Brazilian community health agents and qualitative primary healthcare information

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorZanchetta, Margareth Santos
dc.creatorPinto, Rogério Pinto
dc.creatorGarcia, Wilson Galhego
dc.creatorCunha, Zeilma da
dc.creatorCordeiro, Hésio de Alburquerque
dc.creatorFagundes Filho, Francisco E.
dc.creatorPinho, Mônica A. l.
dc.creatorVoet, Susan M. V.
dc.creatorTalbot, Yves
dc.creatorCaldas, Rodrigo S.
dc.creatorSouza, Thiago J. de
dc.creatorCosta, Edwaldo
dc.date2016-01-28T16:53:46Z
dc.date2016-10-25T21:27:20Z
dc.date2016-01-28T16:53:46Z
dc.date2016-10-25T21:27:20Z
dc.date2014
dc.date.accessioned2017-04-06T09:45:05Z
dc.date.available2017-04-06T09:45:05Z
dc.identifierPrimary Health Care Research and Development, v. 1, p. 235-245, 2014.
dc.identifier1463-4236
dc.identifierhttp://hdl.handle.net/11449/133128
dc.identifierhttp://acervodigital.unesp.br/handle/11449/133128
dc.identifier10.1017/s146342361400019x
dc.identifierISSN1463-4236-2014-01-235-245.pdf
dc.identifier7844658853315755
dc.identifierhttp://dx.doi.org/10.1017/s146342361400019x
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/943658
dc.descriptionThe aim of this study was to explore female community health agents’ views about the value of recording qualitative information on contextual health issues they observe during home visits, data that are not officially required to be documented for the Brazilian System of Primary Healthcare Information. Background: The study was conducted in community primary healthcare centres located in the cities of Araçatuba and Coroados (state of São Paulo) and Rio de Janeiro (state of Rio de Janeiro), Brazil. Methods: The design was a qualitative, exploratory study. The purposeful sampling criteria were being female, with a minimum of three years of continuous service in the same location. Data collection with 62 participants was conducted via 11 focus groups (in 2007 and 2008). Audio files were transcribed and submitted to the method of thematic analysis. Four themes guided the analysis: working with qualitative information and undocumented observation; reflecting on qualitative information; integrating/analysing quantitative and qualitative information; and information-sharing with agents and family health teams. In 2010, 25 community health agents verified the final interpretation of the findings. Findings: Participants valued the recording of qualitative, contextual information to expand understanding of primary healthcare issues and as an indicator of clients’ improved health behaviour and health literacy. While participants initiated the recording of additional health information, they generally did not inform the family health team about these findings. They perceived that team members devalued this type of information by considering it a reflection of the clientele’s social conditions or problems beyond the scope of medical concerns. Documentation of qualitative evidence can account for the effectiveness of health education in two ways: by improving preventative care, and by amplifying the voices of underprivileged clients who live in poverty to ensure the most appropriate and best quality primary healthcare for them.
dc.languageeng
dc.relationPrimary Health Care Research and Development
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBrazil
dc.subjectCommunity health agents
dc.subjectDeprived communities
dc.subjectInformation system
dc.subjectPrimary healthcare
dc.subjectQualitative health information
dc.subjectRio de Janeiro
dc.subjectSão Paulo
dc.titleBrazilian community health agents and qualitative primary healthcare information
dc.typeOtro


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