Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

O enfrentamento à violência no âmbito da estratégia saúde da família: desafios para a atenção em saúde

2017; UNIVERSIDADE DE FORTALEZA; Linguagem: Inglês

10.5020/18061230.2017.p229

1806-1230

Milena da Silva Santos, Juliana Guimarães e Silva, July Grassiely de Oliveira Branco,

Health, Nursing, Elderly Care

Objective: To understand the challenges faced by Family Health Strategy (Estratégia Saúde da Família – ESF) professionals in delivering health care areas vulnerable to violence. Methods: Qualitative descriptive study carried out with ten ESF professionals in the municipality of Aracati, Ceará, Brazil. Information were collected in March 2016 through semi-structured interviews. Data were organized and coded and then underwent thematic content analysis, which yielded the following fragments: Perceptions of the phenomenon of violence; Health care in a risky territory; Fear and resilience in the delivery of care; and Care limitations and coping strategies for violence. Results: Delivering health care in situations of violence involves social, physical and psychological issues. Drugs, trafficking, crime, power struggles, gunfire and death permeated the daily lives of users and ESF professionals. Some of the main limitations of health care are the insecurity and the fear involved in the delivery of care and the difficult access to the houses located in risk zones. Conclusion: Delivering care in areas vulnerable to violence represents professionals' exposure to adverse situations which require resilience and, above all, support from managers and public authorities so that they can develop strategies to facilitate the delivery of care to Primary Care users inserted in areas permeated by violence.