Banca de DEFESA: FRANCISCO LUCAS CARDOSO DA SILVA

TERRITORIALIZATION IN HEALTH PLANNING IN THE UPPER WEST OF POTIGUAR

Health planning; Territory; Health management; Primary Care; Public policy.

In Brazil, the Unified Health System (SUS) is the result of great popular struggles for a more democratic health. We can consider Primary Care (PC) as the basis for the function of knowing social and spatial realities better than any other level of care. The PNAB points out that it is the duty of the professionals who make up the PHC to execute territorialization as a strategy to plan the performance of the service. How is territorialization perceived by the health secretaries of the cities of the VI Health Region of RN? The general objective of this work is to evaluate how territorialization is understood and used by the health secretaries of the VI URSAP. The specific objectives are: to describe the profile of the health secretaries of the VI URSAP; understand the dynamics of use of territorialization in the VI URSAP; to know how territorialization contributes to the health planning process. Descriptive study of a qualitative nature. It developed in the 37 municipalities of VI URSAP. The research participants were health secretaries. Data collection took place through interviews. Data were analyzed using the content analysis method by thematic categories. The categories of analysis were: managers' knowledge about territorialization in health; the relationship between territorialization and health planning; the professional training of health managers and the relationship with the understanding and use of territorialization in health planning and the political and administrative obstacles and challenges for the effectiveness of health planning based on the territorialization of AB. Only 15 health secretaries agreed to participate in the survey, which represents only about 40.6% of the total sample. There was a greater participation of people who fall within the age group between 40 and 49 years old. About 67% of the participants declare themselves white and 74% are women. 14 managers reported having higher education. Nursing training stands out with about 44%. Only 02 municipalities have territorialization carried out. Territorialization is associated only with the organization of the work process of the Community Health Agents (ACS), in the division of areas and micro areas and delimitation of the performance of a certain Basic Health Unit (UBS). there is an association in the lines of territorialization with planning, but these aspects are not experienced in practice. It appears that there is a clear difference in thinking on the subject, depending on the training area. Within the health area, some professionals indicate little familiarity with the subject in question. The research participants point out challenges in relation to the insufficient workforce within the teams, the lack of financial support and the overload of bureaucratic issues in the routine of the health manager. Territorialization, therefore, is still poorly understood, but this study shows the sensitivity of the secretaries about its importance to guide planning.