Articles

Impasses and potentialities: matrix support as a care device

Abstract

COHEN, Marina Chansky e CASTANHO, Pablo. Impasses and potentialities: matrix support as a care device. Interface (Botucatu) [online]. 2021, vol.25, e200462. Epub 19-Mar-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200462. The article presents and discusses parameters that optimize matrixing in mental health as a care device. We conducted a qualitative study guided by group psychoanalytic theories. We observed, recorded and analyzed six matrixing meetings between specialist services and primary health care services. The main difficulties found were finding time and spaces for meetings and differences in understanding about tasks. On the other hand, we observed moments that reveal mutual care in tune with the literature on health team and service user relations. We conclude by highlighting the importance of

The family home visit: educational strategy in health of children and their families

Abstract

ARANGO, Liliana Adela Zuliani; MARRIAGA, Gustavo Alfredo Ariza e GOMEZ, Margarita María Gómez. The family home visit: educational strategy in health of children and their families. Interface (Botucatu) [online]. 2021, vol.25, e200403. Epub 19-Mar-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200403. The family home visit was introduced to the Child 1 course offered by the Social Pediatrics Department at the Faculty of Medicine, University of Antioquia, Colombia in 2001. This study investigated the meanings that participating families assign to their engagement with the professors and students involved in the visits. We conducted a qualitative study between 2017 and 2019 drawing on the theory of symbolic interactionism. Three categories emerged: 1) Family emotions at the time of the announcement

Knowledge and practices of community health workers regarding the prevention of suicidal behavior

Resumo

SILVA JUNIOR, Fernando José Guedes da et al. Knowledge and practices of community health workers regarding the prevention of suicidal behavior. Interface (Botucatu) [online]. 2021, vol.25, e200386. Epub 19-Mar-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200386. This study analyzed the knowledge and practices of community health workers regarding the prevention of suicidal behavior. We conducted a qualitative research-action study with 13 community health workers. The data were collected in health centers using thematic seminars and analyzed using content analysis. The knowledge of the community health workers included the relation between suicidal behavior and losses (material and affective), mental illness, loneliness and the use of psychoactive substances. In practice, the prevention of suicidal behavior involved the assessment of people at risk

From the bond to the caring encounter: cartographs about medical identity territory and the care between family doctors and users

Abstract

TEMPERLY, Nicole Karina Nicolaiko; SLOMP JUNIOR, Helvo e SILVA, Milene Zanoni da. From the bond to the caring encounter: cartographs about medical identity territory and the care between family doctors and users. Interface (Botucatu) [online]. 2021, vol.25, e200341. Epub 19-Mar-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200341. The purpose of this qualitative research with a cartographic approach was to understand the effects that bonding and accountability between family physicians and users can produce on the physicians themselves. Ten open interviews were conducted based on triggering questions with family physicians and medical residents. The analysis of the interviews using the reference of the micropolitics was based on the experiences reported, and it was problematized the existence of a

It is those who eat who invented hunger*: from invisibility to enunciation – a much needed discussion in times of pandemic

Resumen

FRUTUOSO, Maria Fernanda Petroli e VIANA, Cássio Vinícius Afonso. It is those who eat who invented hunger: from invisibility to enunciation – a much needed discussion in times of pandemic. Interface (Botucatu) [online]. 2021, vol.25, e200256. Epub 19-Mar-2021. ISSN 1807-5762. http://dx.doi.org/10.1590/interface.200256. This text discusses the importance of the enunciation of hunger during the health emergency caused by the Covid-19 pandemic. To this end, we present a brief overview of the use of the terms hunger and food and nutrition (in)security, drawing on the pioneering experience of the Brazilian doctor Josué de Castro and the assumption that naming or not the absence of regular food in sufficient quantities to sustain life as hunger is a political

Memories of the external evaluation of the National Program for Improving Primary Care Access and Quality in Piauí, Brazil

Abstract

TAJRA, Fábio Solon; CARDOSO, Tauani Zampieri e CARDOSO, Osmar de Oliveira. Memories of the external evaluation of the National Program for Improving Primary Care Access and Quality in Piauí, Brazil. Interface (Botucatu) [online]. 2021, vol.25, e200187. Epub 19-Mar-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200187. The external evaluation of the National Program for Improving Primary Care Access and Quality (PMAQ-AB) was conducted to assess the items agreed between municipalities and the Ministry of Health in loco. Teams were formed and trained and travelled to the field to collect data in the State of Piauí. The aim of the study was to understand the meanings of the PMAQ-AB external evaluation experience assigned by supervisors and interviewers in Piauí.

Professional approach in times of pandemic: what have we learned from the Zika virus?

