Fatores associados à subnotificação dos acidentes de trabalho na Estratégia Saúde da Família

Abstract

The number of work-related accidents and diseases allows us to quantify and build some indicators, being one of the reliable sources to estimate the potential severity of these events that affect workers. Among them are the mortality coefficients, the lethality rate, and the potential risks of serious accidents in a given branch of activity or company. The indicators of workers' health, based on accidents at work, allow us to analyze the relations established between man and his work space. They are easy to identify and measure indicators, as long as the flow of pertinent information is known and practiced. The notification of work-related accidents and diseases is a legal requirement, and through it, data are provided regarding the number and distribution of these events, the characteristics of the occurrences and the victims. However, when cross-referencing the local information from the health information systems, it is possible to notice the underreporting of these accidents and the existence of institutional and personal challenges that act in the notification process of these diseases, constituting a limiting factor from the public health, prevention, and legal points of view. Faced with this scenario, this study aimed to analyze the factors associated with the underreporting of occupational accidents by the Family Health Strategy in Maceió-AL, through a quanti-qualitative study developed with the Medicine and Nursing professionals. The data obtained were analyzed by descriptive statistical treatment and content analysis, culminating with the proposition of tools and actions for continuing education aimed at reducing underreporting in Primary Health Care. Regarding the results, it was observed that most of the actors, even when faced with the report of accidents, do not notify them in SINAN, invisibilizing and mitigating the dimension of the problem with a view to the formulation of programmatic and strategic actions. In the conclusion of the research, it was possible to elucidate the factors involved in the genesis of the underreporting of accidents at work and, with that, to propose educational actions; the awareness of the management of both Health Units, CERESTs and the Municipal Health Secretariat in Maceió, about the interinstitutional partnership and the need to strengthen the notification of events in worker health through, which will allow the correct dimensioning of health problems resulting from work activities and the proposition of preventive actions and health promoters, within the scope of the inclusion of worker health in primary health care.