Made available in DSpace on 2014-12-17T14:46:36Z (GMT). No. of bitstreams: 1 MariaJAG.pdf: 771151 bytes, checksum: 7e7ac32b07d68cd1c59f6a892ed35601 (MD5) Previous issue date: 2007-12-14 / The purpose of this study is to analyze the strategies used by families living in at-risk-and-vulnerable situations registered with the Estrat?gia Sa?de da Fam?lia (ESF) ( Family Health Strategy ) as they face their daily problems. This is an investigation of a qualitative nature, using interview as the main tool for an empirical approach. Ten women from the Panatis location in northern Natal, Rio Grande do Norte, whose families live in precarious social-economical situations were interviewed. The interviews occurred between the months of April and June, 2007. The reports revealed that a mixture of improvisations and creativity was used as strategies for overcoming the privations and necessities of daily life. We also reached the conclusion that these families sought solutions for their problems through religiosity and a gift reciprocity system as resources for obtaining personal recognition and support in adversity. The results, in addition, point to ESF as one of the strategies used by these families in the search for attention and care. From this perspective, ESF has proven to be a place for listening and the construction of ties that are consolidated through home visits, organized groups, in parties and outings that are promoted in the community, reestablishing contact and support among people and signaling a way out of abandonment and isolation. Holders of knowledge constructed through life experiences, the participants of the study led us to induce and infer the need to amplify space that will allow them to express meanings, values and experiences, and consider that becoming ill is a process that incorporates dimensions of life that go beyond the physical. As health professionals, we need to be aware of the multiple and creative abilities used in the daily lives of these families, so that we can, along with them, reinvent a new way of dealing with health / O presente estudo tem por objetivo analisar as estrat?gias utilizadas pelas fam?lias em situa??o de risco e vulnerabilidade, adscritas ? Estrat?gia Sa?de da Fam?lia (ESF), no enfrentamento de seus problemas cotidianos. Trata-se de uma investiga??o de natureza qualitativa que utiliza a entrevista como principal ferramenta da abordagem emp?rica. Foram entrevistadas dez mulheres da localidade do Panatis, zona Norte, do munic?pio de Natal-RN, cujas fam?lias vivenciam car?ncias de condi??es socioecon?micas b?sicas. As entrevistas ocorreram entre os meses de abril a junho de 2007. Os depoimentos revelam a exist?ncia de um misto de improvisa??es e criatividades usadas como estrat?gias para a supera??o das priva??es e necessidades vividas no cotidiano. Depreendemos, igualmente, que estas fam?lias buscam solu??es para os problemas por meio da religiosidade e do sistema de reciprocidade da d?diva, como recurso para obten??o de reconhecimento pessoal e apoio nas adversidades. Os resultados apontam, ainda, a ESF como uma das estrat?gias utilizadas por essas fam?lias na busca de aten??o e de cuidado. Nessa perspectiva, a ESF evidencia-se como um espa?o de escuta e de constru??o de v?nculos que se consolidam nas visitas domiciliares, nos grupos organizados, nas festas e passeios promovidos junto ? comunidade, reinserindo o contato e o apoio entre as pessoas e sinalizando para uma via de sa?da do abandono e do isolamento. Detentoras de um saber constru?do a partir das suas experi?ncias de vida, as participantes do estudo nos induzem a inferir ser necess?rio ampliar os espa?os, que lhes permitam expressar significados, valores e viv?ncias, e a considerar o adoecimento como um processo que incorpora outras dimens?es da vida, al?m da f?sica. Como profissionais de sa?de, precisamos estar atentos ?s diversas e criativas habilidades de atua??o no cotidiano dessas fam?lias, para que possamos, junto a elas, reinventar um novo jeito de fazer sa?de

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-27T19:46:29Z No. of bitstreams: 1 AnaLunaraDaSilvaMorais_DISSERT.pdf: 3002315 bytes, checksum: 4879acfaecf61e2e4289d9e6bd0628f7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-27T20:07:13Z (GMT) No. of bitstreams: 1 AnaLunaraDaSilvaMorais_DISSERT.pdf: 3002315 bytes, checksum: 4879acfaecf61e2e4289d9e6bd0628f7 (MD5) / Made available in DSpace on 2016-01-27T20:07:13Z (GMT). No. of bitstreams: 1 AnaLunaraDaSilvaMorais_DISSERT.pdf: 3002315 bytes, checksum: 4879acfaecf61e2e4289d9e6bd0628f7 (MD5) Previous issue date: 2014-08-08 / Programa Nacional de Coopera??o Acad?mica - PROCAD / A constru??o do espa?o luso-brasileiro na Am?rica portuguesa ocorreu por meio de constantes conflitos travados entre diferentes indiv?duos e institui??es. No que se refere ? posse de terras, tais conflitos agravavam-se dependendo dos sujeitos envolvidos e de seu contexto. Na capitania do Rio Grande, destaca-se o conflito pela posse da terra Cidade dos Veados e Olho d??gua Azul e seus envolvidos: padres da Companhia de Jesus mission?rios do aldeamento de Guajiru; ?ndios da miss?o de Guajiru; e membros da fam?lia Carneiro da Cunha. Em 1725, o padre jesu?ta da miss?o de Guajiru solicitou uma l?gua de terra no lugar chamado Cidade dos Veados para os ?ndios de sua miss?o alegando que a terra que a miss?o possu?a n?o era suficiente para a subsist?ncia da mesma. Em 1727, o padre solicitou outra l?gua de terra no lugar Olho d??gua Azul, afirmando que a miss?o possu?a mais de 192 casais. Ambas as terras foram devidamente requeridas para a miss?o de Guajiru. Em 1760, entretanto, com as mudan?as impostas pelo Diret?rio dos ?ndios, o ouvidor respons?vel pela averigua??o das posses ind?genas percebeu que os ?ndios n?o ocupavam as duas terras solicitadas na d?cada de 1720, devido ao fato de Jo?o Carneiro da Cunha ter se apossado das mesmas. Em decorr?ncia disto, os impasses pela posse da terra s?o reascendidos. Deste conflito pela posse da terra Cidade dos Veados e Olho d??gua Azul, pretende-se destacar, sobretudo, as motiva??es e as mentalidades possess?rias acerca da propriedade de cada uma das partes envolvidas. Busca-se compreender como as motiva??es de cada grupo envolvido possibilitou o uso de estrat?gias espec?ficas e estabelecidas para tentar tomar posse das terras Cidade dos Veados e Olho d??gua Azul. / Shaping the Luso-Brazilian space in Portuguese America was through constant conflicts between different individuals and institutions. Regarding to land ownership, such conflicts were aggravated, depending on the individuals involved and their context. The captaincy of Rio Grande, there is conflict over land ownership Cidade dos Veados and Olho d' ?gua Azul and its stakeholders: priests of the Society of missionaries of the village Guajiru; indian mission Guajiru; and members of Carneiro da Cunha family. In 1725, the jesuit mission Guajiru requested a league of land at a place called Cidade dos Veados for the indians of his mission claiming that the land that the mission had was not sufficient for the subsistence of the same. In 1727, priest requested another league of land in place Olho d'?gua Azul, stating that the mission had more than 192 couples. Both lands were properly required for the mission guajiru. however, in 1760, with the changes imposed by the indian directorate ombudsman responsible for investigating indigenous possessions realized that the indians did not occupy the two lands requested in the 1720s , due to the fact Jo?o Carneiro da Cunha has taken possession of the same. As a result, the impasse over land are ligth. This conflict over land ownership Cidade dos Veados and Olho d'?gua Azul, we intend to highlight in particular the motivations and mindsets about possessory property of each party involved. We seek to understand the motivations of each group involved allowed the use of specific strategies and set out to try to take possession of the lands of the Cidade dos Veados e Olho d'?gua Azul

