Vigilância sanitária e atenção básica: percepção dos agentes comunitarios de saúde em um municipio do interior de São Paulo

Abstract

This study aimed to contribute to the understanding ofintegration between Sanitary Surveillanceand Basic Attention, specifically in the Family Health Strategy, in a city in the countryside of São Paulo.Based on the theoretical frameworks on comprehensiveness, health promotion, Primary healthand health surveillance –Sanitary Surveillance-we seek to analyze the practices of Sanitary Surveillancein Basic Attention–specifically in the strategy of family health, through the perceptions of the Community Health Agents, considering the conception of Sanitary Surveillance, the actions and potentialities and weaknesses related to that integration. This study was attended by ten Community Health Agents, belonging to a Family Health Strategyof each territorial region and, as a qualitative research, developed from semi-structured interviews with the mentioned agents, whowork in the Family Health Strategyof the chosen city. The data wastreated based on the thematic content of the interviews through a subsequently ideographic and nomothetictrajectory,and organized into thematic categories, where the general characterization was initially performed and subsequently analyzed and empirically categorized: actions and work routine ofthe agents; the conception of Sanitary Surveillance; the relations between the work of the agentsand the Sanitary Surveillance; Difficulties and facilities for the development of related actions. The findings of the study pointedto the need ofdiscussion regarding issues related to Sanitary Surveillanceand the integrality ofhealth care: understanding about health surveillance; the need to approach Sanitary Surveillancewith Basic Attention. Also questions regarding health surveillance and actions of promotion and prevention of healthcare and other important issues for the interaction of basic attention and Sanitary Surveillance:professionaltraining. Thus, we understand that apparently the perceptions of the Community Health Agents, as well as the practices and actions of Sanitary Surveillancein the context of their actionsin the Family Health Strategy, from the perspective of the integration of actions is an incomplete process and that often theirconception on the Sanitary Surveillancepoint almost exclusively to the regulatory and surveillance issues of Sanitary Surveillanceto the detriment of health promotion and protection actions. However, we identified that the Community Health Agentsperform various actions in the territories related to the actions of the Sanitary Surveillance, but they do not make this correlation.Therefore, it seems essential that this discussion is highlighted in the context of Unified Health System, seeking strategies for greater integration of Sanitary Surveillanceand Basic Attention