A trajetória do NASF no município de Piraí: uma análise para além da gestão

Abstract

The Family Health Strategy presents, to the professionals that make it up, a complexity that goes beyond the interventionist practice, demanding supporting teams to assist family health teams in this complex scenario of Primary Care. The discussion on the organization of the Family Health Supporting Nucleus and their trajectory in the cities is of the utmost importance in the current Unified Health System. Therefore, this study aims to analyze the trajectory of the NASF in Piraí city, state of Rio de Janeiro, and make a comparative analysis with the Act that sets the guidelines of NASF. This dissertation was divided into five chapters: the first two deal with the theoretical foundation on the Family Health Strategy and Family Health Supporting Nucleus, since these are the basis for our discussion. The third and fourth chapters deal, respectively, with the methodological trajectoryof research and service organization in Piraí, to show the reader the field where the research was built. The fifth chapter shows the results of interviews with five professionals in the city that gave soul to this work and reflect the trajectory of the NASF in Piraí, told through its actors, who construct and deconstruct it daily through the work process. It was observed in this study that there is a rigidity of the NASF within the Family Health Strategy, due to its capture by the logic of management that prevailed in the process of team work.