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-29T00:26:37Z No. of bitstreams: 1 AnaMariaGomesDosSantos_DISSERT.pdf: 838984 bytes, checksum: 79754d419aeb464501c87eab29b83672 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-29T19:28:10Z (GMT) No. of bitstreams: 1 AnaMariaGomesDosSantos_DISSERT.pdf: 838984 bytes, checksum: 79754d419aeb464501c87eab29b83672 (MD5) / Made available in DSpace on 2016-03-29T19:28:10Z (GMT). No. of bitstreams: 1 AnaMariaGomesDosSantos_DISSERT.pdf: 838984 bytes, checksum: 79754d419aeb464501c87eab29b83672 (MD5) Previous issue date: 2015-04-29 / INTRODU??O: As pol?ticas de forma??o em sa?de no Brasil v?m passando por profundas transforma??es, resultado da reforma sanit?ria e do rompimento com o modelo biom?dico, ainda hegem?nico. No entanto, o paradigma da integralidade vem sendo introduzido na sa?de e, para a consolida??o desse conceito, a forma??o vem se apropriando de novas abordagens metodol?gicas. Pode-se mencionar a intera??o ensino-servi?o (ensino-servi?o-comunidade), cuja proposta permite a amplia??o da percep??o acerca do processo sa?de-doen?a, al?m da garantia dos compromissos da forma??o para/com o SUS. OBJETIVO: Compreender, a partir dos profissionais de sa?de, a relev?ncia da intera??o ensino-servi?o-comunidade, na forma??o profissional dos estudantes da Faculdade de Ci?ncias da Sa?de/UFRN. PROCEDIMENTOS METODOL?GICOS: Estudo fundamentado na abordagem qualitativa, a t?cnica utilizada para obten??o dos dados da pesquisa foi o grupo focal (GF). Foram realizados 2 GFs em duas unidades b?sica de sa?de da fam?lia do munic?pio de Santa Cruz ? RN, onde participaram profissionais da equipe da estrat?gia de sa?de da fam?lia. As discuss?es foram conduzidas a partir de um roteiro previamente elaborado. A an?lise dos resultados foi realizada a partir da t?cnica de conte?do tem?tica categorial. RESULTADOS Participaram do estudo, 18 profissionais de sa?de, sendo 13 (72%) do sexo feminino. Para esses profissionais, a intera??o ensino-servi?o permite ao estudante compreender o modelo de aten??o integral em sa?de, visto que o contato com a comunidade amplia a sua percep??o acerca do processo sa?de-doen?a, como tamb?m permite reconhecer a import?ncia do trabalho em equipe para aten??o integral em sa?de. CONSIDERA??ES FINAIS: Os resultados indicam a import?ncia da pol?tica de reorienta??o no contexto da forma??o para que os alunos tenham precocemente contato com o servi?o e, dessa forma desenvolva habilidades t?cnicas e relacionais no contexto ao qual for inserido. / INTRODUCTION: In Brazil, the health training policies have been going through deep changes, which are the fruits of the sanitary reform and of the breakage with the biomedical model, still hegemonic. Nevertheless, the paradigm of comprehensiveness is being introduced in health and, in order to consolidate this concept, the training has been gaining new methodological approaches. One can mention the teaching-service interaction (education-health system/citizenship health), whose proposal enables the expansion of the perception of the health-disease process, as well as the warranty of compromises of training in relation to SUS. OBJECTIVE: Understand, from health professionals, the relevance of teaching-service-community interaction, vocational training of students of the Faculty of Health Sciences / UFRN. METHODOLOGICAL PROCEDURES: This study is grounded on qualitative approach. The technique used to obtain research data was the focus group. Two focus groups (FG) were accomplished in two family basic health units of the municipality of Santa Cruz ? RN, where there is participation of professionals of the Family Health Strategy. The discussions were performed from a previously elaborated script. The analysis of results was held from the categorical thematic content technique. RESULTS: The study had the participation of 18 health professionals, and 13 (72%) were females. For these professionals, the teaching-service interaction enables the student to understand the model of comprehensive health care, since the contact with the community enhances its perception about the health-disease process, but also enables recognizing the importance of teamwork to comprehensive health care. FINAL CONSIDERATIONS: The results highlight the importance of a policy of reorientation within the context of training so that students have an early contact with the service and therefore develop technical skills within the context in which they are inserted.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-20T21:55:50Z No. of bitstreams: 1 LuciaHelenaCostaDeGois_TESE.pdf: 17633111 bytes, checksum: 9e03f521ad56720c0092820881f19c6a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-21T20:40:27Z (GMT) No. of bitstreams: 1 LuciaHelenaCostaDeGois_TESE.pdf: 17633111 bytes, checksum: 9e03f521ad56720c0092820881f19c6a (MD5) / Made available in DSpace on 2016-07-21T20:40:27Z (GMT). No. of bitstreams: 1 LuciaHelenaCostaDeGois_TESE.pdf: 17633111 bytes, checksum: 9e03f521ad56720c0092820881f19c6a (MD5) Previous issue date: 2015-04-17 / O estudo tem como foco de aten??o as formas e modos de morar da fam?lia intergeracional, aquela constitu?da por pessoas de diferentes gera??es, que co-habitam e tem o idoso/idosa como refer?ncia. Quanto ?s formas de morar, deste tipo de fam?lia, ? interessante notar que as pesquisas, produ??es, tradicionalmente realizadas por arquitetos e designers de interiores, n?o a conceituam nem a definem porque n?o inclu?ram essa configura??o familiar nos seus estudos e n?o se preocuparam em atrelar esse tipo de fam?lia com alguma forma de morar. Encontra-se, portanto, at? o presente momento, um v?cuo te?rico conceitual, propositivo e interventivo que n?o corresponde ? realidade emp?rica. Face ?s constata??es, a investiga??o passou pelo desafio te?rico de desconstruir o modelo ?nico de habita??o contempor?nea, hoje destinada a todos os formatos de fam?lias sem considerar o que est? se gestando: o da fam?lia intergeracional de idoso e com idoso. O estudo constitui, portanto, um meio privilegiado para se