Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:21:34Z No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:23:02Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:22:54Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:23:57Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2015-01-09T16:23:57Z (GMT). No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 / Funda??o Diamantinense de Apoio ao Ensino, Pesquisa e Extens?o (FUNDAEPE) / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / O presente trabalho se constitui em uma pesquisa qualitativa, cujo objetivo ? levantar, analisar e desvelar o processo de constitui??o da atividade do trabalhador da Vigil?ncia Sanit?ria nos munic?pios da jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina (SRSD), Minas Gerais e especificamente, na Microrregi?o de Sa?de Ara?ua?. Buscamos desvelar os dificultadores e facilitadores da execu??o das a??es de Vigil?ncia Sanit?ria, bem como os sentidos atribu?dos pelos trabalhadores a este processo de execu??o. Adotamos como eixo te?rico-metodol?gico a Psicologia S?cio-Hist?rica e a Cl?nica da Atividade. A primeira concebe o homem a partir da ideia de ?condi??o humana?, em que os sujeitos s?o vistos como hist?ricos, datados, concretos, criadores de ideias e consci?ncia que, ao produzirem e reproduzirem dialeticamente a realidade social s?o, ao mesmo tempo, produzidos e reproduzidos por ela. A Cl?nica da Atividade prop?e um m?todo de an?lise da atividade de trabalho, onde a subjetividade dos trabalhadores ocupa lugar central. Para a coleta de informa??es, utilizamos question?rio semiestruturado, entrevistas centralizadas, semiestruturadas e entrevistas de narrativa de hist?ria de vida. Os sujeitos da pesquisa foram os trabalhadores de Vigil?ncia Sanit?ria de vinte e quatro munic?pios da jurisdi??o SRSD. Para an?lise das informa??es dos question?rios foi utilizado o software Epiinfo?6.04d, sendo calculadas frequ?ncias absolutas e relativas, medianas e desvio padr?o. As entrevistas foram analisadas ? luz de n?cleos de significa??o. Como facilitadores ? execu??o das a??es de Vigil?ncia Sanit?ria foram apontados: a parceria de outros profissionais, o apoio de gestores e da popula??o, recursos materiais e humanos e treinamentos/capacita??es. Os dificultadores apontados foram: insufici?ncia de recursos humanos, de equipamentos e recursos materiais, aus?ncia ou d?ficit na legisla??o, profissionais n?o capacitados ou pouco capacitados. Observamos que a atividade de trabalho na Vigil?ncia Sanit?ria ? constitu?da por sentidos de des?nimo, impot?ncia, negocia??o e pela dial?tica satisfa??o/frustra??o. As condi??es concretas, aliadas aos sentidos atribu?dos pelos trabalhadores ? sua atividade de trabalho apontam para a necessidade da implementa??o de pol?ticas de sa?de e de Vigil?ncia Sanit?ria que propiciem aos trabalhadores o poder de agir, como sujeitos concretos, na defesa e promo??o da sa?de coletiva. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Tecnologia, Sa?de e Sociedade, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT This work is based on qualitative research, the objective of which is to examine, analyze, and unfold the process that constitutes the activity of Health Surveillance workers in the municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina, Minas Gerais state - Brazil, and specifically in the Ara?ua? Health Microregion. We seek to reveal the factors hindering and facilitating the implementation of Health Surveillance actions, as well as the meanings attributed by workers to this implementation process. Socio-Historical Psychology and Activity Clinic are adopted as the theoretical and methodological framework. Socio-Historical Psychology conceives man based on the idea of the ?human condition?, wherein subjects are regarded as ?historical?, dated, concrete, creators of ideas and awareness, and when such subjects dialectically produce and reproduce social reality, they are, at the same time, produced and reproduced by it. The Activity Clinic, in turn, proposes a method for analyzing work activities, where the subjectivity of workers takes center stage. A semi-structured questionnaire, centralized and semi-structured interviews and life-story narrative interviews were used for data collection. The research subjects were people who work with Health Surveillance in the twenty-four municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina. The information in the questionnaires was analyzed using Epi Info? 6.04d software. Absolute and relative frequencies, medians and standard deviation were calculated. The interviews were analyzed in the light of meaning cores. As factors that facilitate the implementation of the actions as appointed: partnerships with other professionals, the support of health managers and of the population, material and human resources, and training and qualification activities. The hindering factors appointed were: absence of human resources, of equipment and material resources, failure to apply the legislation concerned or shortfalls in the enforcement thereof, and unqualified or poorly trained professionals. We observe that the work activity in the Health Surveillance service is constituted by feelings of dismay and powerlessness, as well as by negotiation, and the satisfaction/frustration dialectics. The concrete conditions, combined with the meanings attributed by workers to their work activity, indicate the need to implement heath and Health Surveillance policies that provide workers with the power to act, as concrete subjects, in the defense and promotion of collective health.