Reorganização do processo de trabalho de uma ESF da regional noroeste de Belo Horizonte: inclusão de atividades coletivas de promoção à saúde

Abstract

The Family Health Strategy (FHS) is an alternative to overcome the dominant paradigm in the field of health, because it proposes a change in the design of healthdisease process, moving away from the traditional model centered on offering services for the disease and invests also in actions that articulate with health conditions and quality of life. One way to address the difficulties present in the ESF could be the creation of alternative care and relationship with users that go beyond the individual consultations. For example, prioritizing collective activities and guidelines for disease prevention, shared care, and in particular the development of health promotion actions. The objective of this work is to develop an action plan for reorganization of the work process in ESF06 Centro de Saúde Glória, aiming to offer collective actions to promote health of the among the population. The study was conducted from literature review, listing the main issues in the literature on relevant matters relating to the theme of Process Work in Health, Planning and Evaluation of health actions and Pedagogical Practices in Primary Care. In a second step we developed the action plan to deal with the problem prioritized by ESF06: lack of other activities for the public service offered by the team, plus individual consultations and Home Visits. Allied with the principles of the Unique System of Health, the FHS should also contemplate collective actions that encourage health promotion by the population, knowledge of the determinants of health and disease and healthy lifestyle. Maintaining updated situational diagnosis, strategic planning and strengthening of intersectoral cooperation are essential to achieve favorable results. The inclusion of collective spaces of health promotion and shared care to the population, are strategies to stimulate self-care, autonomy of individuals and to encourage shared responsibility in the health disease process.