Gestão em saúde no município de Delmiro Gouveia-AL: um olhar para a intersetorialidade.

Abstract

A intersectoriality presents itself as an instrument for articulation aiming at the planning and operationalization of policies, programs, and projects, creating a dynamic that allows the strengthening of public policies. In order to outline strategies directed by intersectoriality, the city of Delmiro Gouveia/AL sought a partnership with the Federal University of Alagoas – UFAL to address NCDs. This study aims to analyze intersectoriality in the city of Delmiro Gouveia and the planning of intersectoral actions in the light of the complexity paradigm. It is a qualitative, descriptive study that uses Edgar Morin's Theory of Complexity as a theoretical framework to support the analysis and discussion of results. Information was collected from August to October 2021 using the conversation wheel technique – CW: 1st CW – Situational Diagnosis; 2nd CW – Situational Strategic Planning, and 3rd CW – Discussion for the construction of intersectoral projects. For the organization and interpretation of findings, the thematic analysis method was used. After analyzing the 3 CWs with a total of 19 participants, it was possible to identify 19 nuclei of meaning, which, based on the proposed theoretical framework, gave rise to 2 thematic categories entitled: The whole in the parts and the parts in the whole: understanding this spiral in the context of SUS and Dialoguing with social actors: perspectives for intersectionality in the city of Delmiro Gouveia. The first category discusses intersectionality in the city of Delmiro Gouveia from the perspective of complexity theory, highlighting advances and weaknesses for the conduct of intersectoral actions. The second category seeks to list the sensitive points of the network, identifying the root of the problems and pointing out perspectives for the implementation of an intersectoral plan. In this way, it was possible to initially apprehend a difficulty in the articulation of health management as a mediator and other social actors in understanding problems and seeking collective resolution, demonstrating a vision based on the paradigm of simplification. As the discussion among researchers, managers, workers, and health counselors deepened, the roots of the problems were identified, and paths for the construction of solutions were also presented, highlighting how complex the needs and demands of a population are from reflections under the prism of the complexity paradigm. The CWs opened up a space for deepening discussions, triggering intersectoral projects in the municipality aimed at promoting health and strengthening primary care in Delmiro Gouveia.