FERNANDES, J. S.; http://lattes.cnpq.br/1027392865157062; FERNANDES, Jefferson Santos.
Abstract:
Health in Brazil has experienced significant changes with the implementation of the
Unified Health (SUS). The Federal Constitution of 1988 established health as a right
universal and free. To guarantee this condition the Brazilian State had to organize itself on
territorial base in order to guarantee access for all citizens. In this context arises
in the 1990s the Family Health Strategy (FHS) with a proposal to reorient the
care model previously centered on the figure of the doctor and the hospital. The work of the ESF is
organized in a multiprofessional team responsible for a population in a target territory.
The way this territory is defined, however, causes some doubts and uncertainties.
regarding the method currently employed by managers and health professionals. THE
territorialization of primary care has generally been based on bureaucratic political processes,
meeting the demands of agencies and institutions that disregard the dynamics of
territory where various political agents interact in the construction of their geographical place.
In this paper we analyze the territorialization of the FHS in the city of Aurora, state of Ceará,
having as methodological outline the Basic Health Units (BHU) Araçá I and II,
unraveling some of its senses and possible limitations. Research was conducted
bibliographic and documentary documents, on-site visits and interviews with the municipal
health professionals and families territorially belonging to the aforementioned units,
resulting in the production of tables, tables, maps and illustrations concerning the subject. THE
research pointed out that territorialization was based on counting people and families through
data collected by Community Health Agents (CHA) in their micro areas as
conditioning factor for the geographical demarcation of services. The non-participation of
community highlighted the centralization of political decisions in territorial planning in
Cheers. Democratization here is understood as an essential aspect for the consolidation of the
ESF, from the recognition of geographical forms and the uses of the territory by the subjects
that constitute and transform it. Thus, what guides the present study is not the contrast
the advances already made in health care, but the construction of possibilities, believing
that the geographical perspective can add proposals for the work of the FHS on the territory.
