Atenção à saúde bucal: avaliação dos serviços no âmbito da 15ª Regional de Saúde do Estado do Paraná.

Abstract

This work analyzed the oral health care in the thirty districts within the 15 th Health Region of Paraná State, from the process of decentralization of public health policies and guidelines of the National Oral Health (NOH). This work aimed to contextualize the implementation of the Strategies for Community Health Workers, Family Health and Oral Health. For this objective to be achieved research was done at the grassroots to national, state and municipal governments, plus interviews with the Coordinators of Municipal Health Care (CMHC) to know the reality of each municipality. Questionnaires were administered asking about the models of practice, organization, management and training of professionals involved in oral health care. The methodology used initially by Mendes-Silva (2007), the Regional Health Bauru - SP, formed the basis for comparing the results obtained in the two Regional for the main social indicators, the organization of health care and professional profile of CMHC. Without losing sight of regional differences and also the national scene, it appears that the social indicators, the percentage of spending on health and portraits of CMHC are very similar. Regarding NOH, 15 th RS-PR has larger numbers of population coverage in the three strategies (ACS, SF and SB) and, even with limitations, the analysis of data from DATASUS show better indicators of oral health in Pact Care.