Abstract
Objective: To know health professionals’ and managers’ perception of leprosy care within the Family Health Strategy. Methods: Qualitative research conducted from July to August 2016 using semi-structured interviews with professionals with a higher education degree who work in reference Family Health teams and in the Family Health Support Center (Nucleo de apoio a Saude da Familia – NASF), as well as their respective coordinators in the city of Morada Nova, Ceara, Brazil. The data corpus was subjected to content analysis. Results: Leprosy care in the municipality is carried out in a centralized way under the responsibility of a single specialist and without the effective participation of the Family Health Strategy (FHS). Interprofessional collaboration does not occur and there are no formal spaces for dialogue and case discussion among the team members. The main challenges reported by the interviewees referred to the centralization of the service, the users’ adherence to the prevention and treatment activities carried out, and the lack of support from municipal management. Conclusion: This mode of organization of leprosy care impacts on several aspects of the work and care processes, negatively influencing the prevention, the surveillance and the monitoring of leprosy in the municipality, as well as favoring the hegemonic biomedical model and maintaining the critical epidemiological situation of the region. Further studies are required to correlate the mode of organization of leprosy care in the FHS with the epidemiological situation of the territories to foster care changes.
Highlights
Este artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado
Qualitative research conducted from July to August 2016 using semi-structured interviews
with professionals with a higher education degree who work in reference Family Health teams
Summary
Objetivo: Conhecer a percepção dos profissionais de saúde e gestores sobre a atenção em hanseníase na Estratégia Saúde da Família. Resultados: Evidenciou-se que a atenção em hanseníase no município é realizada de maneira centralizada sob a responsabilidade de um único profissional especialista e sem participação efetiva da Estratégia Saúde da Família (ESF). Conclusão: Identificou-se que esse modo de organização da atenção em hanseníase impacta em vários aspectos do processo de trabalho e cuidado, influenciando de maneira negativa a prevenção, a vigilância e o acompanhamento em hanseníase no município, bem como favorecendo o modelo biomédico hegemônico e mantendo a crítica situação epidemiológica da região. Sugere-se que estudos futuros correlacionem o modo de organização do cuidado em hanseníase na ESF com a situação epidemiológica dos territórios, subsidiando mudanças assistenciais.
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