Políticas públicas sobre drogas : a implementação em estratégias de saúde da família no município de Santa Cruz do Sul/RS.

Abstract

The literature on implementation of public politics, although still being considered by some authors as the lost link of the public politics cycle, is gaining greater emphasis on studies carried out in Brazil. The implementation process is comprised beyond the implementation of goals and objectives set by makers at the federal level and far from the realities of the territories where the politics becomes action. In this sense, this paper aims to investigate how is the process of implementing public politics on drugs at family’s Health Strategies of the city of Santa Cruz do Sul/RS, from the discourse of implementing agents. The data collected occurred through semi-structured interviews and included the participation of 19 professionals, being them: nurses, nursing technicians, doctors, dentists, oral health assistants and community health workers, social worker and damage reducer. To assess the material collected, we used discourse analysis, since this technique allows us to understand the speech as a constructed historical practice, socially and culturally. We used the program NVivo 10 for the categorization and analysis of qualitative data. As results of the analysis, it is observed that the implementing agents, working in the health system Santa Cruz do Sul, do not recognize the practices in primary care directed at the problem of drugs, as implementation of public politics and also do not consider as their function meet demands related to drug use, directing this practice to the Psychosocial Care Center Alcohol and Drugs. According to obtained reports, these agents don’t have access to specialized training on the subject and are devoid of financial, human and materials to meet the constraints, generating feelings of insecurity and helplessness by the health system.