ter um olhar diferenciado sobre diferentes modelos de espa?os dom?sticos a partir dos novos formatos de fam?lias, suas necessidades b?sicas e especiais bem como as identidades das moradias das camadas sociais m?dia-alta e alta indicando um diferencial em rela??o ?s condi??es de moradia e estilo de vida das camadas m?dias e pobres. Para descrever as formas e modos de morar do arranjo familiar intergeracional foi selecionado o m?todo interdisciplinar, que melhor articula n?o s? o m?todo de procedimento, como o m?todo de abordagem indutivo-reflexivo mediante pesquisa de natureza qualitativa. Para tal, selecionou-se como espa?o geogr?fico aquele em que se concentravam pessoas de grande proximidade socioantropol?gica e os que faziam parte do c?rculo de amizades e parentes da pesquisadora, entre estes, os residentes nos bairros de Capim Macio, Candel?ria, Tirol e Petr?polis, localizados nas zonas sul e leste, respectivamente, da cidade de Natal. Os moradores foram entrevistados e os ambientes fotografados. Constatou-se que, enquanto o espa?o intergeracional n?o se firma enquanto tal, rearranjos extremamente criativos se d?o no espa?o dom?stico em fun??o dos h?bitos, necessidades, rela??es entre g?nero e gera??es. Conclui-se que a fam?lia intergeracional continua na invisibilidade apesar de se firmar como novo arranjo domiciliar; que os estudos sobre cotidiano e moradia devem ser retomados na perspectiva hist?rica e epistemol?gica integrando substancialmente a dimens?o pessoa-ambiente; que foram validadas as categorias anal?ticas de g?nero e gera??o, bem como as formas de co-habita??o permanente, tempor?ria e em conex?o que contribuem para uma releitura das formas e modos de morar na contemporaneidade. / The focus of this study is to draw attention to the intergenerational family?s lifestyles and their various ways of cohabitation, in special to those families which are made by individuals of different generations, these families being constituted of, two or more individuals, or, two or more smaller families, which live under the same roof and have the elderly person as referential in their cohabitation. In those types of families, as for their ways of organization, it is interesting to note that the researches and productions done by inner architects and inner designers do not include this type of family arrangement because their studies do not cover this kind of structuralization nor was this type of organization put together with any of the ways of cohabitation. Therefore there is a theoretical concept void which is propositional, interventional and does not relate to the empirical reality. In observation to these remarks, the research starts a theoretic challenge of deconstruct or reconstruct our modern only habitational template, which is used today in all families configurations which out any regards to where this template will be used, unfitting to the intergenerational families who have elders. This study is then meant to give an differential analysis of the various domestic space?s templates in regards to the new families formats, their basic and special necessities, the home identities of those families which indicates the differential gap in housing and lifestyle from the higher social classes in comparison to the lower social classes. The interdisciplinary method was chosen in order to describe arrangements found in the lifestyles and the ways of cohabitation of the intergenerational families, this method is used for its knowledge base that better articulates the procedure method and the inductive reflexive approach made possible after an qualitative research. In order to accomplish that, an geographical space which tow real possibilities was selected, that is, the space where the people of great social and anthropological proximity are concentrated and the people which are the researcher kinships and friends, in between those are the habitants of Capim Macio?s, Candel?ria?s, Tirol?s and Petr?polis?s, neighborhoods, located in the south west zone of her home city Natal. It has been noticed that, meanwhile these intergenerational spaces do not claim their said spaces, because of their habits, necessities and relations in between generations and gender, their arrangements of said space are extremely creative. That means that alterations in the concepts of planning, construction and utilization of built spaces are imperative.

Made available in DSpace on 2014-12-17T15:30:53Z (GMT). No. of bitstreams: 1 RossanaMC.pdf: 935976 bytes, checksum: 50156580c3cc8444362ea3f7348f858f (MD5) Previous issue date: 2009-04-07 / Family Health Strategy (FHS), founded in 1994 has appeared to play a strategic role in the SUS construction and consolidation. It has reaffirmed its Principles and Guidelines and has elected family as core of attention. The principle that has guided the work concerns the quality of the relationship between professional and family. Thus, the FHS has the family as a subject of health-disease process, and relations with its own characteristics and can be partners in building their health and improvement of quality of life of its members and the entire community. This study aims to characterize the surgeon-dentist (SD) working process in the family health strategy, from the knowledge of the SD integration with other team members; organization of services; development of shares, changes perceived by SDs, as well as knowing the surgeon-dentist profile who is part of this strategy. The collecting tool used was a semi-structured questionnaire, in which participated 30 professionals. As for profile, most professionals were women, completed the graduation in public university and did not have any training to work by joining the FHS. Almost all have other public or private working ties. They often carry out activities with students, and occasionally do home visits. In relation to team work, in activities such as home visits, school health, community activities, among others, they sometimes seek the cooperation of other members. The way of accessing for users in the most part has occurred through the schedule. The most frequently activities made to the Centro Especialidades Odontol?gicas (CEO), are in Endodontics and Prosthesis. The majority of them participate in team meetings, but they do not have frequency set to happen. As for the planning and programming of activities to be conducted, most said that individually develops them. Concerning the performance of their duties, most reported being satisfied, but that improvements could happen. Besides, they reported improvements in dental care following the inclusion of SD in the FHS in various aspects, such as access, organization, humanization, care and oral disease prevention. The professionals had poor integration with other team members, in addition to have a profile to more individualistic work, a fact seized by way of development and planning of actions. They work the actions in individual and curative way, in detriment promotion and collective ones. They work humanization, definition