Como se expressam as etsus na política de formação técnica em saúde do ceará ?

Abstract

In this dissertation we have the challenge of understanding technical training in health as a public policy. From its historical process we understand that technical training is constantly being questioned, oscillating between the diverse political desires in the formation of professionals, human resources, for the strategic and economic development of the Country. Understanding the training of technical personnel in health as a political exercise educational, and considering the commitment of the SUS with the training of human resources, we dare to analyze how the Technical Schools of SUS (TSSUS) are inserted in what we understand as a policy of technical training in health in the state of Ceará. In order to achieve this goal, we draw up a structured analysis of the framework of Stephen Ball's Policy Cycle, from which we adopt contexts of influence, texts and practice as theoretical-analytical assumptions regarding the object of study. We traced our own methodological path, where we had as spaces for research: in the context of influences, the historical-political facts, identified in documents available in the scientific literature and reliable means of disseminating news; in the context of the text, the normative documents (Laws, Resolutions, Ordinances, Decrees and Opinions) available on the official website of the Government of the State of Ceará; and in the context of the practice, the political-pedagogical projects and interviews with directors and pedagogical coordinators / teaching of the TSSUS. We had as scenario the TSSUS located in the capital, region north and south of Ceará. The study took place between 2017 and 2018, and was approved by an ethics committee. As a result, we identify that the commercialization of technical professional practice is an influential and constant element in its historical course, impacting on the realignment of its educational conceptions and interests on the educational process, which oscillates with TSSUS tendencies on libertarian and emancipatory formation. In the normative documents we can understand that this policy has two directives, one oriented to the School of Professional Education (SPE) and another to the TSSUS, which would be, respectively, the jurisprudence of the sectors of education and health. In view of the political-pedagogical projects, we have verified that the conceptions of education of the TSSUS are modeled on the Freirean presuppositions and of the permanent education, nevertheless, preserving Escolanovista characteristics. And in the interviews we see, among other evidences, the challenges for the effectiveness of the policy, which occur in the face of a misunderstanding of the educational conceptions that it proposes, the financing of its activities and the little visibility of its doing at certain moments of political decision making . Finally, we understand that the analysis carried out in this study allowed us to understand that the TSSUS has a significant space in front of politics, in line with its trajectory in the formation of workers for the SUS, however, it has been affected by the national political and economic context that has reverberated in the interpretation that these schools, as well as the professional formation in health in the whole, do not constitute, at the moment, a strategic developmental space, being affected by systems of cut in the investments and the incomprehension on SUS.