scholarly journals Potentials of Technologics dimensions of care in the set of family health program in Sao paulo city

2007 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Anna Maria Chiesa

O artigo apresenta dois casos acerca da atenção aos indivíduos portadores de lesões de pele crônicas realizada em uma UBS integrante do PSF no município de São Paulo. Os casos evidenciam aspectos chave para o fortalecimento da implantação da Estratégia Saúde da Família em grandes cidades, tais como: a superação da polarização generalista versus especialista, o reconhecimento da complexidade tecnológica da atenção básica, a necessidade do vínculo e co-responsabilização dos profissionais com os projetos terapêuticos e a importância da educação permanente em parceria com a universidade.

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Paulo Augusto Monteclaro Cesar ◽  
Márcia Mello Costa De Liberal ◽  
Valdecir Marvulle ◽  
Paola Zucchi

ABSTRACT Objective To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive. Methods This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations. Results We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo. Conclusion Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.


2014 ◽  
Vol 56 (03) ◽  
pp. 141-162 ◽  
Author(s):  
Monika Dowbor ◽  
Peter P. Houtzager

Abstract A new generation of social policies in Brazil and elsewhere in Latin America are being read by scholars as first and foremost the result of top-down initiatives by state elites and technocrats. This article explores what role, if any, middle-class professionals have played and how this role might be framed in analytical terms. The article examines the trajectory of two of the most important new social programs that target the poor in the city of São Paulo, Brazil: the family health program PSF and Renda Mínima. It compares the city-level reform dynamics that have shaped the trajectory of the programs over 18 years. It finds that networks of reformist middle-class professionals that traverse public and private institutions played a substantial role in the creation and evolution of the new programs.


Author(s):  
Elise Carmona Darmau ◽  
Maria Fernanda Terra

Objetivo: identificar os registros de violência doméstica de gênero nos prontuários-família de Serviço de Atenção Primária à Saúde (APS) das regiões dos Coordenadores Oeste e Sudeste, no Município de São Paulo. Método:  Pesquisa descritiva, retrospectiva, com abordagem quantitativa, analítica de dados secundários advindos de 18 prontuários-família das mulheres em situação de violência doméstica de gênero, usuárias de Unidades Básicas de Saúde. Resultados: aumento do registro da violência em prontuário em 9% e a importância da ESF nesse processo de visibilizar o problema na APS. Conclusões: o Agentes Comunitários de Saúde (ACS) é muito importante para dar visibilidade aos casos de violência no território e assim, mesmo com o aumento da violência descrita no território, há pouca informação de como tal problema foi trabalhado nos serviços. Estudo que mostra a necessidade de que essa temática esteja presente nas formações dos profissionais de saúde e compreendida como parte da responsabilidade do profissional de saúde.Descritores: Violência contra as mulheres, Identidade de gênero, Mulheres, Violência doméstica, EnfermagemAbstractAim: Identify the occurrences of domestic violence in the records of Primary Healthcare (PHC) services in both western and southeastern regions of the city of Sao Paulo. Method: Descriptive and retrospective research, with a quantitative approach, analyzing secondary data from 18 records of women in situations of domestic violence, all users of health centers. Results:  an increase in the cases of recorded domestic violence by 9% and the importance of the Family Health Program (ESF, in Portuguese) in the process of raising the awareness of the problem at PHC units. Conclusions: Community Health Agents (ACS, in Portuguese) play an important role in raising the awareness of ongoing domestic violence cases and, despite the aforementioned increase of these cases, there is little information on how such a problem has been addressed by Primary Healthcare services. The study shows the necessity for this topic to be part of the formation of healthcare agents and to be understood as part of their very own responsibilities.Key words:  Violence against women, Gender identity, Women, Domestic violence, Nursing  


Author(s):  
Liliane Maria Guimarães de Pinho ◽  
Vera Lúcia Garcia ◽  
Maria Cezira Fantini Nogueira-Martins
Keyword(s):  

Implementation of Medical and Multi-professional Residency in Family Health in Health in a São Paulo municipality: first class residents’ perception of (2014-2016)


Author(s):  
Liliane Maria Guimarães de Pinho ◽  
Vera Lúcia Garcia ◽  
Maria Cezira Fantini Nogueira-Martins

Implementation of a multiprofessional residency in family health in a city of São Paulo state: perception of the first residents (2014-2016)


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B Guerra ◽  
L M Guerra ◽  
L F Probst ◽  
B V Castro Gondinho ◽  
G M Bovi Ambrosano ◽  
...  

Abstract Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality and maternal mortality in the state of São Paulo, Brazil. Methods In this ecological study, data from national official open sources were used. Analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality and maternal mortality rates were calculated for every 1000 live births, 2013. The association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. We used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted “p” at 5%. Results The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. Conclusions It was concluded that the Family Health Care Strategy model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model. Key messages Implementation of public policies with specific focus on attenuating these factors and making it possible to optimize resources, and not interrupting the FHS. Knowledge of the factors with impact on these indicators would be of help in formulating public policies.


2010 ◽  
Vol 18 (4) ◽  
pp. 763-769 ◽  
Author(s):  
Maria José Sanches Marin ◽  
Luana Vergian Storniolo ◽  
Maria Yvette Moravcik

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization. The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties.


2014 ◽  
Vol 22 (1) ◽  
pp. 100-107 ◽  
Author(s):  
Everton Faccini Augusto ◽  
Larissa Silva dos Santos ◽  
Ledy do Horto dos Santos Oliveira

OBJECTIVES: to survey the prevalence of human papillomavirus, associated risk factors and genotype distribution in women who were referred to cervical cancer screening when attended in a Family Health Program. METHOD: we conducted a cross-sectional survey, investigating 351 women. Polymerase chain reaction for DNA amplification and restriction fragment length polymorphism analysis were used to detect and typify the papillomavirus. RESULTS: virus infection was detected in 8.8% of the samples. Among the 21 different genotypes identified in this study, 14 were high risk for cervical cancer, and the type 16 was the most prevalent type. The infection was associated with women who had non-stable sexual partners. Low risk types were associated with younger women, while the high risk group was linked to altered cytology. CONCLUSION: in this sample attended a Family Health Program, we found a low rate of papillomavirus infection. Virus frequency was associated to sexual behavior. However, the broad range of genotypes detected deserves attention regarding the vaccine coverage, which includes only HPV prevalent types.


Aquichan ◽  
2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Celia Maria Ribeiro de Vasconcelos ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Viviane Cristina Fonseca Jardim ◽  
Maria Cristina Falcão Raposo ◽  
...  

Objective: To validate the content and appearance of an instrument to evaluate knowledge on healthy feeding. Materials and Methods: Methodological study of validation of content, appeareance with 22 judges, and semantic validation with 12 schoolchildren from 4th and 5th grades in primary school education, ranging in age between nine and ten years. The Scale-Level Content Validity Index (S-CVI) ≥ 0.90 and the Item-Level Content Validity Index (I-CVI) ≥ 0.80 were considered approved in the validation. The Binomial test was used through the p value of the proportion (rejecting the H0 if p ≤ 0.80) to select items that should be revised or modified (items validated at significance level ≤ 0.05). Results: The instrument was validated with S-CVI = 0.93 and I-CVI ≥ 0.80 in the 12 items evaluated, with the mean proportion of “non-discordance” among judges = 0.93. The instrument with the suggested modifications was submitted to the target audience and completely approved by all the participating students. Conclusion: This instrument can be used during the health education activities of the School Health Program and the Family Health Program to promote healthy feeding with children between nine and ten years of age.


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