of territory and adscript population. Thus, it is concluded that the working process developed by SDs, includes the part which is advocated by FHS. This points out to a greater undertaking of this process aiming to detect the weakness met in order to reach the potential that the FHS represents in organization of basic attention / A Estrat?gia Sa?de da Fam?lia (ESF), criada no ano de 1994 surge para desempenhar um papel estrat?gico na constru??o e consolida??o do SUS. Reafirma seus Princ?pios e Diretrizes e elege a fam?lia como n?cleo central da Aten??o. O princ?pio que norteia o trabalho diz respeito ? qualidade da rela??o entre o profissional e a fam?lia. Desta forma, a ESF tem a fam?lia como sujeito do processo sa?de-doen?a, com caracter?sticas e rela??es pr?prias e que podem ser parceiras na constru??o de sua sa?de e na melhoria da qualidade de vida de seus membros e de toda a comunidade. Este estudo tem por objetivo caracterizar o processo de trabalho do cirurgi?o-dentista (CD) na estrat?gia de sa?de da fam?lia, a partir do conhecimento da integra??o do CD com os demais membros da equipe; organiza??o do servi?o; desenvolvimento das a??es; mudan?as percebidas pelos CDs, bem como pretende conhecer o perfil do cirurgi?o-dentista que faz parte desta estrat?gia. O Instrumento de coleta utilizado foi um question?rio semi-estruturado, onde participaram 30 profissionais. Com rela??o ao perfil, a maioria dos profissionais ? do sexo feminino, concluiu a gradua??o em universidade p?blica e n?o possu?am qualquer capacita??o para o trabalho ao ingressarem na ESF. Quase que a totalidade possui outros v?nculos de trabalho quer p?blico ou privado. Realizam atividades com escolares com grande freq??ncia, e ocasionalmente fazem visitas domiciliares. Com rela??o ao trabalho em equipe, em atividades como visitas domiciliares, sa?de escolar, atividades na comunidade, entre outras, eles buscam ocasionalmente a coopera??o dos demais membros. A forma de acesso dos usu?rios em sua maior parte, se d? atrav?s do agendamento. Os encaminhamentos mais frequentemente feitos ao Centro Especialidades Odontol?gicas (CEO), s?o em Endodontia e Pr?tese. A maioria participa das reuni?es em equipe, por?m estas n?o t?m periodicidade definida para acontecer. Quanto ao planejamento e programa??o das atividades a serem realizadas, a maior parte afirmou que as elabora individualmente. No tocante ao desempenho de suas fun??es, a maioria relatou estar satisfeita, por?m que melhoras poderiam acontecer. Relataram tamb?m melhorias na assist?ncia odontol?gica ap?s a inclus?o do CD na ESF em v?rios aspectos como: acesso, organiza??o, humaniza??o, assist?ncia e preven??o de doen?as bucais. Os profissionais apresentaram baixa integra??o com os demais membros da equipe, possuem um perfil de trabalho mais individualista, fato apreendido pela forma de desenvolvimento e planejamento das a??es. Trabalham mais as a??es de natureza curativas e individuais, em detrimento das a??es de promo??o e coletivas. Trabalham a humaniza??o, delimita??o de territ?rio e com popula??o adstrita. Desta forma, cabe concluir que o processo de trabalho desenvolvido pelos CDs, contempla em parte o que ? preconizado pela ESF, o que sinaliza para um maior acompanhamento desse processo, buscando modificar as fragilidades encontradas, com a finalidade de atingir todo o potencial que a ESF representa na reorganiza??o da aten??o b?sica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-02-21T21:50:00Z No. of bitstreams: 1 DalvaCezarDaSilva_TESE.pdf: 3335341 bytes, checksum: 675b0da6bffd6736231d5bb47989ac13 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-02-23T20:52:50Z (GMT) No. of bitstreams: 1 DalvaCezarDaSilva_TESE.pdf: 3335341 bytes, checksum: 675b0da6bffd6736231d5bb47989ac13 (MD5) / Made available in DSpace on 2018-02-23T20:52:50Z (GMT). No. of bitstreams: 1 DalvaCezarDaSilva_TESE.pdf: 3335341 bytes, checksum: 675b0da6bffd6736231d5bb47989ac13 (MD5) Previous issue date: 2017-12-13 / A pesquisa teve como objetivo avaliar a percep??o do suporte familiar e qualidade de vida de idosos com ?lcera venosa atendidos na Aten??o Prim?ria ? Sa?de. Estudo anal?tico com abordagem quantitativa, realizado em Santa Maria, Rio Grande do Sul, Brasil. Participaram 40 idosos atendidos nas unidades de sa?de, no per?odo de agosto a dezembro de 2016. Na coleta de dados utilizaram-se os instrumentos: formul?rio para caracteriza??o sociodemogr?fica, de sa?de, cl?nica e assistencial; o Charing Cross Venous Ulcer Questionnaire (CCVUQ) e o Invent?rio da Percep??o de Suporte Familiar (IPSF). Utilizou-se da estat?stica descritiva e inferencial, testes Qui-Quadrado, Exato de Fischer, Mann-Whitney e correla??o de Spearmann, considerando n?vel de signific?ncia estat?stica de ?-valor ? 0,05. O projeto de pesquisa foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade proponente, (Processo n?mero 1.670.636 e Certificado de Apresenta??o para Aprecia??o ?tica 58255016.0.0000.5346). Houve predom?nio do sexo feminino, faixa et?ria dos 70 anos ou mais, sem companheiro, aposentados, com doen?as cr?nicas associadas, sono maior de seis horas/dia e presen?a de dor. Referiam como local predominante para a realiza??o do curativo o servi?o de sa?de (n=34, 85,0%), n?o faziam uso de terapia compressiva (n=24, 60,0%), os que faziam utilizavam bota de Unna (n=16, 40,0%). O Escore Total do CCVUQ apresentou mediana 43,9, para a avalia??o da qualidade de vida geral dos participantes; e nos dom?nios Intera??o Social (27,9), Atividades Dom?sticas (29,9), Est?tica (44,7) e Estado Emocional (57,4). Quanto ? percep??o do Suporte familiar, os idosos classificaram como Alto Suporte. Afetivo-Consistente foi 67,5%, com m?dia de 33,40(?11,29); Adapta??o familiar, o percentual de alto foi de 45,0%, com m?dia de 20,97(?6,42) e Autonomia foi de 70,0%, com m?dia de 14,65(?2,36). As vari?veis sociodemogr?ficas e de sa?de n?o apresentam associa??es significativas com os dom?nios do CCVUQ e IPSF. Sobre a qualidade de vida constatou-se diferen?a significativa da vari?vel cl?nica dor em rela??o aos dom?nios Atividades Dom?sticas (p=0,048), Estado Emocional (p=0,034) e Escore Total (p=0,022). Apresentaram diferen?a significativa as vari?veis assistenciais: quem realiza o curativo com Estado Emocional (p=0,045); uso de terapia compressiva com Atividades Dom?sticas (p=0,031); e n?mero de consultas com os dom?nios Intera??o Social (p=0,033), Atividades Dom?sticas (p=0,033), Estado Emocional (p=0,025) e Escore total (p=0,030). Quanto ao Suporte familiar, encontraram-se associa??es significativas entre as vari?veis cl?nicas: recidiva com o Suporte Total (p=0,031); tempo da ?lcera venosa atual em anos com os dom?nios Afetivo-Consistente (p=0,003) e Total (p=0,022), dor com o dom?nio Autonomia (p=0,041), sinais de infec??o com Suporte Total (p=0,044). Entre as vari?veis assistenciais: Tempo de tratamento em anos com o dom?nio Afetivo-Consistente (p=0,021). Uso de terapia compressiva com os dom?nios Afetivo-Consistente (p=0,002) e Total do Suporte (p=0,002). Verificaram-se correla??es