The health Care Management of farmers who use pesticides in Northeast Brazil: use of pesticides and the Care Management.

In Brazil, the health of communities that use pesticides is still neglected due to the lack of greater social understanding of damage to health and an insufficient care network. The objective of the research was to investigate health management practices, from the perspective of the expanded health care network (RAS), focusing on riverside farmers who use pesticides in the municipalities of Petrolina (PE) and Juazeiro (BA) in the Northeast of Brazil. The study aimed to explore these practices from the perspective of the healthcare network (RAS). This is a qualitative research, with a methodological framework based on the Grounded Theory in a constructivist way (CGT). Twenty-six health professionals and RAS managers participated, at the municipal and regional levels in Petrolina (PE) and Juazeiro (BA). Two sample groups were composed for data collection, carried out through semi-structured interviews. The analysis resulted in six categories, which, when integrated, made up the theoretical model "Model of care management for riverside farmers". The RAS must have teams trained in the care of riverside farmers who use pesticides in primary care, and specialized teams in secondary and tertiary care, who are a reference. The theoretical model formulated considers that the RAS, strengthened in terms of diversity of actions and services, will provide better care management for farmers.

Relationships of perception of health risks by use of pesticides: a man-environment look.

The use of agricultural pesticides is increasingly linked to public health problems and negative impacts on the environment. Furthermore, Brazilian environmental agencies lack protective actions. Our objective in this study was to analyze the process that leads to the perception of the risks associated with the use of pesticides in the riverside agricultural communities of the San Francisco Valley in northeastern Brazil. We conducted a qualitative literature review, applying the Constructivist Grounded Theory to the analysis of published scientific articles. The elements of the perception process that we identified are (1) the environment; (2) conditioning factors; (3) perception of the human body; (4) memory; (5) socio-cognitive processing; (6) automatic response; (7) decision-making process; and (8) behavior. Each of these elements and their relationships indicate the location of the causes of inadequate perception, and thus guide potential solutions.