Política Nacional de Educação Permanente no SUS: estudo da implantação sob a perspectiva dos gestores da Secretaria Municipal de Saúde de Teresópolis em 2006

Abstract

This study has investigated the implementation of the National Policy of Permanent Education in Health (Política Nacional de Educação Permanente da Saúde PNEPS) in the State of Rio de Janeiro, during the year 2006. The PNEPS fundamentally aims to change health practices through permanent education in service, studying the problematization of the everyday work routine in the health field. In the course of decentralization, approved both by the Brazilian Health System (Sistema Único de Saúde SUS) as well as by the PNEPS, the place elected for this investigation was the City of Teresópolis, presented according to the parameters used for the calculation of the Human Development Index. The research was focused on the Municipal Department of Health and in the consensus groups of the Center of Permanent Education in Health of the Mountain Region of the State of Rio de Janeiro. The methodology used was the data triangulation precedent of the techniques of participant observation, the consultation of pertinent documents and ten semi-structured interviews conducted with the managers of the Municipal Department of Health. The interviews were transcribed and subjected to discourse analysis. The chosen field of research brought unexpected data to the analysis of the implementation of the PNEPS. Both the City Hall and UNIFESO share the same political leadership, with repercussions in the management of the SUS and in formal health education. Even though the Family Health Program (Programa de Saúde da Família) generates demands to the PNEPS, the intersection and the overburden of social welfare actions with educational actions in this instance, mediated by the same health care professional, which is also the preceptor for UNIFESO, have repercussions on both initiatives. Most of all, they hinder educational proposals necessary to meet the demands of workers and users. Finally, when it comes to public policies, this study has demonstrated the presence of the downtownsuburbs model in a municipal scale, similar to the model existent in the federal and worldwide scales, expressed by the decentralization of actions and the centralization of resources.