Percepção dos coordenadores das equipes de saúde da família de Gurupi/TO sobre a implementação da Política Nacional de Atenção Básica

Abstract

the basic attention is characterized as the main entry point of the Unified Health System (SUS), where health promotion actions should be centered. In this sense, the Basic Health Unit (UBS), as an organizational health action in the territory, must develop actions directly linked to health promotion. For its full development, it is necessary that the actors in this process understand the importance of being guided by the principles of the National Policy Basic Attention (PNAB). Objectives: To understand the process of implementation of the PNAB in the UBS of the municipality of Gurupi-TO in the perception of the coordinators of the Family Health teams. Methodology: participated in the research 11 (eleven) nurses managers of Family Health Teams took part in the research, one from each UBS of Gurupi-TO. It was a descriptive and exploratory, qualitative approach. The collection took place in two moments, in the first one was used a semistructured questionnaire and in the second was used the talk wheel method. The second moment occurred in order to complement the information obtained in the first interview. For data analysis, the content analysis method was used. Results and discussion: The process of implementation of the PNAB in the Gurupi-TO UBS occurs vertically through monthly meetings with managers of the Municipal Health Secretariat. However, although the subjects participating in the research recognize that the principles and guidelines of the PNAB are Important for the full development of the basic attention, interviewees said that due to the overload of tasks and attributions; The high demand for services and the deficit of human resources, the implementation of the PNAB does not occur in full. Conclusions/final considerations: The professionals interviewed said they knew the PNAB, they recognized the importance of community participation in the management of basic attention in order to organize local health models. They also recognized the importance of all social actors involved in SUS management. Thus, in order to implement health promotion actions, they must go beyond activities related to care and prevention.