CONHECIMENTO E PRÁTICAS DE AGENTES COMUNITÁRIOS DE SAÚDE EM RELAÇÃO ÀS NECESSIDADES ESPECIAIS DE PESSOAS COM PARALISIA CEREBRAL

Abstract

The program called the Family Health Strategy (FHS) recommends the formation of teams composed of a physician, nurse, nursing assistant and six community health agents (CHA). The CHA has as one of its functions, conduct home visits and provide guidance, and its work is extremely important, because they establish an important link between community and health staff. This link becomes even more important when referring to people with special needs, both in organic and functional issue or in relation to social processes that often generate inequalities. From the experience of the researcher with people with special needs, specifically with cerebral palsy, with or without other disabilities, there is the hypothesis that the interaction between the CHA and families and individuals with Cerebral Palsy (CP), there are gaps between knowledge and daily practice for the profession. The aim of this study was to verify the knowledge and CHA of practices in relation to the special needs of people with cerebral palsy, and this research classified as an action research , carried out according to a qualitative methodological approach , based on the field study with observation and questioning , through semi-structured interviews , carried out with four ACS Rebouças -PR municipality and their families ( composed with subjects with PC). Data analysis was performed through content analysis, using the thematic mode, from which emerged the following themes: professional features, context and need of the Community Agent Work Health, knowledge about cerebral palsy and identification of special needs Humanization and the CHA triad, family and disability. The observations and discourse leads us to conclude that lack recognition or concern on the part of municipal management on the selection and training (initial and continuing) of the CHA and lack recognition of the real role of the CHA, including themselves, turning their care to biomedical issues and welfare. As disability, specifically the CP, do not know her and generalize these guys as helpless and totally dependent, forgetting to emphasize their abilities and fit them in social situations. It is noteworthy that there is discrepancy between what recommends the federal government, their speeches and practices, the urgent need for action that focus on training and ongoing supervision, concerned with actions that prioritize universal and comprehensive care and that these subjects CP have genuine reception within the Primary and truly met and their rights respected.