The Family Health Strategy responds to a new conception of health, not more focused on assistance to the disease, but mainly focused on promoting Quality of Life. Gestation is composed of many changes not only physical but also psychological. The prenatal care is a health promotion action held in the FHS, therefore it should comply with the principle of improving the Quality of Life of pregnant women attended by him. The aim of this study was to evaluate the Quality of Life of pregnant women, examining the potential of the WHOQOL-bref instrument in order to contribute to the promotion of women's health in the FHS. This is a qualitative research with a study case design, where the assessment of Quality of Life was through the WHOQOL-bref instrument. It was evaluated 73% of the women ascribed to four teams of the FHS. 43% of pregnant women were in the second quarter and 40% in the third quarter. 86% began prenatal care in the first quarter. 86% of women used prenatal care exclusively in the FHS and 14% supplemented with the private sector. The score of the overall Quality of Life was 75; of the physical Quality of Life was 57.65; of the psychological Quality of Life was 68.75; the Social Relations Quality of Life was 77.98, and the Environmental Quality of Life was 59.75. The Family Health Strategy should improve prenatal care in not only the physical side of pregnancy, but also in the psychological, widening his eyes to the social inclusion of the pregnant women, the potential for strengthening and wear of them, and the family support in gestational period. The WHOQOL-bref instrument could be used as a monitoring technology in expanded clinic in the prenatal care.

Resumo AbstractThe aim of this study was to evaluate the Quality of Life of pregnant women attending the Family Health Strategy and identify the dimensions of Quality of Life better and worse evaluated. This is a descriptive, cross sectional study case, done in a Family Health Unit in the outskirts of São Bernardo do Campo. 42 women were evaluated using WHOQOLbref. The higher the score the better the assessment of Quality of Life. The scores of the domains were: Physical 57,65; Psychological 68,75; Environment 59,75; Social Relations 77,98; General 75,00. Each domain consists of a few facets, and these contributed positively or negatively t the score of the domains. The worst facets evaluated were: Energy and Fatigue; Thinking, Learning, Memory and Concentration; Financial Resources; and Sexual Activity. The best aspects evaluated were: Mobility; Positive Feelings, Body Image and Appearance; Health and Social Care; and Personal Relationships. We concluded that WHOQOL-bref is relevant as a monitoring instrument and it is, for the expansion of prenatal care and the evaluation of quality of life during prenatal care, an important tool for an integral assistence and pregnant woman's health promotion.

ResumoCom base nas análises que sistematicamente foram realizadas sobre o trabalho do Agente Comunitário de Saúde (ACS), o Ministério da Saúde construiu um programa de formação para esse profissional, no qual foram definidas as competências que deveriam compor seu perfil, sendo uma delas a promoção da saúde. O objetivo desta pesquisa foi descrever e representar quantitativamente as ações de promoção da saúde propostas pelo Ministério da Saúde. Trata-se de uma pesquisa quantitativa, que teve como cenário de estudo o Colegiado Gestor Regional (CGR) Alto Capivari, da região de Presidente Prudente-SP. Foram sujeitos desta pesquisa os 97 ACS que trabalhavam nas dezessete equipes de Saúde da Família do CGR. Os dados foram coletados por meio de um formulário tipo Likert, que permitia verificar a ocorrência da realização das ações de promoção da saúde. As ações de promoção da saúde mais realizadas foram as que visam ao desenvolvimento do autocuidado, prevenção de agravos e a identificação de problemas; e as ações menos desenvolvidas foram as de participação social e intersetorialidade, contudo, dentre os desafios para a operacionalização das ações de promoção da saúde mais emancipatórias pelos ACS, verificou-se a atribuição de ações diferentes das propostas pelo Ministério da Saú-de; número de famílias além do preconizado e pouca oferta de capacitação para os ACS. O ACS tem potencial e realiza ações importantes de promoção da saúde, contudo essa estratégia deve ser priorizada pelas políticas públicas sociais e de saúde, pois seu desenvolvimento pode impactar positivamente nos indicadores de saúde. Palavras-chave: AbstractBased on the analyzes that were systematically performed on the work of Community Health Agents (ACS), the Ministry of Health constructed a training program for these professionals in which the skills that should compose their profile were defined, health promotion was one of them. The objective of this research was to describe and quantitatively represent health promotion actions proposed by the Ministry of Health. This is a quantitative research concerning the Collegiate Regional Manager (CGR) Alto Capivari in the Presidente Prudente-SP region. The subjects of this study were 97 ACS working in the 17 teams of Family Health of the CGR. Data were collected through a Likert form that allows verifying the occurrence of health promotion actions. The more frequently performed health promotion actions were the ones aimed at the development of self-care, injury prevention, and problems identification, and the less frequently performed actions were the ones of social participation and intersectoral approach. However, among the operationalization challenges of health promotion actions which were more emancipatory by ACS, the attribution of actions different from those proposed by the Ministry of Health, a number of families beyond the recommended and little offer of training for ACS were verified. ACS have potential and perform important actions to promote health, yet this strategy should be prioritized by soc...

resumoA ampliação das ações de promoção da saúde na Estratégia Saúde da Família pode contribuir para a construção da integralidade, mas, ainda persistem lacunas de tecnologias para instrumentalizar os profissionais a analisarem os potenciais de saúde da população. O objetivo deste estudo é sintetizar as contribuições do WHOQOL-bref para instrumentalizar ações de promoção da saúde na Estratégia Saúde da Família. Foi realizada uma metassíntese qualitativa a partir de pesquisas realizadas pelo grupo Modelos tecnoassistenciais e a promoção da saúde com o uso do WHOQOL-bref e sua interface com a promoção da saúde. As sínteses das cinco pesquisas mostraram que existem relações conceituais entre os domínios do WHOQOL-bref e a promoção da saúde, legitimando este como um instrumento para a promoção da saúde. A utilização do WHOQOL-bref pode facilitar o vinculo e o cuidado longitudinal na Estratégia Saúde da Família. resumenLa ampliación de las acciones de promoción de salud en la Estrategia Salud de la Familia puede contribuir en la construcción de la integralidad, pero aún persisten lagunas de tecnologías para instrumentalizar que los profesionales analicen los potenciales de salud de la población. El objetivo de este estudio es sintetizar las contribuciones del WHOQOL-bref para instrumentalizar acciones de promoción sanitaria en la Estrategia Salud de la Familia. Se realizó una metasíntesis cualitativa a partir de investigaciones realizadas por el grupo Modelos tecno-asistenciales y la promoción de salud con el uso del WHOQOL-bref y su relación con la promoción de la salud. Las síntesis de las cinco investigaciones demostraron que existen relaciones conceptuales entre los dominios del WHOQOL-bref y la promoción de la salud, legitimándolo como instrumento para la promoción sanitaria. La utilización del WHOQOL-bref puede facilitar el vínculo y el cuidado longitudinal en la Estrategia Salud de la Familia.

To evaluate the incorporation of the technologies of the Windows Project by health professionals. Methods: This is an evaluation research with triangulation methods using the four levels of evaluation of Kirkpatrick. The subjects of study were physicians and nurses of the Basic Units of the Western Region Health Project. Results: Three Teams incorporated the technology, nine partially incorporated and six non-incorporated the technology. Three nurses and two physicians incorporated the technology, nine nurses and five physicians incorporated partially-five nurses and two physicians failed to incorporate the technology. Five categories of behavior change and four dimensions related to the incorporation of technology were identified. Conclusions: The incorporation of the Technologies of the Windows Project proved to be closely related to the process of continuing education. The professional work routine analysis provides clues about the technologies already in use by the teams and the needs of incorporating a new technology