions on health promotion. From intersetoriality reflexions, literature review and field research, this study aims to understand the actions resulting from the School Health Program in municipal public schools in Belém, Pará, from the perspective of teachers. It is a descriptive-observational study, with analysis of interviews with 22 teachers of municipal public basic education. Field research took place from April to June 2018. A content analysis was carried out, proposed by Bardin, generating four thematic units: Evaluation of the SHP in Belém’s municipal schools context; The social determinants of health and the school community; Basic education teacher: inherent health educator; The indissociability of care in health-education binomial. Half of those interviewed were unaware of the program or its operation. Different modes of interaction between the program's actions managers were observed, from the most punctual and inefficient to the most contextualized and integrative. The study of social health determinants is necessary to better understand the processes and needs of these actions in the municipal school environment, with emphasis on issues of basic sanitation, food insecurity, violence and drugs. It is highlighted the need for self-recognition of the teacher as a health educator, in order to insert them in the construction of the health promotion in their pedagogical practices. The school's articulation with the school community can serve as an input for greater integration and stimulation of social control practices. It is understood the existence of challenges to overcome through the concreteness of intersectoriality: the deep-rooted effects of the biomedical model, the distortions of the conception of health promotion, the need for better understanding and application of intersectoriality, conciliation of agendas, fragmentation of health actions, professional valorization in both sectors and better quality in communication and interprofessional information exchange.