Concepções, estratégias e usos do planejamento na gerência em Unidades de Saúde da Família / Conceptions, strategies and uses of planning management in family health units

Objetivo: discutir as concepções, estratégias e usos do planejamento pelos profissionais de saúde na gerência de Unidade de Saúde da Família (USF). Método: estudo descritivo, exploratório, de abordagem qualitativa, que utilizou a técnica de análise de conteúdo temática. Foram entrevistados nove profissionais de saúde que atuavam como gerentes de USF. Resultados: o planejamento ora é identificado como instrumento do processo de gerência das organizações, ora é desconsiderado como ferramenta do processo gerencial. Há influência dos enfoques teóricos metodológicos do Planejamento em Saúde, o Planejamento Normativo (Tradicional) e Planejamento Estratégico Situacional (PES). Destacou-se a participação de atores sociais no planejamento e influência do tempo no desenvolvimento das ações. Conclusão: articular a gerência e planejamento das ações representa um desafio e reforça a necessidade da institucionalização do planejamento das ações para a efetividade da prática gerencial.

Objective: to discuss how conceptions, strategies and uses of planning by health professionals in the Family Health Unit (FHU). Method: descriptive, exploratory study, qualitative approach, which uses a thematic content analysis technique. Nine health professionals who served as USF managers were interviewed. Results: planning is either identified as an instrument of the associations' internal process, or it is disregarded as a tool in the management process. There is an influence of the theoretical methodological approaches of Health Planning, Normative Planning (Traditional) and Situational Strategic Planning (PES). The participation of social actors in the planning and the impact of time on the development of actions were highlighted. Conclusion: articulating the planning and planning of actions poses a challenge and reinforces the need to institutionalize the planning of actions for the effectiveness of managerial practice.

[Assistance for the adolescent victim of violence: participation of local health managers]. / Atenção ao adolescente vítima de violência: participação de gestores municipais de saúde.

This qualitative study aimed at analyzing the participation of the local health managers in the assistance provided to the adolescent victim of violence in the city of Itabuna, Bahia, Brazil. Specific objectives of this study were: to identify how the local health managers perceive violence and its repercussions in adolescence; to identify the public healthcare policies directed to the adolescent implanted by the health system of Itabuna-BA, focusing on violence and on the actions developed by the local health managers toward an effective implantation of these policies. The data collected from interviews and documents were analyzed using the technique of content analysis. Analytical categories: Violence as any form of physical, moral, psychical or social aggression, omission and disrespect to the human rights; Violence has psychological repercussions in adolescence, causes pain and suffering, compromises the life and the future and generates violence; Assistance for the adolescent victim of violence: limitations and advances of a policy in construction. The results show that the managers have put forth efforts for the effective implementation of the Adolescent Health Program, with the intention to include violence as a focal issue of their actions.