Tool and ideological knowledge in Street Outreach Office working process

Abstract

Objective:To identify ideological knowledge and tool knowledge that provide support to the Street Outreach Office working process. Method: Qualitative and exploratory research. Twenty Street Outreach Office professionals and six users collected the data, applying different semi-structured interview schedules for each category of participants. The resulting categories were analyzed in light of tool and ideological knowledge presented in the working process. Results: From the participant discourses the following ideological knowledge emerged: public policies and the needs of the person in a street situation and tool knowledge, as well as devices and tools for the care of people in street situations and a weekly schedule. Conclusion: The focus on the working process discourse, supported by ideological knowledge, was verified. The structural dimension of the objective reality of the population in street situations was perceptible in the social determination of being situating on the street. When daily situations were revealed, the limitations to be overcome in the working process context were noticed. DESCRIPTORS

People living on the street from the health point of view

“…Studies on the offices on the street (OonS) related to the work process performed by the professionals of the street team. One of the analyzed articles emphasized that the professionals must share the responsibilities and define the strategies for the care of the people attended by the OonS and that the team work is fundamental for the practice in health with the population in situation of street, given the peculiarities and complexities present in this specific group (26) .…”

“…Despite the advances achieved in the health care of the population living on the street, mainly from the institution of the OonS by the National Policy of Basic Attention, there are some impasses in the care directed to this population, such as the resistance of some health professionals in providing care due to stigmas, prejudices, discriminations and hygienist attitudes (23)(24)26) .…”

Tuberculosis control from the perspective of health professionals working in street clinics

“…Teamwork is fundamental in health care because of the singularities and complexities of street dwellers, evidencing that the articulation between different areas of knowledge, care practices, and subjects results in the development of interventions appropriate to the needs of this group ( 19 . The care model used in street clinics increased the access to health care and allowed adequate and personalized care to socially marginalized people, who recognized this modality as a reference health service 20 .…”

O cuidado com a população em situação de rua: o consultório na rua nas redes de atenção à saúde e Intersetorial: revisão integrativa da literatura

“…As barreiras burocráticas aparecem como dificultadores do acesso aos serviços por meio da exigência de documentação para cadastramento nas unidades, as quais, frequentemente, a PSR não possui 16,17,18,19,20 . Essa problemática também é mencionada em um dos estudos quanto à necessidade de dispensação de medicamentos antirretrovirais, pois estes só podem ser obtidos mediante a cadastro com apresentação de documento original com foto 20 . Houve também menção de entraves de gestão na garantia de espaço físico para as eCnR dentro das UBS.…”

“…Também foi evidenciada a necessidade de desenvolver a habilidade de escuta de forma a relacionar necessidades às possibilidades de cuidado presentes nas ofertas da rede de saúde e intersetorial 1 . Por último apareceu o entendimento do princípio da equidade no atendimento de populações vulneráveis, como é o caso da PSR, gerando dúvidas entre profissionais quanto a este ser ou não conflitivo em relação ao princípio da igualdade 20 .…”