negativas e significativas do suporte familiar na qualidade de vida em idosos com ?lcera venosa, entre Afetivo-Consistente e o escore total do CCVUQ (r=-0,323; p=0,042), o dom?nio Atividades Dom?sticas (r=-0,350; p=0,027) e Estado Emocional (r=-0,424; p=0,006). Entre Adapta??o Familiar e Estado Emocional (r=-0,443; p=0,004). Da mesma maneira, entre Autonomia e o escore total do CCVUQ (r=-0,514; p=0,001), o dom?nio Intera??o Social (r=-0,362; p=0,022), Atividades Dom?sticas (r=-0,513; p=0,001), Est?tica (r=-0,478; p=0,003) e Estado Emocional (r=-0,478; p=0,002). A qualidade de vida do idoso com ?lcera venosa foi mais comprometidas nos dom?nios Estado emocional e Est?tica. Aceita-se a hip?tese alternativa que o suporte familiar se correlaciona com a qualidade de vida em idosos com ?lcera venosa atendidos na Aten??o Prim?ria ? Sa?de. Necessitam-se a??es de promo??o e reabilita??o da sa?de do idoso, com enfoque na din?mica familiar, a fim de promover a autonomia e o conv?vio social para melhora da qualidade de vida. / This research aimed to evaluate the perception of family support and quality of life of elderly patients with venous ulcers treated at the primary health care. Analytical study with a quantitative approach held in Santa Maria, Rio Grande do Sul, Brazil. The study included 40 elderly attended in health units in the period from August to December, 2016. Data collection used these instruments: Form for the sociodemographic characterization, heath, clinical and care; Charing Cross Venous Ulcer Questionnaire (CCVUQ) and the Family Support Perception Inventory (IPSF). It was used descriptive and inferential statistics, used the chi-square test, Fisher's exact test, Mann-Whitney, and was Spearman correlation, considering a level of significance of ?-value ? 0.05. The research project has approved by the Ethics Committee Proponent University Research, (Case number 1670636 and Presentation Certificate for Ethics Assessment 58255016.0.0000.5346). Women predominated, age 70 years or more, without a partner, retired, with chronic diseases associated, greater sleep of six hours/day and the presence of pain. They referred as the predominant place for the accomplishment of the curative the health service (n=34, 85.0%), did not use compression therapy (n=24, 60.0%), those who used Unna boot (n=16, 40.0%). The Score Total CCVUQ presented a median 43.9, to evaluate the overall quality of life of participants; and in the fields Social Interaction (27.9), Household Activities (29.9), Esthetics (44.7) and Emotional State (57.4). Regarding the perception of Family Support, the elderly classified as High Support. In the evaluated domains was found that in the affective consistent was 67.5%, with a mean of 3.40 (?11.29), in family adaptation, high percentage was 45.0% with a mean of 20.97 (?6.42) and autonomy was 70.0% with a mean of 14.65 (?2.36). Sociodemographic and health variables do not have significant associations with areas of CCVUQ and IPSF. Regarding quality of life, there was a significant difference in the clinical variable: pain in relation to domains Domestic Activities (p= 0.048), Emotional State (p= 0.034) and Total Score (p= 0.022). There were significant differences in the care variables: who performed the dressing with Emotional State (p= 0.045), use of compressive therapy with Domestic Activities (p= 0.031) and number of consultations with the Social Interaction domains (p = 0.033), Domestic Activities (p= 0.033), emotional state (p= 0.025), and total score (p= 0.030). As for family support, significant associations were found between the clinical variables: relapse with Total Support (p = 0.031); time of current venous ulcer in years with Affective-Consistent (p= 0.003) and Total (p=0.022), pain with Autonomy domain (p= 0.041), signs of infection with Total Support (p= 0.044). Between healthcare variables: treatment time in years with the domain affective-consistent (p= 0.021). Use of compressive therapy with the Affective-Consistent (p= 0.002) and Total Support (p= 0.002) domains. There were negative and significant correlations of family support in quality of life in elderly patients with venous ulcer, between Affective-Consistent and the total CCVUQ score (r = -0.323, p= 0.042), the Domestic Activities domain (r = -0.350, p = 0.027) and Emotional Status (r = -0.424, p= 0.006). Between Family Adaptation and Emotional State (r = -0.443, p = 0.004). Similarly, between Autonomy and total CCVUQ score (r = -0.514, p= 0.001), the Social Interaction domain (r = -0.362, p= 0.022), Domestic Activities (r = -0.513, p= 0.001), Esthetics (r = -0.478, p= 0.003) and emotional state (r = -0.478, p= 0.002). The quality of life of elderly patients with venous ulcers was more committed in the domains Emotional state and Esthetics. It is necessary actions to promote and rehabilitate the health of the elderly, focusing on family dynamics, in order to promote autonomy and social interaction to improve the quality of life. The alternative hypothesis is accepted that the family support is correlated in the quality of life in elderly patients with venous ulcer attended in the Primary Health Care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-02T23:09:14Z No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-13T17:53:52Z (GMT) No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Made available in DSpace on 2018-03-13T17:53:52Z (GMT). No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) Previous issue date: 2017-12-15 / No Brasil, constata-se um crescimento acentuado da popula??o idosa, onde isso se intensificar? nas pr?ximas duas d?cadas. No ?mbito do SUS, a assist?ncia a essa popula??o deve pautar-se em a??es desenvolvidas pelas equipes da ESF e do NASF. O estudo teve o objetivo de analisar a forma??o dos profissionais da ESF e do NASF para atender ?s necessidades das pessoas idosas. Trata-se de uma pesquisa com abordagem qualitativa, realizada em duas etapas e com procedimentos metodol?gicos distintos. Na primeira etapa, buscou-se analisar como ocorre a abordagem do envelhecimento na forma??o dos profissionais que atuam na ESF e no NASF, a partir da leitura dos projetos pedag?gicos dos seus cursos de forma??o. A segunda etapa consistiu em compreender, com a realiza??o de grupos focais, a percep??o das pessoas idosas atendidas por equipes da ESF e do NASF sobre as suas necessidades, bem como compreender a percep??o das mesmas sobre as compet?ncias profissionais necess?rias para o cuidado que essa parcela da popula??o precisa. Os resultados da primeira etapa revelaram que a forma??o profissional para o cuidado ? sa?de da pessoa idosa est? pautada exclusivamente na assist?ncia e condu??o de doen?as cr?nico-degenerativas, como tamb?m na identifica??o e preven??o de danos ? sa?de. Ademais, a operacionaliza??o dos grupos focais permitiu classificar as necessidades das pessoas idosas participantes do estudo em duas tem?ticas: Necessidade de boas condi??es de vida e necessidade de acesso aos servi?os de sa?de. De acordo com os participantes, os