http://repositorio.ufc.br/handle/riufc/15285 2026-09-12T15:13:52Z http://repositorio.ufc.br/handle/riufc/87691 Título: Tecnologia educativa sobre sexualidade para adolescentes e jovens com transtornos do neurodesenvolvimento Autor(es): Mesquita, Edmara Rodrigues de Abstract: Sexuality is a fundamental dimension of human development and a right for everyone, including adolescents and young people with neurodevelopmental disorders (NDDs). However, the approach to this topic remains marked by stigma, gaps in professional training, and a scarcity of accessible educational resources. The aim of this study was to develop an educational tool regarding sexuality for adolescents and young people with NDDs. This was a methodological study with a qualitative approach, conducted in two stages. The first stage was a scoping review, carried out according to the Joanna Briggs Institute methodology, to identify existing educational tools on the subject. The second stage involved developing the educational tool, based on the *Guia de Orientação para o Desenvolvimento de Projetos* (Merino, 2016), with the participation of health and education professionals. The scoping review highlighted a lack of specific tools and the need for ongoing training for professionals, parents, and caregivers. Fourteen professionals—eight educators and six health workers—participated in the empirical stage; their perceptions revealed that the main challenges were insufficient professional training, sociocultural barriers, a lack of accessible educational materials, and resistance from families. The result was the development of an integrated educational package comprising a theoretical manual, an educational activity booklet, and four pedagogical dolls with anatomical sex characteristics designed for complementary use. These materials address topics such as the body, puberty, consent, privacy, relationships, self-care, and the prevention of vulnerabilities. The developed tool has the potential to improve sex education practices in health and educational settings, expanding the range of resources available to adolescents and young people with NDDs and contributing to the promotion of autonomy, social inclusion, and the protection of rights. Further studies are recommended to validate the tool with experts and the target audience (semantic validation), as well as to evaluate its usability and effectiveness across different application contexts. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87675 Título: Supervisão acadêmica do Programa Mais Médicos na Região Norte do estado do Ceará: desafios e potencialidades no processo pedagógico de capacitação e qualificação Autor(es): Arruda, Anderson Dias Abstract: The teaching-service activities developed by physicians in the Mais Médicos Program (PMM) are monitored and evaluated by an academic supervising physician, who must conduct at least one monthly in-person visit to the Basic Health Unit (UBS) where the physician is assigned. During this visit, the structural conditions of the unit, the work process, and the interaction of the supervised physician with the multidisciplinary team, the community, and municipal management are assessed. In this context, the general objective of the study was to analyze the perception of academic supervisors regarding the challenges and potential faced in the pedagogical process of training and qualification during the academic supervision of the Mais Médicos Program in the northern region of the state of Ceará. The methodology used was field research, characterized as analytical- descriptive with a qualitative approach. The research subjects were 14 academic supervising physicians who are part of the PMM and linked to the Visconde de Saboia School of Public Health in the northern region of the state of Ceará. The data were collected between August and September 2025. As a result of an in-depth reading of the interviews, four main categories emerged: identification of the interviewees, the pedagogical process of academic supervision, the facilitators and difficulties in the supervision process, and final considerations about the program. This process allowed us to understand how supervisors perceive their role and the challenges present in academic supervision within the context of primary health care. In general, the results show that academic supervision in the PMM plays a fundamental role in improving the quality of medical work in Primary Health Care. At the same time, the findings indicate the need to strengthen institutional strategies to support supervision, expanding opportunities for pedagogical training and improving mechanisms for monitoring and evaluating the activities carried out. Thus, academic supervision is consolidated as an important instrument to promote continuing education, strengthen the integration between teaching and service, and contribute to improving the quality of health care in the regions served by the program. In light of these findings, it is concluded that academic supervision within the Mais Médicos Program presents significant potential for the qualification of primary healthcare professionals, but demands structural, pedagogical, and institutional improvements. Investments in the organization of content, in the training of supervisors, and in strengthening the articulation between the different actors involved are essential to increase the effectiveness of this strategy and contribute to improving the quality of care provided to the population. