Agentes comunitários de saúde: a educação permanente em saúde numa perspectiva de cuidar de quem cuida

Abstract

Assuming that the SUS intends to increasingly expand access to users through the PHC, and as the ESF is the preferred care model, the intention of aggregating health actions directed at the CHA becomes valuable, with the purpose of solving the low performance and, consequently, contributing to the strengthening of the SUS, as this professional represents the link between the enrolled population and the USF. Thus, the objective of this study is to develop an intervention proposal aimed at maintaining the physical and psychological integrity of Community Health Agents linked to the Family Health Strategy (ESF). This is an intervention proposal, with a view to combating low professional performance and its repercussions in work relationships and especially for the population covered by the Family Health Strategy (ESF), at the Carla Nogueira Family Health Unit. In this proposal, it was pointed out about the unveiling of possible illnesses and forms of combat for the ACS and, in defense of the materialization of standardized actions to take care of the caregiver, taking into account the institutionalization of a health care network, psychosocial support and educational for the ACS, always with the intention of minimizing negative social aspects that harm the professional daily life of this class. Going through some legislation pertinent to the subject, the importance of the CHA figure for the concreteness of the functionality of the ESF was registered, and for this reason it is extremely important to raise actions aimed at controlling possible professional disincentives that lead to disrupt the strategy's objectives, and, consequently, not reaching the main objective – care in a preventive and educational format that minimizes the appearance of preventable diseases in the regions covered by the strategy. Finally, we defend the institutionalization of Continuing Health Education for CHAs, as a way to ensure the break with bureaucratic and outdated public health care practices, which disrespect the dignity of the human person and do not meet the population's real needs. In this way, we conclude that, in order to provide health care according to the legislation, it is essential to welcome all the actors involved in the process - managers, professionals and users -, understanding and acting on problems as a way to materialize errors that affect access to and financing of public health , free and of quality.