profissionais da ESF e do NASF s?o bem qualificados para lhes atenderem, por?m, n?o possuem autonomia para solucionar as suas necessidades. Para a resolu??o dessas necessidades, qualificar os gestores (municipais, estaduais e federais) do setor sa?de seria o caminho priorit?rio. Com a realiza??o deste estudo, percebe-se que a discuss?o acerca da tem?tica do envelhecimento no processo de forma??o dos profissionais que integram as equipes da ESF e do NASF ainda ? incipiente e est? desassociada das necessidades de sa?de das pessoas idosas. Assim, se faz necess?rio preparar pessoas que ofere?am aten??o integral ? crescente popula??o idosa, conhecendo as suas subjetividades e necessidades, bem como para formular e gerir pol?ticas p?blicas para a mencionada popula??o que ? usu?ria do SUS. / In Brazil, there is a marked increase in the elderly population, where this will intensify in the next two decades. Under the SUS, assistance to this population should be based on actions developed by the ESF and NASF teams. The aim of the study was to analyze the training of ESF and NASF professionals to meet the needs of the elderly. It is a qualitative research, carried out in two stages and with different methodological procedures. In the first stage, we sought to analyze how the aging approach occurs in the training of professionals working in the ESF and NASF, from the reading of the pedagogical projects of their training courses. The second stage consisted in understanding the perception of the elderly people assisted by ESF and NASF teams about their needs, as well as their perception about the professional competencies necessary for the care that this portion of the population needs. The results of the first stage revealed that the professional training for the health care of the elderly is based solely on the assistance and conduction of chronic-degenerative diseases, as well as on the identification and prevention of health damages. In addition, the operationalization of the focus groups allowed to classify the needs of the elderly participants of the study in two thematic ones: Necessity of good conditions of life and necessity of access to the health services. According to the participants, the professionals of the ESF and the NASF are well qualified to attend to them, however, they do not have the autonomy to solve their needs. To solve these needs, qualifying the managers (municipal, state and federal) of the health sector would be the priority path. With the accomplishment of this study, it is noticed that the discussion about the aging issue in the process of training the professionals that integrate the ESF and NASF teams is still incipient and is disassociated with the health needs of the elderly. Thus, it is necessary to prepare people who offer integral attention to the growing elderly population, knowing their subjectivities and needs, as well as formulating and managing public policies for the aforementioned population that is a SUS user.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-10-27T00:44:20Z No. of bitstreams: 1 AdrianaMariaAlves_DISSERT.pdf: 862896 bytes, checksum: 0b426717e302a89a5485ffa494b82d9f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-12-28T16:44:04Z (GMT) No. of bitstreams: 1 AdrianaMariaAlves_DISSERT.pdf: 862896 bytes, checksum: 0b426717e302a89a5485ffa494b82d9f (MD5) / Made available in DSpace on 2016-12-28T16:44:04Z (GMT). No. of bitstreams: 1 AdrianaMariaAlves_DISSERT.pdf: 862896 bytes, checksum: 0b426717e302a89a5485ffa494b82d9f (MD5) Previous issue date: 2014-09-19 / O objetivo deste trabalho, caracterizado como uma pesquisa de abordagem qualitativa de car?ter explorat?rio descritivo, ? analisar os aspectos que contribuem para a morbimortalidade materna em Mossor?-RN ? luz da bio?tica. As informa??es foram coletadas entre os meses de Novembro e Dezembro de 2013, por meio de entrevistas semiestruturadas realizadas com 16 profissionais de sa?de, sendo metade deles trabalhadores de Aten??o Prim?ria ? Sa?de e a outra metade de urg?ncia obst?trica, e 04 mulheres que tiveram gravidez de alto risco com interna??o em UTI. O n?mero de profissionais e de mulheres foi determinado pelo m?todo da satura??o na coleta de informa??es em pesquisas qualitativas. As entrevistas foram transcritas e submetidas a t?cnica de an?lise de conte?do, especificamente a an?lise tem?tica, possibilitando um aprofundamento e ultrapassando o conte?do das falas. Diante disso, foram constru?das tr?s categorias de an?lise, a saber: a aten??o ? gestante no munic?pio de Mossor?/RN; os fatores que contribuem para a morbimortalidade materna em Mossor?/RN; e a morte de perto: O relato de gestantes de alto risco que foram internadas em Unidade de Terapia Intensiva. A interpreta??o das informa??es analisadas revelaram a realidade dif?cil da rede de aten??o ? gestante no munic?pio, nos seus tr?s n?veis, apontam alguns fatores que contribuem com o aumento da morbimortalidade materna e estes correlacionados com os princ?pios da bio?tica de BEAUCHAMP & CHILDRESS e os princ?pios da Declara??o Universal sobre Bio?tica e Direitos Humanos da UNESCO, sugerem algumas a??es que poderiam diminuir este ?ndice, relatam como lidam e percebem a morte materna e os sentimentos envolvidos, e relatam tamb?m a viv?ncia de mulheres que tiveram risco de morte na gesta??o. Percebemos ent?o, na fala dos profissionais a necessidade de p?r em pr?tica o que j? existe na teoria, nos protocolos, manuais e portarias do Governo Federal. Mais uma vez sabemos o que precisa ser feito para reduzir a mortalidade materna e melhorar a qualidade da aten??o, por?m n?o h? iniciativa concreta para que se efetive tudo isso e tenhamos o resultado esperado. O que existe ? neglig?ncia n?o de todos, mas de todas as partes. Precisamos inicialmente capacitar os gestores e sensibiliza-los para essa tem?tica. Os cidad?os tamb?m precisam ser empoderados de seus direitos e conhecedores das pol?ticas p?blicas, para que possam cobrar dos servi?os e dos gestores seu cumprimento. Por ?ltimo precisamos sensibilizar os profissionais na busca de conhecimentos e na luta por melhores condi??es de trabalho, recursos humanos suficientes e de sal?rio, para tamb?m cobrar deles a excel?ncia no atendimento. Desta forma os profissionais entendem que teremos menores n?meros da mortalidade materna e maior satisfa??o dos usu?rios do SUS, especialmente neste caso, das mulheres que necessitam do servi?o de obstetr?cia. / This study characterized as a qualitative descriptive exploratory approach is to analyze the aspects that contribute to maternal mortality in Mossor?