Avaliação da estratégia saúde da família: análise da qualidade dos serviços em Maceió (AL)

Abstract

This study aimed to assess the quality of the Family Health Strategy by perceiving the main actors involved with the public policy in the city of Maceió (AL). For this purpose, a descriptive research was performed, with quantitative and qualitative approaches, through a case study in eight family health units located in the seventh sanitary district of the capital of Alagoas. Questionnaires were applied, formulated according to the dimensions proposed by Donabedian (1988), structure, process and result. The scales were applied to 177 professionals and with sample of 385 users of the services offered by the health units which were objects of analysis. Also, semi-structured interviews were performed with the administrative supervisors of the eight health units and with three managers of the Municipal Health Department of Maceió, in order to identify the perception of the managers about the Family Health Strategy and the support offered by the management to implement the services. An insufficient population coverage of this public policy was observed in the city. The quality level was unsatisfactory, especially regarding the work conditions of the professionals and the integrality of the assistance for the users, despite the relatively positive evaluation regarding the relationship and bond between the actors. Regarding the managers, difficulties in the management of resources and in the monitoring process and evaluation of the Family Health Strategy, highlighting the existence of more problems than positive aspects. Therefore, from the diagnosis performed, which illustrated an assessment generally unsatisfactory in the perspective of the investigated social actors, some guidelines were pointed out through an action plan, that can contribute to the improvement of the management of Family Health Strategy, in the organization of work processes and in the strengthening of the social control.