http://hdl.handle.net/11422/25233 2026-07-30T20:39:40Z 2026-07-30T20:39:40Z http://hdl.handle.net/11422/29871 2026-07-30T18:08:38Z 2025-01-01T00:00:00Z

Title: Experiências de abordagem comunitária na atenção primária à saúde no Estado do Rio de Janeiro: uma análise à luz da educação popular em saúde e do cuidado emancipatório Author(s)/Inventor(s): Zanardo, Luiza Wolf Advisor: Borret, Rita Helena do Espírito Santo Abstract: This study examined community-based interventions implemented within Primary Health Care (PHC) in the state of Rio de Janeiro between 2015 and 2025, analyzing them through the frameworks of Popular Health Education (PHE) and emancipatory care. A scoping review was conducted using the BVS and BDTD-UERJ databases, identifying 17 publications describing territorial initiatives predominantly structured as group activities, educational sessions, waiting-room interventions, campaigns, and workshops. Findings indicate that, despite the presence of some participatory strategies, a predominantly deposit-based and behaviorist political-pedagogical model prevails, characterized by vertical information delivery, limited community engagement in agenda-setting, and strong alignment with managerial imperatives and performance indicators. These patterns suggest that community-oriented actions are frequently shaped by technicist and biologicist professional training, constraining their potential to foster critical participation, collective agency, and context-sensitive health practices. Such limitations are further reinforced by the institutional capture of PHC by productivity-driven management models and by the erosion of territorial work due to increasing assistential demands. Strengthening community-based approaches therefore requires redefining their practical purpose, expanding community participation, investing in critical-reflective professional development, ensuring protected time for territorial engagement, and recognizing care as an inherently political practice. By advancing these dimensions, PHC can reaffirm its role in promoting autonomy, citizenship, and social transformation, in alignment with the ethical and political principles underpinning Brazil’s Unified Health System (SUS). Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização

2025-01-01T00:00:00Z http://hdl.handle.net/11422/27776 2026-05-16T03:08:55Z 2024-01-01T00:00:00Z

Title: Saúde mental nos três níveis de atenção: relato de experiência Author(s)/Inventor(s): Coelho, Raquel Fernandes Advisor: Romano, Valéria Ferreira Abstract: The text describes the author's experience during an internship at a territorialized mental health service in Rio de Janeiro, within the Family Medicine residency program. Mental health is approached as a complex and plural field, where the work involves integrating the three levels of care and coordinating actions in the community. The importance of territorialized psychosocial care is highlighted, which not only involves health services but also integrates with other public policies and social actions. The work of the multidisciplinary team and the dynamic of matriculation with family health clinics are central to the approach described. The text also emphasizes the National Humanization Policy (PNH), which aims to promote autonomy and shared responsibility in SUS services. The experience is presented with a focus on specific patient cases and the challenges encountered in the work process, such as intra- and intersectoral communication, patient resistance, and the complexity of mental health care. The methodology used is qualitative, based on experience reports and practical observations in the service. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização

2024-01-01T00:00:00Z http://hdl.handle.net/11422/27775 2026-05-16T03:08:55Z 2024-01-01T00:00:00Z

Title: Escrevivências no atendimento de crianças negras: relato de uma médica de família em formação na comunidade do Jacarezinho Author(s)/Inventor(s): Belford, Pollyanna Silva Advisor: Monteiro Filho, Carlos Alberto Menezes Abstract: This study addresses structural racism and its implications for the care and health of Black children in primary health care, particularly in the Jacarezinho community, through the experience report. Focusing on the author's experience, it is structured using the methodology of escrevivência proposed by Conceição Evaristo, which blends personal and collective experiences, making visible the narratives and challenges faced by these children and their families. The study seeks to discuss the approach to cases of racism identified by the author as a hidden demand in the care of Black children in primary health care in a favela in the municipality of Rio de Janeiro. The discussion includes escrevivências from consultations over two years of medical residency, which personally impacted a family doctor in training and highlighted how racism affects the mental and emotional health of children. It emphasizes the importance of integrating anti-racist practices in health care, challenging the traditional approach that overlooks the intersection of race and health in the care of Black children. It is concluded that the experience of medical residency from the perspective of a Black woman in a clinical space with other Black doctors, who reinforce antiracist healthcare, influences the healthcare of children by making race a fundamental part of this care. There is a noticeable need for family and community medicine, especially in child healthcare, to more assertively incorporate racial issues as a key aspect of this care Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização

2024-01-01T00:00:00Z http://hdl.handle.net/11422/27774 2026-05-16T03:08:55Z 2024-01-01T00:00:00Z

Title: Quem cuida de quem cuida? O esgotamento profissional na atenção primária à saúde Author(s)/Inventor(s): Garcia, Luísa da Costa Advisor: Romano, Valéria Ferreira Abstract: Unavailable. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização

2024-01-01T00:00:00Z