Abstract

ROCHA, Kátia Bones et al. Community health agent practice at HIV/sida politics. Psicol. Conoc. Soc. [online]. 2020, vol.10, n.3, pp.19-33.  Epub Dec 01, 2020. ISSN 1688-7026.  https://doi.org/10.26864/pcs.v10.n3.2.

The Community health agent practice at HIV/sida is still an emerging thematic at Primary Care and its team. This study aims to analyse the crossings between Community health agent practice dealing with HIV/sida from the social actors interlocution. It needs to be considered as a political dispute. The study used an exploratory qualitative method. The data collection was made in 2015, covering 15 Basic Health Units in Porto Alegre, Brazil. A cut-off of 14 healthcare professionals and HIV/sida management of different qualifications was used. The Thematic content analysis was used and the results were grouped into: a) Community health agent practice and power; b) Community health agent entry on the team; c) HIV and territory. The Community health agent practice is shown as a powerful key to provide promotion and prevention in healthcare daily routine: the professionals are engaged with the community culture and responsible to bring its demands to the healthcare team, being a connecting element between the community and the team. However, they are not usual recognised as a part of the the practice and healthcare teams. Besides, as regards HIV/sida stigma, it was perceived that the agents occupy a paradoxal position by living on the same community as the users. It can complexifies the teamwork relations and informations secrecy. Thus, there are gaps and lack of investments in qualification of their work. These failures reflects in the relationship with the teamwork and the users - it can hinder expected work processes.

Keywords : Unified health system; primary care; community health workers; hiv/sida..

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