Care strategy for people in situations of violence low cost and high resolution

Abstract

Abstract Background Following the guidelines of the World Health Organization, Brazil considers violence to be a public health problem, transversal to the care processes. Notifications are carried out using specific instruments and monitored by the health surveillance sector for non-communicable diseases and conditions. The implementation of Violence Prevention Centers (NPV) in all health services in the city of São Paulo - Brazil was established, composed of professionals from the service itself, which aims to develop actions to care for this population and provide technical support to team professionals, at different levels of care. Difficulty of professionals in dealing with situations was observed, resulting in wrong referrals. The need was identified to establish a training space for professionals in order to improve care and mitigate situations of violence, which would not impact the service agenda and at low costs. Methods One meeting per month with NPV members in the region. The situational diagnosis was raised with the workers through conversation circles, a thematic schedule was developed with Active Methodology and exemplified with a previously chosen case. Results Frequency of all health services, increase in the completion, specific instruments, correct targeting of victims, establishment of dynamic flows between services and identification of emotional difficulties in dealing with situations. Conclusions the results corroborate the findings that place spaces of exchange between professionals as fundamental in the process of caring for people in situations of violence, being a technology accessible to services, not only for carrying out Permanent education, but also as a care strategy for workers. This experience has potential for implementation in other contexts, notably those that, as in the Brazilian reality, still struggle in the face of great social, economic and gender inequalities. Key messages Between professionals as fundamental in the process of caring for people in situations of violence, being a technology accessible to service.