Estratégias de mulheres para o cuidado à saúde na rede de atenção

Abstract

In Brazil, epidemiological indexes evidence that, despite the existence of specific public policies, women continue vulnerable to a series of grievances. The Family Health Strategy (ESF) is inserted in the system with the purpose of reorganizing basic care. Within the scope of women’s health, researches reveal the difficulties of access, low problem-solving capacity and distancing of women from the ESF. The studies have the purpose of understanding the strategies adopted by women registered in the ESF for healthcare and analyzing the strategies adopted under the perspective of integrality. This is an exploratory study, with a qualitative approach, with integrality being the analytical category. The study was developed with twelve women, or reproductive age, registered in two Family Health Units (USF). The empiric material was produced through interviews and analyzed using speech analysis. The results reveal an imbalance between offer and demand, without any guarantee of infrastructure in relation to material and human resources. The specialized network has a strategy used for healthcare, considered more capable of guaranteeing access and offering answers, representing a role inversion contrary to SUS and ESF principles. In conclusion, under the researched reality, the ESF is not fulfilling its role. Reorganization is necessary, with the recovery of principles and multiprofesional teams, preserving technical and relational competence. It is imperative that the public authorities assure problem-solving capacity, improving bonding with women, aiming towards integrality