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87526 Título: Entre territórios e narrativas: pesquisa autobiográfica sobre experiências gerenciais atravessadas pela violência urbana Autor(es): Amorim, Letícia Ferreira de Abstract: Violence can cause suffering, illness, and deprivation among professionals, extending beyond fatal outcomes, which underscores the need to understand its various dimensions and consequences (Vieira, 2023). Thus, the interest in this research stemmed from four years of experience as a nurse and manager within the Family Health Strategy (ESF) in the municipality of Sobral, working in areas characterized by high levels of urban violence and social vulnerability. To understand how the context of urban violence and social markers influence the work of the Family Health Center manager. It is a qualitative, exploratory study employing an (auto)biographical approach. To understand the phenomenon of violence and facilitate the creation of autobiographical narratives, a Biographical Reflective Circle (BRC) was established; this is a methodological tool for generating group life narratives through a series of meetings that, via constant interaction and relationship-building, enable the elaboration of life stories based on a "trigger question." Ten Primary Health Care (PHC) managers from Sobral participated as research subjects. The trigger question for the narratives was: "What do I do, and what do I expect?" Through these narratives, the study sought to understand the meaning and formation of the phenomenon of violence, as well as to analyze how violence affects the managerial context of PHC. The narrative analysis methodology used was Discursive Textual Analysis (DTA), which allowed for the identification of the categories constituting this phenomenon based on the women's experiences with various forms of violence—from childhood through adulthood—revealing its complexities and ramifications. Thus, memories and personal accounts emerged as the central elements of this research, which sought to understand the meanings of this phenomenon and its impact on the operational dynamics of Primary Care within local territories. The study identified a need for intersectoral policies to address the issue, as well as an urgent need for municipal managers to pay greater attention to the facilities where these services are delivered. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87461 Título: Qualidade de vida, saúde mental e educação financeira de agentes comunitários de saúde Autor(es): Souza, Fablicia Martins de Abstract: The consolidation of Primary Health Care (PHC) in Brazil has assigned strategic centrality to the work of Community Health Workers (CHWs), professionals who operate at the interface between health services and local communities, assuming clinical, educational, and social responsibilities that expose them to intense emotional and structural demands. In light of the social determinants of health framework, understanding the psychosocial and economic conditions underlying their professional practice is essential for the sustainability of the care model. This dissertation aimed to analyze the mental health, quality of life, and financial education of CHWs working in PHC, examining the interplay between living conditions, work organization, and well-being. The investigation was structured into two complementary studies. The first was a cross-sectional observational study conducted with 231 CHWs in the municipality of Sobral, Ceará, Brazil. Data were collected using a sociodemographic questionnaire, the Self-Reporting Questionnaire (SRQ-20) for screening Common Mental Disorders (CMD), and the WHOQOL-BREF for quality-of-life assessment. The prevalence of suspected CMD was 22.9% (95% CI: 17.5%–28.3%), with higher frequencies of symptoms related to nervousness, sleep disturbances, and somatic complaints. The psychological and social relationships domains presented higher mean quality-of-life scores, whereas the environment domain showed greater vulnerability, particularly regarding safety and financial resources. The second study examined CHWs’ financial education, including budgeting practices, financial planning, perceived economic stability, and potential repercussions on well- being and professional performance. Findings indicate that structural limitations and financial insecurity are associated with greater psychosocial vulnerability, suggesting that the economic dimension constitutes a relevant determinant influencing both mental health and overall quality of life. It is concluded that, even in a municipality recognized for its strong PHC consolidation, persistent challenges related to occupational overload, economic insecurity, and psychosocial strain remain evident. The results highlight the need for institutional worker-care policies that integrate psychosocial support strategies and structured financial education initiatives as complementary components for strengthening the sustainability of the territorial PHC model. Tipo: Dissertação 2026-01-01T00:00:00Z