Redução do índice de gravidez na adolescência na área de abrangência da ESF Andorinhas: plano de intervenção

Abstract

Teenage pregnancy is seen today as a social problem, however it goes further through cultural issues which involve several factors, such as the search for a social positions by young women. The high rate of teenage pregnancy that occurs in the scope of Family Health Strategy (ESF Estratégia de Saúde da Família in Portuguese) Andorinhas,municipality of Ouro Preto, Minas Gerais State, is experienced by the health team in a very intense and worrying way. This seems to be the reflex of the low school education and low socio-economic level that this community undergoes, which leads to the early first sexual experience and early pregnancy. As a result, considering all the issuesconcerning adolescence pregnancy, this work aimed to elaborate an intervention plan to tackle the problem, since pregnant women and children are the largest public assisted by the health team. In order to elaborate the action plan, the methodology adopted was the Situational Strategic Planning (PES Planejamento Estratégico Situacional inPortuguese), by defining the actions to be taken, the critical ties of the problem, the necessary resources, the actors involved, the responsible people for it and the deadlines to implement the actions. A review in the literature was also performed in order to subsidize the construction of the plan. Thus, with the implantation of the plan, it is intended to reduce the incidence of teenage pregnancy, to promote the planned pregnancy and the practice of responsible fatherhood and motherhood. However, thisis a big challenge, since, in fact, it is rather seen as a social problem, and the solution relies as much on health professionals, school community, public policies as on the interiorization and internalization of the orientations by the adolescents.