O Programa de Agentes Comunitários de Saúde adaptado à cidade do Rio de Janeiro: uma análise das suas concepções

Abstract

This work is about a study on an adaptation experience of the model Programa de Agentes Comunitários de Saúde (Health Community Agents Program), conducted by the Community Health Coordination, at Rio de Janeiro Municipal Health Secretary, from 2002 to 2005, that is presented with a certain anachronism to the political project of the Health Ministry. It proposes to present the context in which this proposition arises, and to identify and analyze the concepts of its formulation. Few were the official documents available for this study, what made the interviews the primordial technique able to carry out the study. We observed that there was avoid in the formulation of the policy of change from the basic health care for the city and, therefore, the opportunity for technical formulations of experimental models were opened. In this scenario arises the proposal of implantation of the PACS groups, as an attempt to refute the obstacles posed to the expansion of the ESF, used to be adapted so as to increase the offer of actions of the basic health care, in areas considered strategic by the NOAS 01/01.