Políticas de saúde em "território líquido": estudo sobre a UBS Fluvial Lígia Loyola em Parintins

Abstract

The present study aimed to analyze primary health care in traditional riverside communities in the municipality of Parintins from the perspective of health professionals who work at UBSF Lígia Loyola. The aim was to bring forward the history of health policies in Brazil and the Amazon, provide a description of the river UBS in the National Primary Care Policy to guarantee access to healthcare for the riverside population and carry out an investigation into the structure and performance of the UBSF Lígia Loyola from the perception of health professionals who work in the unit. The theoretical contribution is made up of authors such as Bertolozzi and Greco (1996), Oliveira (2012), Almeida et al. (2018), Schweickardt (2022), Viana et al. (2017), Gonçalves and Domingos (2019), Kadri (2019), Santos (2021), El Kadri (2019), Reis et al. (2020) and Garleno (2019) who helped to spark this debate. Of a qualitative nature, Historical-Dialectical Materialism was used as a methodology, which consists of discovering the fundamental laws that govern the way in which society is organized through history. From this it was possible to understand the socio-historical processes that make up health policies in the Amazon. The research was carried out in two stages, the first with the bibliographic survey on the proposed topic and the second stage with Field Research at UBSF Lígia Loyola. Data were collected from a semi-structured interview using a script of open and flexible questions. The main results demonstrated the challenges of providing health care in the Amazon, from the dynamics of the river's flood and ebb that hinder movement in isolated communities to the adversities faced by professionals who work in riverside health. Therefore, this study has great social relevance due to the few studies carried out on UBSFs in the State of Amazonas. This is an investigation that can bring contributions to thinking about improving riverside health policies, as well as encouraging new studies.