Abstract
To identify ideological knowledge and tool knowledgethat provide support to the Street Outreach Office working process. Qualitative and exploratory research. TwentyStreet Outreach Office professionals and six users collected the data, applying different semi-structured interview schedules for each category of participants. The resulting categories were analyzed in light of tool and ideological knowledge presented in the working process. From the participant discourses the following ideological knowledge emerged: public policies and the needs of the person ina street situation and tool knowledge, as well as devices and tools for the care of people in street situations and a weekly schedule. The focus on the working process discourse, supported by ideological knowledge, was verified. The structural dimension of the objective reality of the population in street situations was perceptible in the social determination of being situating on the street. When daily situations were revealed, the limitations to be overcome in the working process context were noticed. Identificar os saberes ideológicos e instrumentais que subsidiam o processo de trabalho do Consultório na Rua. Pesquisa qualitativa e exploratória. A coleta de dados foi realizada junto a 20 profissionais e seis usuários do Consultório na Rua de um município do sul do Brasil, por meio de entrevistas com roteiros semiestruturados distintos para cada categoria de participantes. As classes resultantes foram analisadas à luz dos saberes ideológicos e instrumentais presentes no processo de trabalho. Dos discursos dos participantes emergiram os saberes ideológicos: políticas públicas e necessidades da pessoa em situação de rua e os saberes instrumentais: dispositivos e instrumentos no cuidado à pessoa em situação de rua e agenda semanal. Constatou-se a centralidade dos discursos no processo de trabalho, sustentado pelos saberes ideológicos. A dimensão estrutural da realidade objetiva da população em situação de rua foi perceptível na determinação social do situar-se na rua. Ao descortinar contradições no cotidiano, apontam-se limites a serem superados no âmbito do processo de trabalho.
Highlights
In Brazil, there is a substantial and increasing number of people in street situations (PSS), with varied lifestyles and relationships with and on the street
Analyzing the textual segments of these categories according to the theoretical framework adopted, the ideological knowledge (Chart 1) and the tool knowledge (Chart 2) presented in the working process of the CR professionals were understood
This study has enabled the identification of tool and ideological knowledge that make up the working process of the Street Outreach Office’s professional teams
Summary
In Brazil, there is a substantial and increasing number of people in street situations (PSS), with varied lifestyles and relationships with and on the street. This reality implies structural challenges in order to ensure citizenship for this population in the context of social invisibility. In this multicenter study entitled “National Survey on Populations in Street Situations”(1), conducted in 71 Brazilian cities in the year 2008, it was estimated that 31,922 adults were in this situation. People in street situations have difficulty accessing benefits guaranteed by public policies, including health care resources[2,3]. In order to facilitate access to the health care system, the Street Outreach Office (CR – its acronym in Portuguese), in conformity with the guidelines defined by the National Primary Health Care Policy (PNAB – its acronym in Portuguese), was created to serve as the entrance for health care services, providing longitudinal and full attention, coordinating care and health care provision to the population in street situations in loco, or in other points of the health care network[4]
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