Programa de Pós-Graduação em Saúde, Ambiente e Sociedade na Amazônia - PPGSAS/ICS

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/10372

Navegar

Agora exibindo 1 - 5 de 5

Acesso aberto (Open Access)
Análise sobre a formação profissional e experiência dos médicos cooperados do programa mais médicos no Brasil
(Universidade Federal do Pará, 2018-04-03) TAVARES, Roseane Bittencourt; SILVA, Hilton Pereira da; http://lattes.cnpq.br/3917171307194821
The More Doctors Program (Programa Mais Médicos-PMM) was established in 2013 because of social pressures, from the Unified Health System (Sistema Único de Saúde-SUS) and population in general. One of its aims is to ensure the provision of medical professionals to work in Primary Healthcare (Atenção Básica-AB) in difficult access areas, due to the insufficiency of these professionals in the SUS. However, on the first calls for participation, Brazilian doctors boycotted the Program. One of the solutions for its implementation was to sign a cooperation agreement between Brazil and Cuba through the Pan American Health Organization. Thus, thousands of Cuban doctors came to Brazil to work on the PMM. However, these professionals’ arrival was widely criticized by medical associations, which affirmed that they didn’t have the necessary training to practice medicine in Brazil. That said, the objective of this study is to analyze the professional training and previous experience of the cooperated physicians participating in the PMM. To do so, we shared data with the multicentric research “Analysis of the effectiveness of the More Doctors initiative in the realization of the universal right to health and in the consolidation of the Health Services Networks”, coordinated by the University of Brasilia. Data was collected using interviews with the cooperative doctors in every regions of the country. We carried out the interviews content analysis and, in addition, we compared the curricula of Cuban and Brazilian medical schools, observing their similarities and differences. Two articles were written from this research. The first article was published in Revista Interface - Comunicação, Saúde, Educação (vol.21, Supplement I, issue 63, 2017, pp. 1257-1268) and is about how the participants understand and are involved in BA in the country. The second article was submitted to the special edition of the Revista Pan-americana de Salud Pública, which theme is “Primary Health Care in the Americas: Forty Years of Alma-Ata”, and its focus is on the qualification of the foreign physicians working in Para. As a result, we observed that Cuban doctors have adequate training in medical practice, once Cuba's medical curricula are, in general, similar to those of Brazil, they all have some postgraduate degree, and in addition they have medical experiences in other countries, due to the internationalist premise of their medical schools. Thus, there is no reason to criticize the training of these professionals, who come from a country recognized for its public health and the way they practice medicine. It is concluded that it is necessary to recognize their technical competence and learn from their humanitarian practice, which has been applied not only to the Cuban population, but also to populations from everywhere in the world where they are needed.
Acesso aberto (Open Access)
Distribuição espacial da hanseníase e sua relação com variáveis socioeconômicas e políticas públicas, em três municípios no estado do Pará
(Universidade Federal do Pará, 2017-05-12) PINHEIRO, Bruno Vinícius da Silva; GONÇALVES, Nelson Veiga; http://lattes.cnpq.br/8811269146444725
Over the last years, the World Health Organization (WHO), the Pan American Health Organization (PAHO) and the Ministry of Health (MS) have been prioritizing geographic areas with high case detection and social determinants that increase the risk of illness of its inhabitants in favor of the geographic policies to combat the endemic leprosy. The current study aims to characterize the disease, its epidemiological, operational and socio-demographic variables and the policies developed for its control and elimination. Thus, there was a transversal, retrospective and descriptive study, on the population basis with a temporal and spatial analysis of new leprosy cases that was associated with the income population condition and the level of health services in three cities in the state of Pará : Ananindeua, Marabá and Xinguara. Using the digital cartographic basis and socioeconomic data of each city, developed by the Brazilian Institute of Geography and Statistics (IBGE) and the morbidity registered in the SINAN, the new cases diagnosed during the period of 2010 to 2015 were characterized, by census sector, aiming to subsidize the analysis, as well as intervention strategies. The Epi Info 7 and Bioestat 5.0 softwares were used for the statistical tests, in which it was hypothesized that there is a positive relationship between the epidemiological variables and the other ones. The