Desafios no desenvolvimento da Estratégia de Saúde da Família

Abstract

The Family Health is presented as the main strategy of the Ministry of Health for the reorganization of primary health care in Brazil. Its expansion is evident in everyday life, being established in almost all municipalities. However, there are complex challenges that must be overcome in the process of changing the paradigm that guides the curative model of health care still hegemonic, rescuing prevention and health promotion. This study aims to identify the main achievements of the Family Health program, taking into account the forms of contributions of population health activities developed by the team of SF. The survey consists of a narrative review, which is developed by material already developed by other authors, consisting mainly of scientific articles and books. The criterion for selection of articles is solely due to the fact contemplate the present study. By explicit criteria, were selected being twelve books, fourteen scientific articles and seven official documents. As a result perceives that the realization of home visits is identified as an important achievement for the population, allowing for closer ties with professionals and bonding. The potential for humanization of care is another important aspect. The working relationship of the Community Health Agents, and high turnover in staff are cited as obstacles. In general, the authors point out that you need a more effective planning, focusing on analysis of the health problems identified by families and how they deal with them, making room for the resolution of these problems in a dimension that goes beyond simple mapping done by the teams. For all this to happen we need to think a better process of preparation and training of teams, bringing to the community more qualifications in the service and monitoring. Therefore, we conclude that the formation of competent human resources for health care is to make compromises between education and health, with attitudes strategic, fundamental and complementary to achieve this goal, which does not consist of simple task but necessary in the search for an appropriate professional profile, to act in support of primary health care.