Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Florianópolis, 2013 / Made available in DSpace on 2014-08-06T17:40:58Z (GMT). No. of bitstreams: 1
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Previous issue date: 2013 / The use of medicinal plants as a therapeutic resource is considered one of
the earliest forms of health care used by man and is related to the tradition
of the people . Given the importance of medicinal plants in health care and
simultaneously the scarce literature that analyzes their inclusion in the scope
of services of the Primary Health Care, this study aimed to analyze the
development of actions/programs with medicinal plants, described Brazilian
literature, Brazilian municipalities in PHC services. We prepared an essay
on the theoretical and conceptual diversity of knowledge, care settings and
usage of medicinal plants that interact with the PHC services. This
theoretical essay presents a conceptual approach anchored in the "ecology
of knowledge" proposed by Boaventura de Souza Santos and authors of the
anthropology of health on the forms and care sectors. The discussion of the
state of the art of medicinal plants in the APS involved a documentary
analysis of official publications of the Ministry of Health who reported on
actions and phytotherapy services deployed in APS, a bibliometric analysis
of the scientific production on the subject in the period 1988-2012 and
meta-study on actions/programs with Brazilian medicinal plants described
in the literature over the same period. We performed an empirical study
with a qualitative approach that aimed to understand the risk factors,
hindering and contributions of phytotherapy in APS, in four selected
municipalities, from the look of health professionals. Information gathering
were conducted semi-structured interviews with key informants. Results:
discussion of the ecology of knowledge applied to the subject revealed the
importance of dialogue between the knowledge and practices of medicinal
plants for the NHS and the APS, beyond the scientific discourse, in order to
exploit emerging knowledge present and accumulated in Brazilian society,
without disparaging the scientific knowledge, important for the
consolidation of herbal medicines in Brazil. The analysis of the approaches
to forms and contexts of use of plants in Brazil, culturally diverse, produced
a proposal for recognition of five contexts of use of the same: family
(standalone), folk, traditional, inserted in biomedical rationality and other
medical (use heteronomous, in general). A bibliometric analysis showed an
increasing publications in the period 1990-2012, although they are few in
national and international environment. From the analysis of 24 Brazilian
experiences identified in the meta-study, it was found that the insertion of
phytotherapy in APS presents different approaches, motivations, practices
and services. However, even many years after the publication of the
National Policy on Integrative and Complementary Practices and National
Policy on Medicinal Plants, in 2006, there are many factors that hinder the
expansion and continuity of work with medicinal plants in APS. Among
them are: the absence of clinical trials of Brazilian medicinal plants,
difficulties in complying with the regulations for public services deficit in
the training of health professionals, lack of adequate technical support to the
reality of public sector services, lack of support continuing education . The
acceptance , qualification and interest (related) professionals , participation
and good popular acceptance (especially in smaller city), the presence of
joint intersectoral and adequate infrastructure were mentioned as factors
facilitating the insertion of different actions with medicinal plants , as well
as consider it as a treatment option to be prescribed and a product to be
provided in the PHC services . Observed in PHC services investigated the
herbal approach contributes to the professional community and strengthens
the bond - staff community, is a mediating tool for health education,
promotes joint intersectoral and facilitates the interaction of different
knowledge circulating in communities. It was concluded that the herbal
medicine is a practice that facilitates the interaction of knowledge, values
and cultural resources practices and local knowledge. Contributed to
bringing together professionals and users through dialogic approaches and
empowering. Enriches the therapeutic possibilities autonomous and
heteronomous and health promotion in PHC, and consist of a promising
source of therapeutic products homemade, handled or processed.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufsc.br:123456789/123015 |
| Date | January 2013 |
| Creators | Antonio, Gisele Damian |
| Contributors | Universidade Federal de Santa Catarina, Tesser, Charles Dalcanale, Moretti-Pires, Rodrigo Otávio |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | 304 p.| il., grafs., tabs. |
| Source | reponame:Repositório Institucional da UFSC, instname:Universidade Federal de Santa Catarina, instacron:UFSC |
| Rights | info:eu-repo/semantics/openAccess |
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