cases were geographically referenced on site, using a Global Positioning System receiver (GPS) and theses very cases were specialized using a Geographic Information System (GIS). The Kernel estimation method was applied in order to obtain spatial analysis and aiming to highlight areas of higher case density and also where the best levels of patient care were found. The real risk of occurrence of leprosy in each area was analyzed using the Buffer technique, as from the incidence in children under 15 years old and multibacillary cases. Considering the problem and the use of the aforementioned methods and techniques, a collection of tables and graphs of the main indicators and the magnitude of the hidden prevalence of leprosy was generated, as well as a variety of digital images that express the disease spatial analysis. The results shown in thematic maps reveal an inhomogeneous distribution of leprosy in the territories, highlighting areas of greater and lower risk and allowing to identify those that could be taken as a priority by the Leprosy Control Program.
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/1267238580647081
Health 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.
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/1267238580647081
Health 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.
Acesso aberto (Open Access)
A voz do servidor público da UFPA: um estudo sobre os sentidos da promoção da saúde no local de trabalho
(Universidade Federal do Pará, 2018-09-21) TEIXEIRA, Maria de Nazaré Barbosa; PIANI, Pedro Paulo Freire; http://lattes.cnpq.br/6434100473666705
Introduction: The National Policy for Civil Servant’s Health and Work Security (Política Nacional de Atenção à Saúde e Segurança do Trabalho do Servidor Público Federal – PASS) is an established state policy, and is used as a legal tool for promoting and surveilling health among the public organs of the Federal Public Administration in the executive. PASS leads three principles: health assistance for civil servants; health and vigilance expertise; and health promotion. The latter recommends that changing actions must be developed in the workplace in order to reflect health gain for the servants. Methodology: Descriptive and exploratory study; qualitative research approach with a theoretical and methodological support based on the discursive practices by Spink (2010). The research consisted of a semi-structured interview, and aimed at investigating civil servants’ production of meanings on health promotion in the workplace. 17 (seventeen) federal civil servants from UFPA’s personnel took part in the interview. Result and discussion: The interviews were analyzed through two distinct processes: servants’ knowledge on “health” and “health promotion” – which was highlighted by terms/words – and the elaboration of four categories that appeared a posteriori about participants’ speech, considering: 1- the meanings about health promotion in the workplace; 2- health gain in the workplace due to health promotion; 3- health promotion, vigilance and intervention; and 4- information as a support for health gain. The categories were interpreted based on the narratives in light of the five main fields of health promotion proposed by the Ottawa charter, the guidelines that comprise the set of actions from PASS, and the theoretical background. The research result indicated the need of improving the theoretical discussions on health, risks, vulnerability, territory, intersectorality, critical autonomy, empowerment, and social participation as a way to face situations that prevent health gain. The interlocutors aim at gaining health from new social and environmental attitudes, social interactions, and health service reorientations. From the narratives, there was the need for an institutional planning that prioritizes programs and projects with the purpose of: improving UFPA’s campus infrastructure in Belém; promoting life quality in the workplace; and qualifying the servants about the policy for civil servants’ health and work security (PASS), which includes vigilance to environment and work process, and health promotion to servants. Conclusion: In the civil service, outside the healthcare sector, actions for health promotion aim at improving environment, organization, and work process in order to promote a health valuation culture through changing habits and behavioral attitudes individually and collectively, and to reduce morbimortality in the workplace. However, it can only happen through changes in social and environmental attitudes, social interactions, and health service reorientations. Furthermore, the institutional planning must have programs and projects to enhance life quality promotion in the workplace, and qualify the servants to develop their personal skills suitable for health gain.

Navegar

Navegando Programa de Pós-Graduação em Saúde, Ambiente e Sociedade na Amazônia - PPGSAS/ICS por CNPq "CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA"