Análise da atuação dos agentes comunitários de saúde: um estudo de caso do assentamento massangana III/PB.

Abstract

The object of research of the present study is the social dynamics of the processes that involve the performance of the Communitarian Agent of Saude (ACS) in the Project of Nesting (PN) Massangana III, located in KM 57 of BR 230 in Cruz do Espirito Santo /PB, The erected hypothesis is that the performance of the ACS has not made possible the magnifying of the public spaces as space of interlocution, participation and construction of citizens of rights. A time that, such performance is come across with practical and arbitrary styles, the example of the clientelismo and the authoritarianism. In this conjuncture, the actions in the health area finish if presenting inlimited way at the same time where also they are moved away from the iiniversalizacao strategy amplest of the health politics. Being the qualitative research of etnografica nature, the set of techniques that had assisted our analysis was the daily one of field, the participant comment, the informal colloquies and the half-stn.ictiiral.ized interviews The specific circumstances of this research had revealed in such a way basic to construct to the scene of performance of the ACS and the Program Health o f Famflia (PSF), as well as to compose and to characterize our net of informers. Therefore, the qualification of ACS, the inauguration o f the Basic Unit of Saude (UBS) in Massangana. III/PB and the visits domiciliary, had been to the circumstances which i f had composed a net of 11 informers. Two of these being ACS, responsible for the coordination of the program and a. secretariat of health of the city, two nurses o f the course of formation of the ACS and, finally, six seated attended for the program. Three axles empiricist-reflexives had been systemize from the analysis and collected information: I) the actions of the program; II) the institutionalization of the PSF in Massangana I I I ; III) the performance of the ACS, We understand a double movement from, now on, where of a. side the changes in the health politics are made possible by the assistance to this sector by means of the ACS, and of another one, other processes of disputes and tensions are uncurled, as the trajectory of the nesting marked for the interna! guardianship, conflicts in. the locality, the dependence of the seated ones, the employment instability of the ACS, the overload of attributions to these, the lack of a joint performance between seated and communitarian agents, the precariousness of functioning of the City council of Saude (CMS) and, finally, the manipulation o f the rationality of the program. However, for greaters that are the existing dualidades, contradictions and limits in. this specific experience, this allows in them to delineate some challenges that if have for the front in the process of magnifying of the democratic spaces. Mainly in what it says respect to the use of the public space as right of all. It still allows to interpret these democratic experiences, exactly that in particular and ambivalent circumstances.