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A (des)valorização do agente comunitário de saúde na Estratégia Saúde da Família

2016; ASSOCIAÇÃO BRASILEIRA DE SAÚDE COLETIVA; Volume: 21; Issue: 8 Linguagem: Inglês

10.1590/1413-81232015218.19572015

1678-4561

Carla Guanaes‐Lorenzi, Ricardo Lana Pinheiro,

Health Education and Validation

This paper discusses meanings produced by Community Healthcare Agents (ACSs) on whether or not they feel that ACSs in Brazil's Family Health Strategy are receiving the recognition they deserve, considering their work with social networks. Discussion groups with 28 agents of six Health Units were held, sound-recorded and transcribed. Qualitative analysis of the material enables us to identify, in the discursive practices of ACSs, a tension on whether proper value is attributed to their work, or not. There was attribution of value when they talk of their activity in close proximity with the community, and their potential for construction of human connections; but there was non-attribution of value when they talk of the system's macro-structural aspects, such as low salaries, and low recognition of their function, in comparison to higher-level professionals. We conclude that the view of their work - still involving fragmented work processes, and expectation by the population that they will be able to provide immediate solutions to demands - might be preventing them from taking on board a more wide-ranging concept of primary healthcare, as a structuring and communication agent of the Healthcare Network, and as an organizing agent of Brazil's Unified Health System.