Serviço social campeando a inserção da população do campo na atenção básica em saúde nos pampas

• Ano de defesa: 2016
• Autor(a) principal: Charqueiro, Leslie Tuane Penteado
• Orientador(a): Bellini, Maria Isabel Barros
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
• Programa de Pós-Graduação: Programa de Pós-Graduação em Serviço Social
• Departamento: Faculdade de Serviço Social
• País: Brasil
• Palavras-chave em Português: ATENÇÃO PRIMÁRIA À SAÚDE; POPULAÇÃO RURAL - ASPECTOS SOCIAIS; POLÍTICA DE SAÚDE; SERVIÇO SOCIAL
• Área do conhecimento CNPq: CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/6570

This work has as its theme: The Rural Population that makes part of the Primary Health Care from rural region of Viamão/RS and the interface with the National Policy of Integral Health of Forest and Water Populations (PNSIPCFA), in the years 2014 and 2015. This work has as its ‘locus’ the Primary Health Care, and as its object: the PNSIPCFA. For this work, our qualitative research involved two groups: one with ‘seated’ (workers who receive government land) work farmers, and one with ‘not seated’ work farmers (work farms owners of their land). This way, we consider their living manners and their living conditions as well as the reflections of those in their health and their inclusion in the Primary Care. In addition, we realized three interviews with Primary Care professionals and with a Primary Health Care manager. In the analysis, we realized a complementary documental research and some observations. We used the dialectical-critical method, with Marxian base, along with the following core categories of the method: historicity, contradiction, totality, mediation and work. In this context, we recognize the vital need for the expanding of health services and intersectoral services to the rural population in their territories of living and working, territories that should be "used" (SANTOS; SILVEIRA, 2006), and should be experienced in the everyday labor, and also in the public services. Those represent the space production of health, while also it produces suffering, when it faced with adversities, such as the working for and on the land, with little investment, can cause. We point out that, despite the exploitation of the workforce, of the social inequalities and of the social question to be priority for the capitalist system, we present the historical bases of the Feudalism of Middle Ages, in the contemporary reality, these expressions connect increasingly, and it reflects the health of the population. Therefore, it is necessary the discussion about the health of the rural population, in its broader concept, to contribute with the implementation of the National Policy of Integral Health of Forest and Water Populations (PNSIPCFA), in Brazil. In the survey, we identified among the specific needs of the rural population, with cutout for work farm families. The specific necessities are regarded health injuries, and some connected with multi-causal processes that affect the general population of Viamão, such as hypertension, heart disease, diabetes, overweight, and others with specific causes, but with similar diseases, such as musculoskeletal disease and mental suffering. The latter is due to the "uprooting", the historical violation of rights in the struggle for land and in the hard work on the land, causing depression (with high rates of controlled medication) and harmful use of alcohol, as well as diseases that may be related the use of pesticides. In this way, we aim to strengthen the essentiality of agricultural production that is free of pesticides, as a matter of public health and intersectoral, especially, in Brazil, the country that most use pesticides in the world. This discussion affects, directly and indirectly, the whole population, because the farm work family, basically, feeds us. Therefore, we should plan insertion strategies in the health that meet their entirety, as well as we should contribute to their quality of life, for the quality of life of the general population.