Rede sobre as águas: a saúde no contexto ribeirinho amazônico

Abstract

The objective of this work is to analyze the project of the Basic Fluvial Health Unit (UBSF) from the author's elective internship experience. The work of a fluvial family health team (eSFF) was monitored along 20 riverside communities on the Tefé and Curumitá rivers, in Amazonas. To contemplate the objective of the study, the research strategy known as triangulation of methods was used, in which the elements then triangulated correspond to the narrative that characterizes and reports the experience of the elective internship; the theory, through two renowned works in the field of collective health, which are the attributes of primary care by Starfield (2002) and the taxonomy of health needs elaborated by Cecílio e Matsumoto (2006), added to the edition by Merhy (2007) ; the affections that the experience of the elective stage produced in the author. It was observed that the UBSF project as a primary care device was established considering much of what is thought about the attributes of primary care and the health needs of individuals and/or groups. It is also pointed out that problems in professional retention affect the establishment of a user-team bond and its monitoring over time. In addition, there is a difficulty for scientific medicine to dialogue with traditional and alternative care practices. Finally, it reinforces the need for studies on the organization of health services in different contexts, such as the riverside Amazon, and its visibility. And it is noteworthy that analyzing and/or evaluating innovative projects, such as the UBSF, requires also innovative analytical and evaluative instruments, under the risk that “whatever fluctuates may also be tied up”.