Planificação da atenção básica prisional : proposta de implantação em um presídio regional do Rio Grande do Sul.

Abstract

INTRODUCTION: The inclusion of vulnerable populations in the Unified Health System, through its doctrines and guidelines, requires health services and workers capable of assimilating the peculiarities of the communities in their assigned territories, providing the necessary adjustments for the qualification of assistance, using both permanent education and organization of services. OBJECTIVE: To know the working conditions, flows and routines of the Basic Prison Health Unit (UBSp) of the Regional Prison of Santa Cruz do Sul, and to analyze, from the perspective of workers, the contributions of the planning workshops of the Health Care Networks for work processes. ARTICLE 1: Educational interventions focused on the practice developed by prisional Primary Care teams are scarce, but necessary, given the uniqueness of the work context to which they are inserted. The present study aimed to evaluate the work process and the implementation of the Planning of Health Care Networks in a Basic Prison Health Unit, from the perspective of the worker. Through an intervention research composed of the pre-intervention interview, application of the workshops and post-intervention interview, the changes in the work processes that occurred with the implementation of the project were evaluated through a quali-quantitative analysis. The lack of adequate access to computerization, the non-standardization of attendance records and absences from team meetings were presented as the main obstacles to the performance of the team, as well as the existing distance between the health and safety teams. The workshops provided moments of encounter, exchange of experiences, ideas and knowledge, enabling changes in attitudes and service organization, bringing more quality and transparency to the assistance provided. ARTICLE 2: Objective: To report the experience of implementing health care planning strategies aimed at a prison primary care team. Method: Experience report on the implementation of a pilot project for the reorganization of primary care, entitled Planning of Health Care Networks, to a health team from the prison system in the interior of Rio Grande do Sul. Result: The workshops provided, through the problematization of the practices experienced, reflections of the team on their attributions in the penal institution. The worker becomes the protagonist of the change, carrying out the necessary interventions based on scientific knowledge and experiences shared with the group. Final considerations: The intervention carried out through a pre-defined structure directs and organizes the set of proposed activities. The realignment of conducts and routines, carried out by the team, were provided through reflection of the practices experienced by the workers during the planning workshops. ARTICLE 3: Practical educational interventions developed by prison primary care teams are rare, but necessary, given the uniqueness of the work context to which they are inserted. The present study aimed to evaluate the work process and the implementation of the Planning of Health Care Networks in a Basic Prison Health Unit, from the perspective of the worker. Through an intervention research composed of the pre-intervention interview, application of the workshops and post-intervention interview, the changes in the work processes that occurred with the implementation of the project were evaluated through a quali-quantitative analysis. The lack of adequate access to computerization, the non-standardization of attendance records and absences from team meetings were presented as the main obstacles to the performance of the team, as well as the existing distance between the health and safety teams. The workshops provided moments of encounter, exchange of experiences, ideas and knowledge, providing changes in attitudes and service organization, bringing more quality and transparency to the assistance provided. Despite the adaptations made, the issues addressed did not revert to concrete actions as they were not in line with the work developed within the penal institution. FINAL CONSIDERATIONS: Permanent education projects aimed at health teams are important tools for empowerment and changes in posture at work. Active participation workshops stimulate this transformation through technical knowledge, sharing of knowledge, practices and responsibilities. The Primary Care Planning workshops applied to the prison health team provided changes related to routines, work processes and team integration, thus qualifying the health care offered to its assigned population.