Abstract

This study aimed to identify the strategies used by Community Health Agents on their relationships network and interactions to improve health care and its impact on a health center. The Grounded Theory was used as a methodological reference. Seventeen participants were interviewed between February and April 2009, among professionals and users of a health center in a city from southern Brazil. Freedom of communication, being the bond and promoting a connection between the community and the professionals were identified as strategies to strengthen the network of relationships and interactions of the Community Health Agents, creating as consequences good relationships between the staff and users and facilitating access to the health unit. One concludes that the Community Agent is a tool in the bond formation with significant potential to facilitate access to the services offered in Primary Health Care, starting from a complex web of relationships and interactions.

Highlights

  • The Primary Health Care (PHC) is one of the entrance gates for users in the public health system, being their favorite one, considering that through it strategies are deployed for patient compliance, strengthening of ties among the population and health teams, and consequent qualification of the community’s health

  • In order to restructure the logic of PHC, the Brazilian government created in 1994 based on the Community Agents Program (CAP), the Family Health Program (FHP), focusing mainly on the family unit, with full and continued assistance, which inserts the creation of a bond between the health team and the users assisted by it, defined by their place of residence previously delimited

  • Knowing that a network of well-structured relationships and interactions generates a dialogical and participatory relationship in health teams, reflecting on their actions with locals[4], the question is: how do Community Health Agent (CHA) experience and give meaning to their relationships and interactions as members of a health team? What strategies are used by the CHAs in their network of relationships and interactions to improve health care? What are the main consequences of their actions? this study aimed to identify the strategies used by the CHAs in their network of relationships and interactions to improve health care and their impact on a health center in a city located south of the country

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Summary

Introduction

The Primary Health Care (PHC) is one of the entrance gates for users in the public health system, being their favorite one, considering that through it strategies are deployed for patient compliance, strengthening of ties among the population and health teams, and consequent qualification of the community’s health. It offers very diversified, unskilled and low technological density services[1,2]. The new proposed model goes beyond issues related to the health sector, focusing on all the factors that influence the population’s health, such as education, safety, and sanitation[3]. To go beyond the assumptions of a program, the FHP was transformed into the Family Health Strategy (FHS)

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