-RN. Data were collected between the months of November and December 2013, through semi-structured interviews with 16 health professionals, half of them employees of Primary Health Care and the other half of obstetric emergency, and 04 women who had pregnancy high-risk ICU. The number of professionals and women was determined by the saturation method in information collection in qualitative research. The interviews were transcribed and subjected to content analysis technique, specifically the thematic analysis, enabling a deeper and beyond the content of the speeches. Thus, three categories were constructed of analysis, namely: to prenatal in the town of Mossor? / RN; the factors that contribute to maternal mortality in Mossor? / RN; and near death: The story of high-risk pregnancies who were admitted to the Intensive Care Unit. The interpretation of information reviewed revealed the harsh reality of the network of care for pregnant women in the county, in its three levels, point to some factors that contribute to increased morbidity and mortality, suggest some actions that could decrease the value, perceive and report how they deal death maternal and feelings involved, and also report the experience of women who had risk of death during pregnancy. We realized, in speaking of the need for professionals to put into practice what already exists in theory, the protocols, manuals and orders of the Federal Government. Again we know what needs to be done to reduce maternal mortality and improve quality of care, but there is no concrete initiative to be made effective and all have the expected result. What is there not to neglect all but of all parties. Initially need to train managers and sensitize them to this issue. Citizens also need to be empowered and knowledgeable of their rights of public policies, so that they can charge services and compliance managers. Finally we need to raise awareness among professionals in the pursuit of knowledge and the fight for better working conditions, sufficient human resources and pay for them also charge service excellence. Thus we understand that professionals smaller numbers of maternal mortality and greater satisfaction of SUS, especially in this case, women who require obstetrical service.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-13T20:30:56Z No. of bitstreams: 1 AlaneMariaDaSilva_DISSERT.pdf: 4445158 bytes, checksum: ecd090ca5e345980a649e5b23d8e6afb (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-16T20:41:05Z (GMT) No. of bitstreams: 1 AlaneMariaDaSilva_DISSERT.pdf: 4445158 bytes, checksum: ecd090ca5e345980a649e5b23d8e6afb (MD5) / Made available in DSpace on 2017-02-16T20:41:05Z (GMT). No. of bitstreams: 1 AlaneMariaDaSilva_DISSERT.pdf: 4445158 bytes, checksum: ecd090ca5e345980a649e5b23d8e6afb (MD5) Previous issue date: 2016-07-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O Programa Bolsa Fam?lia ? PBF, implementado h? mais de uma d?cada, posicionase como o principal instrumento de combate ? pobreza e ? desigualdade no Brasil. Mesmo tendo o repasse direto de recursos monet?rios aos benefici?rios e ? exig?ncia de contrapartidas, como os aspectos mais frequentemente associados ? sua exist?ncia, o PBF n?o se limita a esses dois eixos estruturadores. As A??es e Programas Complementares, terceiro eixo do Programa, apesar de sua import?ncia, ainda se mostra uma ?rea n?o detentora da mesma considera??o e notoriedade que as demais. Perante essa realidade e buscando evidenciar a atua??o do referido Programa de Transfer?ncia de Renda Condicionada ? PTRC, este trabalho se prop?s a compreender a din?mica de funcionamento do PBF no munic?pio de Currais Novos - RN. Para tanto, respaldou-se no referencial de Katzman (1997) e Katzman; Filgueira (2006) a partir do enfoque Ativos, Vulnerabilidade e Estrutura de Oportunidades ? AVEO, al?m da incorpora??o da concep??o do Estado, mercado de trabalho e sociedade como ?ordens institucionais? intervenientes do enfoque. Com uma abordagem concomitantemente quantitativa e qualitativa, predominando esta ?ltima, realizou-se pesquisa bibliogr?fica, documental e de campo. No que concerne ao campo, al?m da observa??o devidamente registrada, fez-se uso de entrevistas semiestruturadas embasadas em roteiros. A an?lise foi concretizada por interm?dio da elabora??o de grelhas (?VORA, 2006) que compuseram um banco de dados e pelo emprego da an?lise de discurso (CHIZZOTTI, 2006). Diante das constata??es obtidas ao longo dessa disserta??o ? luz dos objetivos tra?ados pelo PBF, percebeuse que o referido Programa precisa de aperfei?oamentos em Currais Novos, pois existe uma s?rie de problem?ticas em torno do seu funcionamento principalmente no que concerne ao seu terceiro eixo que ainda carece de um verdadeiro desenvolvimento, o que faz com que a emancipa??o do PBF, como decorr?ncia do citado eixo, que j? se revela algo dif?cil de ser alcan?ada, permanece apenas em n?vel do idealizado nos instrumentos normativos. Ao ampliar o olhar, vislumbra-se que que as necessidade de melhorias no PBF como um todo, se expande em n?vel nacional. ? certo que essa estrat?gia governamental de combate ? pobreza tem passado por evolu??es e que representa um s?mbolo do rumo tomado pela pol?tica social no Brasil, no entanto, ainda h? muito o que ser realizado com vistas a potencializar os seus impactos. O PBF, inegavelmente, tem a sua relev?ncia para o p?blico por ele contemplado, por?m n?o possui, por si s?, potencial suficiente para verdadeiramente transformar o cen?rio que a pobreza delineia ao se concretizar em suas vidas. / The Program Bolsa Fam?lia - PBF, implemented more than a decade ago, it is positioned as the main combat instrument to the poverty and to the unequality in Brazil. Even having go over again it straightly of monetary resources to the beneficiaries and to the demand of counterentry, as the aspects more frequently associated to his existence, the PBF it does not content itself with these two structural axles. The Actions and Complement Programs, third axle of the Program, in spite of his importance, still shows an area not holder of the same consideration and renown that the rest. Towards this reality and looking to show up the acting of the above-mentioned Program of Transfer of Conditioned Income ? PTRC, this work was proposed understanding the dynamic of functioning of the PBF in the local authority of Currais Novos - RN. Therefore, it was polished in the referential system of Katzman (1997) and Katzman; Filgueira (2006) from the approach Assets, Vulnerability and Structure of Opportunities ? AVSO, besides the incorporation of the conception of the State, labor market and society as ?institutional orders? intervenient of the approach. With an approach concomitantemente quantitative and qualitative, when last this one is predominating, was made a bibliographic research, documentary and of field. In what it concerns the field, besides the observation properly registered, it was made use of semistructured interviews informed on scripts. The analysis was made real through the preparation of broilers (?VORA, 2006) that composed a database and for the job of the analysis of speech (CHIZZOTTI, 2006). Before the observations obtained along this dissertation by the light of the objectives drawn by the PBF, it was seen that the above-mentioned Program needs improvements in Currais Novos, since there are series of problems around his functioning mainly in what concerns his third axle that still lacks for a true development, which does with what the emancipation of the PBF, as consequence of the quoted axle, that already reveals itself something difficult of being reached, remains only in level of the idealized one in the prescriptive instruments. Broaden perspectives, it sees that the need of improvements in the PBF as a whole, expands in national level. It is certain what this government combat strategy to the poverty has been passing over evolutions and what represents a symbol of the course taken for the social politics in Brazil, however, there is still to much to be carried out for potentiate his impacts. The PBF, undeniably, has his relevance for the public as him contemplated, however it has not, by itself, enough potential to really transform the scenery which the poverty outlines while coming true in his lives.