Resumo

MOCELIN, Helaine Jacinta Salvador et al. Professional approach in times of pandemic: what have we learned from the Zika virus?. Interface (Botucatu) [online]. 2021, vol.25, e200427. Epub 24-Fev-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200427. The bonding between families of children with Zika Congenital Syndrome and health professionals is a sine qua non for the development of the affected children. This study aims to know the perspective of mothers of children with ZCS regarding the professional approach, forming bonds in the health care process during the Zika Virus epidemic. It is a qualitative, descriptive-exploratory research, with interview of 25 mothers. The results reveal that health professionals had practices of dehumanizing care and committed obstetric violence. In contrast to dehumanization,

Convergence and gaps between medical courses educational projects and the National Curriculum Guidelines: university professors’ perceptions

Resumo

OLIVEIRA, Carlos Alberto de; AMARAL, Eliana Martorano; CYRINO, Eliana Goldfarb e GIANINI, Reinaldo José. Convergence and gaps between medical courses educational projects and the National Curriculum Guidelines: university professors’ perceptions. Interface (Botucatu) [online]. 2021, vol.25, e200076. Epub 24-Fev-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200076. To understand the National Curriculum Guidelines (NCG) it is necessary to contextualize the reality of each educational institution. The effective implementation of the guidelines requires the (re)orientation of the health education process; promoting integration between the course educational project (CEP); Brazilian National Health System (SUS) and professor engagement. We conducted a qualitative exploratory study using questionnaires to capture professors’ perceptions of the alignment between medicine CEPs and the NCG. Content analysis was

From pregnancy to sterilization: a cartography of an orphan mother experienced in a Clinic at the Street

Resumo

DUARTE, Luiz Gustavo et al. From pregnancy to sterilization: a cartography of an orphan mother experienced in a Clinic at the Street. Interface (Botucatu) [online]. 2021, vol.25, e200063. Epub 24-Fev-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200063. This article aimed to map the affections in scenes that occurred in an experience in a Clinic at the Street (CnaR) through the realization of a cartography. Mapped territories, with the intercession of Neil Gaiman’s Sandman used as a cognitive device for the discussion of reality-fantasy, have highlighted ways of life that challenge traditional methods of care production, while making visible micropolitical captures that led to production of control and framing. Therefore, it was noticeable in the CnaR a potency of production

Ecobiosocial approach and health promotion at school: building knowledge for community surveillance in Aedes aegypti control

Abstract

BARAKAT, Roberta Duarte Maia e CAPRARA, Andrea. Ecobiosocial approach and health promotion at school: building knowledge for community surveillance in Aedes aegypti control. Interface (Botucatu) [online]. 2021, vol.25, e190805. Epub 24-Fev-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.190805. This study aims to implement community surveillance actions for Aedes aegypti vector control in the school environment in the light of health promotion and the eco-bio-social approach. This qualitative study addresses the assumptions of action research. Data was collected through a short course coupled with the Photovoice technique, and the collection was completed with focus groups. The empirical data were processed by Iramuteq® software and submitted to Minayo’s content analysis. The research was conducted in two municipal schools of Fortaleza, Ceará,

Psychotropic drugs and Primary Health Care: the subordination of care provision by medicalization in the context of Family Health

Abstract

MOLCK, Bárbara Vukomanovic; BARBOSA, Guilherme Correa e DOMINGOS, Thiago da Silva. Psychotropic drugs and Primary Health Care: the subordination of care provision by medicalization in the context of Family Health. Interface (Botucatu) [online]. 2021, vol.25, e200129. Epub 24-Fev-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200129. This study aimed to understand the medicalization of the long-term use of psychotropic drugs from the perception of users of the services provided by a Family Care Center. We conducted a qualitative study using autobiographical narrative analysis using semi-structured interviews with services users selected using purposeful sampling. The thematic analysis revealed that medicalization was incorporated into the life concepts and suffering of service users, which is consistent with social medicalization supported by the

The epistemic dimensions of the Brazilian Mental Health Reform: meanings assigned by mental health service managers, workers and users

Abstract

SAMPAIO, Mariá Lanzotti and BISPO JUNIOR, José Patrício. The epistemic dimensions of the Brazilian Mental Health Reform: meanings assigned by mental health service managers, workers and users. Interface (Botucatu) [online]. 2021, vol.25, e200267. Epub 08-Jan-2021. ISSN 1807-5762. https://doi.org/10.1590/interface.200267. This study analyzes the epistemic dimensions of the Brazilian Mental Health Reform through the lens of mental health service managers, workers and users. We conducted a qualitative study with 33 respondents using semi-structured interviews and field observations in psychosocial care services in Vitória da Conquista, Bahia. We used an analytical framework consisting of three core dimensions: the concept of mental health/suffering; the purpose of care; and meanings of deinstitutionalization. The findings reveal a convergence of meanings