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A atua??o dos consult?rios na rua (CnaR) e a aten??o ? sa?de da popula??o em situa??o de rua

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Previous issue date: 2016-07-12 / A presente pesquisa tomou como refer?ncia a popula??o em situa??o de rua como uma manifesta??o da quest?o social, o que implica um fen?meno gerado a partir de condi??es hist?ricas, com a media??o de aspectos sociais, econ?micos e pol?ticos. Em consequ?ncia da organiza??o e das lutas do Movimento Nacional da Popula??o de Rua, atualmente, no Brasil, tal fen?meno ? abordado pelo Estado como uma quest?o transversal a v?rias ?reas da gest?o p?blica. Assim, em 2011, surge a Pol?tica Nacional Para a Popula??o em Situa??o de Rua, em que foram criados os Consult?rios na Rua (CnaR). Estes s?o equipamentos da aten??o b?sica voltados para a preven??o e promo??o de sa?de junto ? popula??o em situa??o de rua. Nessa dire??o, esta pesquisa visou a entender a atua??o dos profissionais dos CnaR no munic?pio do Natal/RN. O objetivo geral foi analisar a atua??o das equipes do CnaR frente ?s demandas e necessidades de sa?de da popula??o em situa??o de rua do munic?pio de Natal/RN. De forma mais espec?fica, pretendeu-se caracterizar as pr?ticas dos profissionais do CnaR; problematizar os limites e as potencialidades desse equipamento na sua rela??o com a rede de sa?de e com a intersetorialidade; e discutir como se d? o acesso ao cuidado integral ? sa?de da popula??o em situa??o de rua, por meio das pr?ticas do CnaR. Assim, foram feitas entrevistas semiestruturadas com os profissionais das equipes e, concomitantemente, observa??o participante e registros em di?rios de campo a partir do acompanhamento de uma das equipes. Em Natal/RN, existem tr?s equipes do CnaR, localizadas em duas regi?es da cidade, sendo elas compostas por 19 profissionais e um coordenador. Participaram das entrevistas 17 profissionais. Foi constatado que as demandas que chegam para as equipes s?o bastante diversificadas, mas ligadas ao perfil de desassist?ncia e nega??o de direitos caracter?stico dessa popula??o, o que exige uma educa??o cr?tica e permanente acerca do fen?meno, algo que foi visto como incipiente. Al?m disso, o trabalho dos profissionais se d? na dire??o das pr?ticas voltadas para a inser??o dos usu?rios na rede de sa?de, como o matriciamento, e no atendimento ?s demandas apresentadas no campo ? e essas ?ltimas acabam sendo priorizadas por seu volume. A dificuldade de articula??o com outros servi?os da rede emergiu como uma das mais marcantes da atua??o e, junto com o excesso de atividades, foi apresentada como limite para a efetiva inser??o dos usu?rios na rede. Constatou-se tamb?m que h? uma necessidade de estimular a articula??o com parceiros centrais como o NASF e o MNPR. Por fim, ? importante ressaltar que entender as pr?ticas dos CnaR permite ampliar o entendimento da constru??o das pol?ticas sociais para a popula??o em situa??o de rua, diminuir a invisibilidade e promover a constru??o de possibilidade de uma transforma??o na realidade desse p?blico. / This research took people under street condition as a manifestation of the Social Issue, implying a phenomenon generated from historical conditions, with the mediation of social, economic and political aspects. As a result of the organization and the struggles of the National Movement of People Under Street Condition, currently in Brazil this phenomenon is addressed by the State as a transversal issue for various areas of public administration. Thus, in 2011, arises the National Policy to the Population under Street Condition, from which the Street Clinics were created (CnaR). These are equipments of Primary Care focused on prevention and health promotion among the people under street condition. In this sense, this research aimed to understand the work of CnaR professionals in the city of Natal/RN. The general objective was to analyze the practices of CnaR teams toward the demands and health needs of the people under street condition of Natal/RN. More specifically, it sought to characterize the practices of CNAR professionals; problematize the limits and potential of this equipment in their relationship with the health network and the intersectorality and; discuss how the access to full health care of the population people under street condition takes place through CnaR practices. Aiming these objectives, semi-structured interviews were conducted with professional teams and, concomitantly, participant observation and records in field diaries from the observations of one of the teams. There are three teams CnaR in Natal/RN, located in two areas of the city, composed of 19 professionals and a coordinator. Seventeen professionals participated in the interviews. It was found that the demands that come to the teams are quite diverse, but related to lack of assistance profile and denial of rights that characterizes this population, which requires a critical and permanent education about the phenomenon, which was seen as incipient. Moreover, the work of professionals takes place in the direction of practices aiming the integration of users in the health system, such as matrx support, and facing immediate demands in the field, and the latter end up being prioritized because its volume. Integration with other network services has emerged as one of the most outstanding difficulties for the practices and, along with excess of activity, was presented as limitation for the effective integration of users in the network. It was also found that there is a need to encourage cooperation with main partners as NASF and MNPR. Finally, it is important to highlight that the understanding of the practices of CnaR allows greater understanding of the construction of social policies for the people under street condition, reduces the invisibility and promote the construction of the possibility of a change in the reality of this public.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22244
Date12 July 2016
CreatorsMatos, Anna Carolina Vidal
Contributors77891120404, http://lattes.cnpq.br/6077243255728600, Amorim, Ana Karenina de Melo Arraes, 02126900436, http://lattes.cnpq.br/9847082748841264, Moraes, Maristela de Melo, 02491846489, http://lattes.cnpq.br/2704701903980934, Oliveira, Isabel Maria Farias Fernandes de
PublisherPROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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