Capacitação dos trabalhadores de saúde da atenção básica no sul e nordeste do Brasil : diferenciais segundo o modelo de atenção

Abstract

Aiming to verify the prevalence of training of workers of primary health care was carried out a cross-sectional study with 4749 workers in 41 cities with more than 100 thousand inhabitants in the South and Northeast (NE) of Brazil. The training in infectious diseases and no transmissible chronic diseases were the most realized by the workers in the entire sample (54,5% e 38,5%), in both regions and model of attention. The use of the protocol was 43,7% for all sample and its prevalence was higher in Northeast (47,8%) and in family health strategy (46,4%). Access to publications of Health Ministry was 48,3% for the entire sample, its prevalence was higher in the South (51,2%) and among workers who worked in the family health strategy (56,8%). The differences in the prevalence of outcomes by region and model reaffirm the inherent expectations related to the Family Health Strategy as the model of reorientation of primary health care. The results indicate that despite of training studied composed the normative of primary health care, its prevalence were low, since most of the workers worked on average four years in primary health care. So, the construction of strategies to improve the offer and the encouragement of continuing education and training for these workers is responsibility of Health and Education Ministries.