Uma perspectiva de integralidade na atenção à saúde da mulher: necessidades e demandas das usuárias da estratégia saúde da família em uma comunidade rural

Abstract

Today's rural territory has dynamic and complex specificities, and its landscapes and populations change rapidly, in communication with the urban environment. Still, people living in rural areas experience everyday difficulties with geographical isolation and the scarce provision of public and private services in these places. In this context, women are vulnerable, not merely because of the biological processes characteristic of life-cycle stages, but because of the social and economic implications that restrict the possibilities for affirmation and autonomous construction of female identity. Having integrality in perspective, this research aimed to recognize needs and demands in health of women users of the Family Health Strategy, in the community of Padre Lúcio, state of Goiás, in Brazil. Two focus groups and five individual depth interviews were conducted, with women of different ages and circumstances. Focus groups and interviews were recorded on electronic media. Later, their products were transcribed and subjected to content analysis. The following demands were identified: prescription of benzodiazepines; surgical sterilization; and hormone replacement therapy. As needs, were highlighted: health education; family planning; mental health approaches; sociocultural activities; educational activities for development skills; educational activities for information on social rights; and implementation of pharmacy, collection of laboratory tests and community gym in the physical structure of the family health service. This research had as reference the theoretical-philosophical constructs that guide health care, related to the autonomy and dignity of the subjects in the elaboration of their life projects. Dialogic processes and mobilization of social networks were valued as tools of this care that is understood as emancipating. Further research is suggested through men's involvement in care processes, overcoming the cultural restriction of primary care as a women's space, and seeking to understand the implication of masculinities in illness and violence, from a gender relational perspective.