Acolhimento e manejo da demanda escolar na unidade básica de saúde na região noroeste da cidade de Belo Horizonte

Abstract

The learning disabilities and/ or school-related behavioral problems are among the main reasons for the referral of children to attend public health systems in Brazil. Studies indicate that there is a tendency for pathologization and diagnostic labeling of school complaints among health and education professionals, reflecting the excessive number of pre-diagnoses and referrals to specialties. In general, the various factors of social, economic and cultural context that interfere in the learning process and behaviors are disregarded. This trend was observed in the context of Unidade Básica de Saúde - UBS in the northwest region of Belo Horizonte where this project will be developed. There is a predominance of individualized actions of professionals of Núcleo Ampliado de Saúde da Família – NASF, a distance between school and UBS, lack of interdisciplinary planning in approach of demand, and the absence of indicators that identify the quantitative of children referred by the school. The objective of this project is to organize NASF interdisciplinary care for school- aged children and their families in collaboration with family health teams ESF and schools, contributing to a multidimensional and intersectoral approach to learning disabilities and behavioral complaints.The methodology used will involve four work fronts: permanent education actions with ESF professionals; statistical identification of demand; actions of dialogue and permanent education with the educators; NASF interdisciplinary care for children and families. These strategic actions are expected to foster a critical reflection of the context experienced by professionals and users, so that their reality and work process may change in respect to the demand of school complaints. The improvement of interdisciplinary and intersectoral care will contribute to more effective actions with children and their families.