Gestão do trabalho na atenção básica do estado da Bahia.

Abstract

The study analyzes Work Management in Primary Health Care according to the health macro regions of the state of Bahia through the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the years 2016 to 2017. This is a descriptive and exploratory study, based on the results of the external evaluation of the PMAQ in 408 municipalities in the state of Bahia. The chosen variables were the forms of admission and hiring, type of em ployment, job and career plan, and continuing education actions. The data analyzed are in the public domain and are not submitted to the Ethics Committee for consideration. It is notewor thy that the universe of the sample corresponded to 70% of the Family Health teams in the state, with a predominance of the nursing profession; 57.7% of the forms of entry into the state and between macro-regions are through other unspecified forms; 78.3% of the contract ing agents are from the direct municipal administration and then from the private sector, with Centro Leste having 41.8% of contracts by outsourced, surpassing all macro-regions of the state; 33.3% of the contracts are temporary, although the macro-regions West (40.6%), East (36.3%), North (35.1%) predominate the statutory bond; only 13% of participants have a Ca reer Plan, Positions and Salaries in the state, however, the North (24.9%), East (23.3%) and West (15.7%) surpassed the reality of Bahia and others macros; in relation to permanent edu cation actions, 80% claim to exist and point out that these actions address the needs of profes sionals. The findings highlight the need to rescue the Health Work Management Policy, re vealing a new and old challenge that needs to join efforts to strengthen and ensure the sustain ability of ABS in the state and among health macro-regions.