Implantação da formação profissional de Agente Comunitário de Saúde no período de 2006 a 2008: o caso de uma Escola Técnica do SUS-Ba.

Abstract

General objective: to analyze how the professional training of Community Health Agents (ACS) was implemented by the Technical School of the Unified Health System - Bahia in the period from 2006 to 2008. The choice for this category is due to the qualitative and quantitative relevance of these professionals for actions in the field of primary care and support of the Unified Health System, in aspects of prevention, promotion and recovery of health. Method: exploratory, qualitative research, of the Single Case Study type, through semi-structured interviews with four relevant institutional actors in the implementation process and document analysis after release from the Research Ethics Committee. Thematic content analysis was performed, according to Bardin (2011) and the theoretical framework used were the principles of Mintzberg (2010) and Mário Testa (1989) contextualized for the Training of Human Resources in Health for the SUS. Results: a historical review of the process of implementing the professional training of ACS by EFTS SUS-BA was carried out, identifying the interests and stakeholders, the responsible institutional actors, actions and proposals for implementation and the facilities, difficulties and conflicts related to the implementation process. Institutional actors proved to be essential for the implementation and execution of this project, with personal and political involvement throughout the process. It was possible to categorize four actions and proposals that enabled the implementation of the course: actions with actors and organized civil society, budgetary-financial, organizational and didactic-pedagogical. The facility was given by the support related to the period of the state government, the difficulties related to the financial execution, geographic aspects, operationalization of the course and political-party context. Conflicts were classified as ideological-ethical in training, financial and party interests. Conclusion: we conclude that the historical and political context was decisive for the implementation of the ACS training course, driven by the strengthening of the Unified Health System. We verified that the concepts of power and strategy permeated the decisions and implementation of this course, directly influencing the execution of public policies that reverberated in the training processes, health and in the world of work of ACS, professionals and SUS workers.