Conhecimentos-procedimentos de agentes comunitários de saúde sobre doenças sexualmente transmissíveis: pistas para educação permanente na Amazônia

Objetivou-se identificar conhecimentos-procedimentos em relação às doenças sexualmente transmissíveis. Participaram do estudo 366 ACS de quatro municípios do Pará. Estudo exploratório-quantitativo. Resultados quanto aos conhecimentos: há desconhecimentos; algumas DSTs são conhecidas com outros nomes e carregam significados negativos e pejorativos. Quanto aos procedimentos: há cuidados inadequados para prevenção; enfrentam barreiras para serem aceitos pela comunidade; há falta de confiança, que gera silêncio-tabu dos usuários. Conclui-se que há necessidade de ações de educação permanente que aprimorem, ampliem e qualifiquem as informações desses atores do sistema.Descritores: Doenças Sexualmente Transmissíveis, Agentes Comunitários de Saúde, Educação Permanente em Saúde.Knowledge-procedures community health agents in relation to sexually transmitted diseases: clues for continuing education in AmazoniaThe objective was to identify knowledge-procedures in relation to sexually transmitted diseases. 366 workers participated this study in four municipalities of Pará. That is an exploratory and quantitative study. Results regarding knowledge: there is lack of knowledge, some STDs are known by other names and carry negative and pejorative meanings. As for the procedures: there is inadequate care for prevention, face barriers to be accepted by the community, there is a lack of confidence that generates taboo-silence by the users. It is concluded that there is need for permanent education actions that enhance, extend and qualify the information from these players in the system.Descriptors: Sexually Transmitted Diseases, Community Health Workers, Continuing Health Education.Conocimiento-procedimientos de agentes de salud comunitaria sobre las enfermedades de transmisión sexual: pistas para la formación continua en el AmazoniaEl objetivo fue identificar el conocimiento de los procedimientos en relación con las enfermedades de transmisión sexual. 366 trabajadores participaron del estudio en cuatro municipios de Pará. Se trata de un estudio exploratorio cuantitativo. Los resultados en cuanto al conocimiento: hay incógnitas, algunas enfermedades de transmisión sexual se conocen por otros nombres, y tienen un significado negativo y peyorativo. En cuanto a los procedimientos: no hay una atención inadecuada para la prevención, se enfrentan con barreras para ser aceptados por la comunidad. Se concluye que existe la necesidad de acciones de educación permanente para mejorar, ampliar y cualificar la información.Descriptores: Enfermedades de Transmisión Sexual, Los Trabajadores Comunitarios de Salud, La Educación Continua de La Salud.

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Risk Behavior for Falls in the Elderly: Experiences of Community Health Workers

Aquichan ◽

10.5294/aqui.2020.20.2.3 ◽

2020 ◽

Vol 20 (2) ◽

pp. 1-11

Author(s):

Renata Francielle Melo dos Reis Fonseca ◽

Silvia Matumoto ◽

Joab Jefferson da Silva Xavier ◽

Jossiane Wilke Faller

Keyword(s):

Community Health ◽

Risk Behaviors ◽

Community Health Workers ◽

Low Income ◽

Health Workers ◽

Elderly Person ◽

The Elderly ◽

Extrinsic Factors ◽

Related Factors ◽

Study Results

Objective: To identify the risk behaviors of the elderly at home, described by community health workers, and related factors. Materials and methods: Qualitative research, in the dialectical perspective, carried out through a focus group with community health workers from a family health strategy unit in a municipality of the State of São Paulo, Brazil. Thematic content analysis was used for the study. Results: The revealed risk behaviors are related to extrinsic factors (architecture, furniture, and equipment), socioeconomic factors (low income, level of education, deficit of social and a family support), and psychological factors (feeling of vulnerability, dependence and not self-acknowledging in a dangerous condition). Conclusions: Falls are the result of a complex interaction between the factors and, the behaviors studied so that adequate identification of these can subsidize individual and collective intervention actions, as well as care management and planning processes aimed at the health of the elderly person.

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Evaluation of The Skills of Community Health Workers in Providing Self-Care Program for Pre-Diabetic Individuals Based On The Precede-Proceed Model: A Descriptive Study

10.21203/rs.3.rs-877857/v1 ◽

2021 ◽

Author(s):

Mahmoud Ghasemi ◽

Fazlollah Ghofranipour ◽

Hasan Shahbazi ◽

Farkhondeh Aminshokravi

Keyword(s):

Community Health ◽

Community Health Workers ◽

Self Efficacy ◽

Health Workers ◽

Pearson Correlation ◽

Self Care ◽

Care Program ◽

Mazandaran Province ◽

Enabling Factors ◽

Study Results

Abstract Background This study aimed to investigate the skills of community health workers in providing a self-care program for pre-diabetic individuals in Mazandaran Province, Iran, based on the Precede-Proceed model. Methods This descriptive-analytical study was performed on 400 community health workers in Mazandaran province using the cluster random sampling method. Data collection tools included demographic information and 54 questions based on the structures of the Precede-Proceed model, the validity and reliability of which were confirmed. Data were analyzed using SPSS 22 software and Pearson correlation coefficient and linear regression tests. Results The mean age of participants was 34.13 ± 8.94 years. The study results showed that awareness, attitude, and reinforcing factors variables were in the desired range, and knowledge, self-efficacy, enabling factors, and health workers' skills variables were in the moderate range. According to the regression test, self-efficacy (R2 = 0.503) and enabling factors (R2 = 0.422) were the most important predictors of health workers' skills in presenting a self-care program for pre-diabetic people. Conclusion According to the results obtained in the study of community health workers' skills, it is suggested that educational interventions to improve community health workers' skills in providing self-care programs for pre-diabetics with emphasis on predisposing factors (with more focus on knowledge and self-efficacy) and enabling factors to be designed and implemented.

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Learning How Not to Train the Community Out of the Community Health Workers

10.1093/oso/9780198866244.003.0003 ◽

2021 ◽

pp. 25-50

Author(s):

Daniel Palazuelos ◽

Sanjay Gadi

Keyword(s):

Human Resources ◽

Continuing Education ◽

Community Health ◽

Community Health Workers ◽

Health Workers ◽

Human Resources For Health ◽

Healthcare Outcomes ◽

Health Crisis ◽

The Right

Community health workers (CHW) are often trained through a series of initial classes followed by continuing education opportunities. While this classic structure is invaluable for ensuring that the CHW has access to the right knowledge so that they can develop the right skills and attitudes to do their job, this chapter argues that this is insufficient. An equally as important and influential determinant of how the CHW will work will be the quality of the job and the quality of the health system to which they contribute. This is part of the ‘hidden curriculum’, and it is too often underappreciated when planning to train CHWs. CHWs are often seen as a cheaper solution to help meet the human resources for health crisis, but this chapter argues that if they are only given medical tasks, and if their role is medicalized to the point of removing them from how their communities function, then health systems will lose access to important opportunities to improve quality and healthcare outcomes.

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