The difficult interface between vector control and primary care: insertion of dengue fever vector control agents into health teams at the primary health centers in São José do Rio Preto, São Paulo, Brazil

  • Marisa Bernardi Cesarino
  • Margareth Regina Dibo Faculdade de Medicina de São José do Rio Preto
  • Aurea Maria Zöllner Ianni Universidade de São Paulo; Faculdade de Saúde Pública
  • Maria Elenice Vicentini Secretária de Estado da Saúde de São Paulo; Vigilância Sanitária da GVS XXIX
  • Amena Alcântara Ferraz Secretaria Municipal da Saúde de São José do Rio Preto
  • Francisco Chiaravalloti Neto Universidade de São Paulo; Faculdade de Saúde Pública

Abstract

This study analyzes the insertion process of vector control agents into the primary health centers (PHCs) in São José do Rio Preto, São Paulo, Brazil, designated health workers (HWs), in order to improve the effectiveness of the dengue fever control program. This is a case study, based on direct observation and recording of participants’ speeches in forums held by the municipal Secretary of Health with these professionals. These records underwent content analysis, and five categories were identified: social insertion; comprehensiveness of care; intersectoriality; appreciation of HW; and continuing education. The professionals expressed the need for permanent discussion forums; the difficulties to take intersectoral actions; and the feeling of professional appreciation for participating in teams from PHCs and collaborating to community participation. The study allowed us to understand how the insertion of HWs took place in municipal primary care and the complexity of dengue fever control, at this level of care, which involves socio-environmental issues and intersectoral action. The study revealed the various possibilities of action for HWs and the relevance of their insertion into primary care.

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Published
2014-09-01
How to Cite
Cesarino, M., Dibo, M., Ianni, A., Vicentini, M., Ferraz, A., & Chiaravalloti Neto, F. (2014). The difficult interface between vector control and primary care: insertion of dengue fever vector control agents into health teams at the primary health centers in São José do Rio Preto, São Paulo, Brazil . Saúde E Sociedade, 23(3), 1018-1032. https://doi.org/10.1590/S0104-12902014000300023
Section
Articles