Aconselhamento em planejamento reprodutivo de mulheres em condições de vulnerabilidade, segundo a percepção dos profissionais da estratégia saúde da família

Abstract

The reprodutive planning is a thematic widely discussed in the health political programs of Brazil. For substantiate itself in prevention actions, promotion, information and health education, pertains respect especially to basic attention. Recognizing to special protection women in greater vulnerability situation, includes in the health professionals actions, the counseling as a caution integrated space. As a social assistent from the Support Core to Family Health (NASF) and integral member of the technical sterilization from São Carlos/SP Municipal Secretary of Health, I could watch the actions of health professionals from AB (basic attention) envolved in the reprodutive planning. This research was delineated from this experiences with the goal of analyzing the reprodutive planning counseling of women in vulnerability conditions in the Families Health Unities (USF), according to the doctors and nurses perception. Treat a descriptive exploratory study of qualitative approach. The integrants were doctors and nurses from São Carlos/SP USP. The data collect ocurred on the first period of march until june 2017, by means of semi-structured open interview. From the collected material, of accomplished deductions and theoretical referential perspective, accomplished the analysis by thematic categories. From the 26 participants, checked that 42% hat between 38 and 47 years old, being the most of female sex and with performance in USF above of five years. With the interviewed stories it was possible to verify that exists a singular and complex relationship in the reprodutive planning counseling of women in vulnerability conditions, evidencing two analytical categories: triggering factors of vulnerability and reprodutive planning counseling and the vulnerability particularities. The interviewed by recognizing factors that produces vulnerability and that influences the health-sickness process, pointed being indispensable an extended look in reprodutive planning counseling of this women to produce a more effective health care. Through the organization process of work is possible to consolidate the reprodutive planning counseling as a production space of new practices and development of new technologies at woman health area. Conclued that the doctors and nurses from Family Health Strategy (ESF) identified women in vulnerability conditions that experience uneven way and in disadvantage in socioeconomic, cultural historic and political factors. To perform the reprodutive planning, the professionals have used management devices and arrangements of care and extended clinic.