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:08Z No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T00:24:05Z (GMT) No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) / Made available in DSpace on 2017-03-07T00:24:05Z (GMT). No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) Previous issue date: 2016-08-01 / O acesso e a qualidade do cuidado na primeira inf?ncia, no contexto brasileiro da Aten??o Prim?ria em Sa?de (APS) s?o influenciados pelos princ?pios do Sistema ?nico de Sa?de (SUS) e principais pol?ticas de sa?de da crian?a, representadas pelo Estatuto da Crian?a e do Adolescente (ECA), a Pol?tica Nacional de Sa?de da Crian?a e o marco legal da primeira inf?ncia. A Estrat?gia de Sa?de da Fam?lia (ESF) tem um papel central na reorienta??o do modelo de aten??o voltado para a integralidade e melhor desempenho do cuidado infantil. O presente estudo tem como objetivo avaliar o cuidado ? sa?de da crian?a na APS, na perspectiva do acesso e da qualidade da aten??o, em oito regi?es de sa?de do Estado do Rio Grande do Norte. Foram analisados 13 aspectos essenciais do cuidado infantil, nos componentes da oferta, da busca ativa e do registro, em dois momentos hist?ricos, a partir do banco de dados da pesquisa multic?ntrica do Programa Nacional de Melhoria do Acesso e da Qualidade da Aten??o B?sica/PMAQ/AB. O PMAQ, lan?ado no ano de 2011, configura uma nova estrat?gia para melhoria assistencial atrav?s de avalia??o, coordena??o de a??es e certifica??o enfocando o trabalho de equipes de Aten??o B?sica. Trata-se de um estudo avaliativo, descritivo transversal, com abordagem quantitativa, realizada com dados secund?rios do PMAQ/AB, do primeiro e segundo ciclos do programa, realizados em 2011 a 2014. O universo desta pesquisa compreende 407 equipes de sa?de da fam?lia de 112 munic?pios do Rio Grande do Norte que fizeram parte dos dois momentos da pesquisa. A an?lise dos dados foi desenvolvida quantitativamente, atrav?s do Statistical Package for Social Sciences (SPSS?) na vers?o 22.0, com posterior linkage dos dois bancos de dados criados, um para o 1? ciclo e outro para o 2? ciclo. Realizado o linkage dos bancos, os dados foram analisados por meio do teste Mcnemar, por tratar-se de dados pareados, cujas vari?veis estudadas s?o de natureza dicot?mica (sim/n?o). Em todas as compara??es, o n?vel de signific?ncia de 5% fora utilizado (p<0,05). Os principais resultados demonstram heterogeneidades regionais, com similaridades e especificidades, com tend?ncias de amplia??o do acesso e qualidade do cuidado na primeira inf?ncia no ?mbito da APS das 8 regi?es de sa?de. Por?m, com desafios na busca ativa e na aten??o aos grupos mais vulner?veis, como crian?as prematuras, que podem ser determinantes para o crescente aumento da mortalidade neonatal. O aumento das viol?ncias e acidentes na primeira inf?ncia demonstra uma qualifica??o da APS neste registro, por?m revela a necessidade de qualifica??o da oferta e da atua??o dos profissionais de sa?de para interven??es preventivas e de promo??o da sa?de voltadas para a primeira inf?ncia no contexto familiar e comunit?rio, frente a suas realidades locais. O desempenho quanto ao acesso e qualidade do cuidado na APS, na perspectiva do PMAQ, mostra um quadro diferenciado que revela a necessidade de serem adotadas interven??es precoces e oportunas para a primeira inf?ncia, apresentadas neste estudo. / Access and quality of care in early childhood, in the Brazilian context of Primary Health Care (PHC) are influenced by the principles of the Unified Health System (SUS) and the main health policies of the child, represented by the Children and Adolescents Statute (CAS), the National Children Health Policy and the early childhood legal milestone. The Family Health Strategy (FHS) plays a central role in reorienting the model of care toward the integrity and improved performance of child care. This study aims to evaluate the health care of children in APS, from the perspective of access and quality of care in eight health regions of the State of Rio Grande do Norte. 13 essential aspects of child care were analyzed, in the components of supply, of active search and registration throughout two historical moments, from the multicenter research database of the National Program for Improving Access and Quality Primary Care / PMAQ / PC. The PMAQ, launched in 2011, sets up a new strategy for improving care through assessment, coordination of actions and certification focusing on the work of primary care teams. It is an evaluative study, cross-sectional, with a quantitative approach, performed with secondary data from PMAQ / PC, the first two cycles of the program, carried out from 2011 to 2014. The universe of this research includes 407 family care teams, from 112 municipalities of Rio Grande do Norte who were part of the two phases of the research. Data analysis was developed quantitatively through the Statistical Package for Social Sciences (SPSS) version 22.0, with subsequent linkage of the two created databases, one for the 1st cycle and one for the 2nd cycle. As data is paired, after having performed the linkage, data was analyzed using the McNemar test, whose variables are dichotomous nature (yes/no). In all comparisons, the 5% significance level was used (p <0.05). The main results demonstrate regional heterogeneities, with similarities and specificities, expanding trends of access and quality of care in early childhood within the APS of 8 health regions. However there has been challenges in the active search for and attention to the most vulnerable groups such as premature infants, which could have been decisive for the increasing neonatal mortality. The increase in violence and accidents in early childhood shows a qualification of APS on this record, but reveals the need for qualification of supply and health professionals acting for preventive interventions and health promotion focused on early childhood in the family and community context face to their local realities. The performance in access and quality of care in PHC, from the perspective of PMAQ, shows a different picture that reveals the desirability of adopting precocious and timely interventions for early childhood, presented in this study.