Territorialização da Estratégia Saúde da Família na cidade de Aurora- CE: uma perspectiva de análise geográfica.

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.