Manual instrucional para o coordenador municipal de saúde bucal iniciante na gestão: projeto de desenvolvimento

Abstract

The Unified Health System (SUS) consists of a set of actions and services provided by bodies and entities from the three spheres of government, by direct or indirect administrations and by foundations maintained by the Government. In the municipality, it is up to the Oral Health Coordinator (CSB) to organize and supervise oral health care. The CSB faces several challenges, including the profile of its team and insufficient funding for actions and projects. Management becomes more arduous when the manager has little or no experience in public management in the health area. Based on the science of Implementation Research (IP), this development project aimed to prepare an Instructional Manual for professionals who occupy management positions in oral health care, in municipalities in the State of Minas Gerais, belonging to the Regional Health Management Itabira (GRS-Itabira), comprising 24 municipalities. Among the 24 municipalities, although all were invited to participate, 11 were unable or unwilling to participate and 13 participated in all stages of the study, which comprised three phases: first, raising awareness of the research subjects and diagnosis of the political-organizational context in the health area of the municipalities involved and the management of oral health. The diagnosis was carried out through a structured questionnaire answered by the managers of oral health care in the municipalities. Second, the pre-implementation phase when, through focus groups and content analysis of the subjects' statements, the four dimensions that make up the outcomes related to the implementation of the instructional manual were evaluated: acceptability, adoption, suitability and validity. In addition to this objective, it was possible to identify the desires, challenges, difficulties faced by oral health managers in relation to the work process and implementation of the National Oral Health Policy. Facilitating conditions and barriers to the implementation of the manual were also identified. In the third phase, based on the contributions of the focus groups, an instructional manual was prepared for Oral Health Coordinators in the municipalities, especially those with little or no experience in managing public health services. Once finalized, in the form of an e-book, the manual will be made available to the managers who participated in the process of its elaboration. As for its effective implementation and benefits, it will be necessary a study after this project that considers the stages of Implementation and Evaluation considering the stages of Implementation Research.