Atos educativos no cotidiano das práticas dos Agentes Comunitários de Saúde.

Abstract

The community health agent (CHA) develops practices that directly influence any aspect of the community's quality of life, since the ACS occupies an essential place in the Health Team, being responsible for guiding and promoting the health of the population on the various events related to the well-being of its attached population. The study aimed to find out how the educational acts occurred in the daily practices of the Community Health Agents in Primary Care. This is a descriptive research with a qualitative approach, carried out with 16 ACS of the basic care of Cajazeiras-PB. The data collection was done through a semi-structured interview, and for the organization of the data obtained in the interview, was turned to the methodological process of the Discourse Analysis (AD) of Michel Pêcheux's French line, as a method of analysis, for its subjective aspect of working not with the content of the text itself, but with the senses produced by it. All the steps of the research faithfully followed Resolution 466/2012 of the National Health Council. During the analysis of the speeches identified that the educational acts developed by the ACS in their daily life are still based on the medical-biological health model, demonstrating that the concept of health education defined by them is confusing and linked to the prevention of diseases, other factors identified in the analysis were the difficulties encountered in their daily lives to develop educational acts, since the management does not have an effective participation to provide capacities and materials for the educational actions to occur, the population also does not have a good adhesion to collective actions, in this way contributing to the ACS to develop, in most cases, individual character actions at the time of the visit. It was evidenced in the study that these existing factors limit the development of educational acts, thus weakening the involvement of all in the construction of care and thus failing to provide a quality service for the population. Finally, it is believed that this study contributes to awakening new discourses and reflections among the various researchers, teams, community and managers about the importance of valorization and recognition of the work of these professionals for the strengthening of Primary Care.