Made available in DSpace on 2016-04-29T14:16:54Z (GMT). No. of bitstreams: 1 SSO - Carla Agda Goncalves.pdf: 573475 bytes, checksum: 68d8bf4e2d978d3e7d9cc92e555b1fd0 (MD5) Previous issue date: 2006-10-24 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / The present dissertation has for objective the study of the social workers' practices in the Units of Municipal Services of Health of Sorocaba State of São Paulo and its contribution in the guarantee of the rights to health. This object of the research had for context the perspective Brazilian socio-historical, focusing the relationships among the Social Service, the Health and the Social Rights. The methodology included the bibliographical research about the central themes of the study, which are, Social Service, Health, Social Rights and Citizenship; more a documental research (laws, plans etc.), and the research of field with quantitative and qualitative character. It was used as methodological procedures, questionnaire and interviews semi-structured. The analysis of data was based in three nuclei: nucleus of conceptions, nucleus of guarantee of right and nucleus of limits and possibilities. For the nucleus of guarantee of right, three axles of insertion were used: actions of character of emergency; education and information in health; mobilization of the community and planning and assessorship. The results were obtained evidenced that the social workers know the rights to the health and try to execute them in their practices, with prominence to the rights the information. The results denoted still, fragility in the warranty of the rights the health, front the fragmented characteristics, punctual and focused in the social workers' practices, with emphasis in the individual actions due to internal and external factors. Those practices demand a collective commitment and shared among the many professionals that work with SUS (Unique System of Health) and the users of the services, making possible, like this, conditions to contribute in the construction, enlargement and warranty of the rights to the health, to the citizenship / A presente dissertação tem por objetivo o estudo das práticas dos assistentes sociais nas Unidades de serviços municipais de saúde de Sorocaba/ SP e sua contribuição na efetivação dos direitos à saúde, na perspectiva sócio-histórica brasileira, focando as relações entre o Serviço Social, a Saúde e os Direitos Sociais. A metodologia abrangeu a pesquisa bibliográfica sobre os temas centrais, quais sejam, Serviço Social, Saúde, Direitos Sociais e Cidadania, bem como a pesquisa documental (leis, planos etc.), e a pesquisa de campo, de caráter quanti-qualitativo. Foram utilizados como procedimentos metodológicos, questionário e entrevista semi-estruturada. A análise dos dados fundamentou três núcleos: núcleo de concepções, núcleo de efetivação e núcleo de limites e possibilidades. Para o núcleo de efetivação, foram utilizados três eixos de inserção: ações de caráter emergencial; educação e informação em saúde; mobilização da comunidade e planejamento e assessoria. Os resultados obtidos evidenciaram que os assistentes sociais conhecem os direitos à saúde e buscam efetiva-los em suas práticas, com destaque ao direito à informação. Os resultados denotaram, ainda, uma fragilidade na efetivação dos direitos à saúde, face às características fragmentadas, pontuais e focalistas das práticas dos assistentes sociais, com ênfase nas ações individuais. Essas práticas exigem um compromisso coletivo e compartilhado entre os diversos profissionais que operacionalizam os SUS (Sistema Único de Saúde) e os usuários dos serviços, possibilitando, assim, condições para contribuir na construção, ampliação e efetivação dos direitos à saúde, à cidadania

Syften med studien var att undersöka och få en fördjupad förståelse kring socialsekreterares kompetens i arbetet med ensamkommande barn, detta utifrån socialsekreterare och HVB- personalens perspektiv. Studien undersökte även vikten av kulturkompetens och hur samarbetet fungerade mellan aktörerna. I denna kvalitativa studie har nio intervjuer genomförts, med fyra HVB-personal och med fem socialsekreterare. En semistrukturerad intervju valdes eftersom en semistrukturerad intervju har fler öppna frågor och bredare tema, vilket ledde till att respondenterna hade möjlighet att påverka intervjuns innehåll. Vi strävade efter ett resultat och en analys där respondenternas egna ord och upplevelser stod i centrum. Studiens teoretiska utgångspunkter postkolonialism och intersektionalitet gav studien de perspektiv som möjliggjorde en analys av den insamlade empirin. Slutsatsen utifrån studiens syfte och frågeställningar tydde på att socialsekreterare behöver mer erfarenhet i arbetet med just ensamkommande då utbildningen inte sträcker sig över ämnet ensamkommande och migration. Kulturkompetens visade sig vara av stor vikt i arbetet med ensamkommande för att kunna förstå deras kultur och bakgrund samt vad individen bär med sig. Samarbetet mellan aktörerna fungerade bra men kunde förbättras, aktörerna var dock oense om vem som oftast tog initiativet till kontakt. Det som försvårade för aktörerna var att rollerna kunde uppfattas som otydliga och brist på resurser. / The purpose of the study was to investigate and gain an in-depth understanding of the municipal social workers competence in the work with unaccompanied children, this from the perspective of the municipal social workers and the HVB-staff. But also the importance of cultural competence and how the cooperation between the authorities worked. In this qualitative study, nine interviews were conducted, with four HVB-staff and five municipal social workers. A semi- structured interview was chosen to be conducted because it has more indefinite questions and a broader theme, which led to the respondents having the opportunity to influence the content of the interview. We strived for a result and an analysis where the respondents’ own words and experiences were in focus. The study’s theoretical starting points postcolonialism and intersectionality gave the study the perspectives that enabled an analysis of the collected empirical data. The conclusion based on the purpose of the study and issues indicated that municipal social workers need more experience in working with unaccompanied children as the education does not extend to the subject of unaccompanied children and migration. Cultural competence proved great importance in the work with unaccompanied minors in order to clearly understand their culture and background, what the individual carries with them. The cooperation between the authorities worked well but could be improved, however, the respondents disagreed on who most often took the initiative to contact. What made it difficult for the respondents was that the roles could be perceived as unclear and lack of resources.