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-04-17T19:29:20Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T16:48:03Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Made available in DSpace on 2017-04-20T16:48:03Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) Previous issue date: 2016 / A Vigil?ncia em Sa?de ? considerada uma ?rea estrat?gica para a redefini??o das pr?ticas sanit?rias brasileiras, todavia a operacionaliza??o descentralizada das a??es de sa?de ainda ? deficiente. Neste contexto, o governo do Estado de Minas Gerais lan?ou, em 2012, o Projeto de Fortalecimento em Vigil?ncia em Sa?de. No presente trabalho objetivou-se analisar a situa??o da Vigil?ncia Sanit?ria dos 53 munic?pios, subdivididos em cinco regi?es de sa?de, sob jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros, por meio do estudo das Planilhas de Monitoramento e Avalia??o das a??es de Vigil?ncia em Sa?de destes munic?pios, em oito per?odos, compreendidos entre os anos de 2012 a 2014. Buscou-se comparar, ao longo dos tr?s anos de implanta??o do Programa, as mudan?as verificadas nos percentuais de cumprimento de a??es de cada ?rea da Vigil?ncia em Sa?de, bem como discutir as facilidades e dificuldades encontradas para a execu??o das a??es na ?rea de Vigil?ncia Sanit?ria. Observou-se que o percentual de a??es executadas aumentou a partir do 4? per?odo de avalia??o (julho a setembro/2013), para todas as regi?es analisadas. Entretanto, pode-se detectar que, na maior parte das regi?es, os menores percentuais m?dios foram ?queles relativos ? ?rea da vigil?ncia sanit?ria. Emboratenha havido uma melhora dos indicadores, eles ainda est?o inferiores ?s m?dias do Estado de Minas Gerais, o que provavelmente pode-se relacionar com as heterogeneidades geogr?ficas e socioecon?micas das regi?es que constituem a Superintend?ncia Regional de Sa?de de Montes Claros. Nota-se ainda dificuldades na organiza??o dos servi?os de VISA municipais no ?mbito da SRS/Montes Claros. Conforme as an?lises, percebeu-se uma oscila??o do percentual de execu??o das a??es em alguns munic?pios, sendo que alguns fatoresdificultadores, tais como a alta rotatividade de profissionais, a insufici?ncia de recursos materiais, a falta de pessoal qualificado para o servi?o dificultadores, podem ter contribu?do para a n?o execu??o de v?rias a??es no ?mbito da vigil?ncia sanit?ria nestas localidades. Diante das informa??es neste estudo, verifica-se que existem tamb?m facilidades na execu??o das a??es de VISA, como a exist?ncia pr?via do servi?o de VISA, a ea ea extens?o territorial do munic?pio, a infraestrutura m?nima de funcionamento e o apoio de gestores e da popula??o. No entanto,as facilidades ainda s?o pouco frequentes.Assim, pode-se concluir que embora tenham ocorrido avan?os, de forma geral, no servi?o de vigil?ncia em sa?de ap?s implanta??o do Projeto de Fortalecimento da Vigil?ncia em Sa?de, ainda se notam fragilidades e fraquezas na organiza??o dos servi?os, especialmente os de Vigil?ncia Sanit?ria, nos munic?pios objeto deste estudo. A insufici?ncia de insumos, ferramentas, instrumentos materiais e equipe multidisciplinar qualificada para o setor demonstram a dist?ncia entre as pol?ticas do Sistema ?nico de Sa?de, as necessidades sociais, a miss?o da vigil?ncia sanit?ria na prote??o da sa?de e a realidade concreta dos munic?pios da jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The Health Surveillance is considered a strategic area for the redefinition of Brazilian health practices, however decentralized operationalization of health actions is still deficient. In this context, the state government of Minas Gerais launched in 2012, the Strengthening Project in Health Surveillance. This work aimed to analyze the situation of the Health Surveillance of 53 municipalities, divided into five health regions under the jurisdiction of Regional Health Superintendency of Montes Claros, through the study of the Monitoring Sheets and Evaluation of Surveillance actions in health these municipalities in eight periods, ranging from the years 2012 to 2014. We attempted to compare, over the three years Program implementation, the changes in the percentage of enforcement actions in each area of health surveillance and discuss the advantages and difficulties encountered in the implementation of actions in the health surveillance area. It was observed that the percentage of executed shares increased from the 4th assessment period (July-September / 2013), for all analyzed regions. However, one can detect that in most regions, the average lowest percentages were those relating to the area of health monitoring. Emboratenha been an improvement in indicators, they are still below the average of the state of Minas Gerais, which probably can be related to the geographical and socioeconomic heterogeneity of the regions that make up the Regional Health Superintendency of Montes Claros. Note also difficulties in the organization of municipal VISA services within the SRS / Montes Claros. According to the analysis, it was noticed a wobble in the percentage of implementation of actions in some municipalities, and some fatoresdificultadores, such as high staff turnover, lack of material resources, lack of qualified personnel for hindering service may have contributed to the non-implementation of various actions under health surveillance in these locations. On the information in this study, it appears that there are also facilities in the implementation of VISA shares, as the prior existence of the VISA service, the territorial extension of the municipality, the minimum infrastructure operation and support managers and the public. However, the facilities are still poorly frequentes.Assim, it can be concluded that although there were advances, generally, the surveillance service health after implementation of health surveillance Strengthening Project, still noticeable weaknesses and weaknesses in organization of services, especially health surveillance in municipalities object of this study. The lack of supplies, tools, materials, instruments and qualified multidisciplinary team for the sector demonstrate the distance between the Health System policies, social needs, the mission of health surveillance in the health protection and the concrete reality of the jurisdiction of the municipalities of Regional Health Superintendency of Montes Claros.