Integralidade e saúde da mulher: uma perspectiva das usuárias de uma unidade básica de saúde

Abstract

Introduction: Primary Health Care, a strategy for the organization and reorganization of health systems, is systematized by four essential attributes: first contact access, longitudinally, assistance coordination and integrality. The integrality aims to articulate actions of promotion, protection and recovery of health, highlighting assistance and preventive activities. Objectives: To characterize the sociodemographic profile of the women taken care in a Basic Health Unit and to evaluate to evaluate the presence and extent of integrality in women health care. To provide a guidance instrument for the management of the unit, graphically represented as a folder. Paper method: This is a descriptive, cross-sectional study with a quantitative approach. Data were collected through a validated questionnaire, applied to 167 women, from July to August of 2017 in a Basic Health Unit of the Federal District. Paper results: Minimum value of 6.6 for the health service was required to consider the presence of the integrality (this attribute was divided into Delivery Services – DS and Provided Services - PS). DS and PS showed average value of 6.68 ± 1.50 and 3.79 ± 2.21, respectively. DS was considered satisfactory, but not PS, that did not meet the established minimum values. Method and results of explanatory folder: From these results, an explanatory folder was elaborated, prepared and delivered to the management of the investigated unit. Final considerations: Because this research is dynamic, the health service users had their needs fulfilled and knew about the delivered services, and so the evaluation of available services was considered satisfactory. However, the participation in preventive activities was considered unsatisfactory, which motivated the elaboration of an explanatory folder to the users to increase the knowledge of the existence of such services.