Flor do Mandacaru e atenção primária à saúde: avaliação da intersetorialidade do pré-natal de adolescentes em Sobral-CE

Abstract

This study has as general objective: To evaluate, in a constructivist perspective, the intersectoriality of prenatal care for pregnant adolescents between the Flor do Mandacaru Project and Primary Health Care in the Municipality of Sobral - CE. It is an evaluative, exploratory and descriptive research, with a qualitative approach. The study was carried out at the Flor do Mandacaru Project (axis of the Four Leaf Clover policy), in the municipality of Sobral-CE, with five managers, nine professionals and seven teenagers. The collection of information occurred between the months of January to September 2019, and followed six of the 12 twelve stages of the fourth generation assessment, highlighting the hermeneutic-dialectic circle. For this, the following were used: a semi-structured questionnaire based on the Social Determinants of Health model, in order to characterize and better understand the population of beneficiaries of the policy (adolescents); unstructured interviews within hermeneutic-dialectic circles with interest groups (managers, professionals and users) and observation. Finally, a conversation circle was held for the joint construction between the groups, in order to discuss and reach consensus on issues raised in the interviews. For data organization, Bardin's Content Analysis (2016) was used, and Minayo's (2008) hermeneutic-dialectic analysis was used as the theoretical basis. The adolescents unanimously state that psychological counseling was the factor with the greatest impact on their lives during prenatal care. During the joint construction between the interest groups, the following solutions were proposed: suggestion for a public tender, improve the dissemination in social networks and in health units, get in touch with those responsible for the public security sector and improve the dialogue with primary health care professionals, so that they know how to better welcome the adolescent public. With this study, it was realized that organizing comprehensive adolescent health care today is still considered a challenge, both for health professionals and for society, mainly due to the significant lack of effectiveness in the implementation of public policies aimed at for this population, which indicates the need for actions that aggregate the several powerful sectors that can act directly in reducing many problems that affect this public.