NASF-AB (Núcleo Ampliado de Saúde da Família) no Município de Marizópolis/PB: condições e peculiaridades das demandas profissionais.

Abstract

Since the creation of the Unified Health System in the late 1980s, aiming to ensure that universality and equality in health care, numerous programs were created. In this sense, the present work aims to analyze, within the scope of public health policies, how, in the context of the beginning of the 21st century, the creation of the Expanded Nucleus for Family Health took place in the small country town of Marizópolis, in the State of Paraíba. The main objective of the study was to understand the role of the NASF­AB multiprofessional team in that municipality from the reality existing in the Basic Health Unit II. The research also analyzed the interaction of the Nucleus' team of professionals, notably in relation to matrix support. Nevertheless, it was also sought to know the working conditions and the actions to be taken by such professionals. To support these reflections, bibliographic research was carried out, which made it possible to understand the historical process of the emergence and development of social health policies in Brazil, the which culminated with the creation of SUS in the 1980s. A study was also carried out on the emergence of NASF­AB in Brazil, in order to reflect on the importance of this program as a space for articulation between the various teams of professionals working in Basic Care, that together strengthen and concretize the National Health Policy. The work approach is qualitative. In this sense, to achieve the proposed objectives, observational and exploratory research was carried out, which enabled both the production of empirical knowledge about the object of study and the collection of data that were not found in other documentary sources. In this sense, note the importance that documentary research had in this study, allowing to analyze the normative trajectory of health practices and policies in Brazil. The theoretical­methodological approach comes close to Marx's critical­dialectical method. Finally, based on the compulsory data, it is concluded that the NASF­AB's performance in the Basic Health Unit II is satisfactory, despite the limits imposed by the lack of resources to finance the program, as there are flaws in the management of the Center in relation to UBS, as well, as there are difficulties in dialogues between the teams.