Formação e atuação em saúde do Núcleo Ampliado de Saúde da Família e Atenção Básica em um município polo de Minas Gerais

Abstract

This study was based on the characterization of the Expanded Nucleus of Family Health and Basic Attention (ENFH-BA), of the Municipality of Governador Valadares - Minas Gerais, by outlining the profile of the professionals who are part of the program, aspects of training and performance. It was also sought to establish the knowledge of these professionals about the program and its guidelines, as well as the health planning of each ENFH-BA health territory team. It is a descriptive study, based on the application of a structured questionnaire to the 34 ENFH-AB professionals from the municipality. The questionnaire was filled by 82.9% of the program's members. Prevalence of female professionals (88.2%) and married (44.1%), with a mean age of 37.9 years (SD ± 8.9). The enrollment in the program was based on curriculum analysis (47.1%), followed by interview (33.4%), by indication and transfer equally (22.2%). Most graduated from private universities / colleges (94.1%), with an average of 9 years of graduation. They reported that during graduation, they did not have any experience in Public Health (50%), besides the compulsory curricular traineeship. It was also verified that the same percentage did not have professional experience in Public Health prior to joining the program. The professionals interviewed mostly referred to the Directives related to Health Promotion (82.4%) and Interdisciplinarity (73.5%) and the less cited were Permanent Health Education (14.7%) and Social Participation (17, 6%); indicated that they have a good integration with the Family Health Strategy teams. Regarding health planning in each territory, there was a reduced use of instruments (53%) for planning and incipient popular participation in health decisions and planning for the territory. The findings of this study point to the need for a better health education of professionals by higher education institutions to work in the program, as well as greater attention of managers to the skills required of professionals to integrate the teams, besides the imposition of greater investment in actions of Permanent Education.