A capacitação do agente comunitário de saúde: uma busca na literatura

Abstract

The Family Heath Strategy ( FHS) is currently consolidated as an important health assistance strategy and adopted by Unified Heath System came into being from a combined experience by Health Community Agents Program (HCAP) in Ceará. It was intended that the health community agents could provide job opportunities for women in a dry land and it could also contribute for the reduction of infant mortality. Prioritizing the achievements of actions in women and children health and to do so, it was only necessary that the agent could live in the community and know how to communicate with them. However, with the recast of the assistance model and the deployment of FHP, the role of the HCA was extended. It was not only focusing on mothers and children but now it covers the whole family and also the community and require new competences in educational , political and social fields. Faced with this new HCA profile to deal with complex and extended situations which are connected to the individual and community life, asking and reflecting about the preparation and training of this professional to execute the actions with competence became really important. This study aims to identify the scientific production related to the health community agent in the National Literature. To this, a literature search on the internet was done. A health database and Brasilian Universities webUniversia, LILACS (Literatura Latino-Americana e do Caribe em ciências da saúde), ScieLO (Scientific Eletronic Library Online) ABRASCO (Associação Brasileira de Pós Graduação em saúde coletiva) and BVSMS ( Biblioteca Virtual de Saúde do Ministério da Saúde) were checked and sixteen texts in Portuguese published from 1995 to 2009 were selected. The selected texts were about the health community agent training. It was concluded that the training is of paramount importance in preparing the HCA to be able to deal with multiple aspects that cover the population consultation in basic attention , becoming a part of the community and this way they can contribute to the other members of the health team to modify the rates of morbimortality becoming a strong and real bond. The importance of the involvement of the whole HFP, through the results and the supply of scientific, theoretical and cultural support to the HCA was observed. Therefore, it is necessary that investments in permanent education for the Family Health Team and mainly for the HCA can be provided , so that their training can become a reality , responding to the needs and better use of this potential educator.