| dc.description.abstract | The research broaches territorial actions of reproductive health vigilance of Family
Health Strategy (FHS), in Cuiabá, Mato Grosso. It analyzed the domiciliary and
community actions of reproductive health vigilance effected and thought by workers
that made them, recognizing the expressed perspective. The overarching health
vigilance comprehends: the acknowledgement of the necessities of health in the
territories and its consideration in the assistance practices; the integrated offer of
individuals and collective actions of cure, prevention and promotion of health, in the
humanized bases, valorizing especially the last; the formation of a bond among the
families and services; and the articulation of a social network to health generation. To
promote the reproductive health, besides reproducing these axes in the area, the actions
of vigilance comprehend: the entailment of women, men and families in the
reproductive health actions; the assistance approach of health to beyond the exclusive
reproductive moment; and the politicization of reproduction to the appropriation of
reproductive right and the equality in the reproductive matters, rescuing its interface
with sexuality. It is a descriptive-exploratory study, qualitative, made in two units of
Family Health in the city chosen, with 1 doctor, 2 nurses and 12 community health
agents, through the participating observation and open interview. It was respected the
demands of the ethics in research and it submitted the data to analysis of theme content.
The territorial practice of reproductive health vigilance is made, above all, by
community agents in domicile, through visits to pregnant women and puerperal, not
existing specific action to men and families. The actions comprehend the investigation
and/or information/orientation of women to problems of pregnant women/puerperal and
about life behaviors and self care. They also involved inquiry, information/orientation and/or
articulation to facilitation of access of woman to the local health service, to those of
references, and, eventually, to social services. The technology used is connected to the control
of medical problems, by the services or by the self care actions. The main aim of the actions is
the control of risks and harm to pregnant women and puerperal. In the domicile visits there is
a strong lack of planning, there is a belittling of the set of stages of assistance methodology
and, in one of the territories, the lack of safety of the Community Health Agent doing of the
11
actions, besides the fact that the other workers being faraway. The production of
data/information of reproductive health of the territory is made through visits and actions of
registration of families, and registered in the file of Follow-up of the pregnant woman, in the
Report of the Situation of Health and Follow-up of the Families of the Area, and eventually
in the medical chart or retraced orally. This production is not used in the local planning and it
does not implicate differentiated actions. The workers do not conceive the actions of oriented
vigilance to prevention. The gestation and contraception are seen as theirs main object and the
control as the most important mean. However, they accentuate the potential of the action
approximating the workers to the local reality and in the articulation of several services
actions. There is a restricted perspective of vigilance, expressed in the practice and in the
workers conceptions. But in them there are potentialities to be develop. To promote changes,
it is necessary to invest in the workers development, in the expansion of the purposes of the
work process of the Family Helth and in the local/city conditions. | |
