Supervisores recebem treinamento para o 3º ciclo do PMAQ
Entre os dias 12 e 16 de junho, o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ) realizou na cidade de Manaus (AM), o treinamento de supervisores que irão atuar no 3º ciclo de atividades do programa. O encontro realizado na Escola de Enfermagem da Universidade Federal do Amazonas (Ufam), reuniu pesquisadores e pós-graduandos do Instituto Leônidas e Maria Deane (ILMD/Fiocruz Amazônia), professores da Universidade e profissionais da Rede de Atenção à Saúde (RAS), que atuam como supervisores do PMAQ.
O treinamento faz parte das atividades prévias à entrada em campo do terceiro ciclo. Até o momento, o programa já realizou o mapeamento das localidades, construção do cronograma de viagens que serão realizadas aos municípios, e reuniões com os gestores para discutir como será feito o processo deste novo ciclo.
Entre os conteúdos ministrados no treinamento, foram selecionados: apresentação sobre os objetivos do programa e as características de cada ciclo; apresentação de um sistema que a Fundação para o Desenvolvimento Científico e Tecnológico em Saúde (Fiotec) criou para o gerenciamento das despesas; e um mapeamento do conteúdo existente no Portal da Saúde relativo ao programa (relatórios, situações dos municípios, avaliações feitas nos ciclos anteriores, manuais de orientação e manual do PMAQ).
Durante o treinamento, foram apresentadas também algumas produções de análises sobre as avaliações. “São pesquisas acadêmicas feitas a partir de dados do PMAQ e outras feitas no próprio serviço. A gente se preocupou em qualificar os supervisores para o entendimento global desse processo, não só para coletar dados, mas também para entender os fundamentos da pesquisa, os princípios, objetivos e os conceitos que estão embutidos em cada pergunta”, destacou uma das coordenadoras do programa no Amazonas, a pesquisadora Luiza Garnelo.
AVALIAÇÂO EXTERNA
A avaliação externa corresponde à terceira fase do PMAQ, em que se realiza um conjunto de ações para averiguar as condições de acesso e de qualidade da totalidade de municípios e equipes participantes do programa. É nessa fase que participam as instituições de ensino e pesquisa, coletando os dados para a certificação das equipes. No Amazonas, o programa é coordenado pelos pesquisadores Luiza Garnelo, do ILMD/ Fiocruz Amazônia, e Esron Rocha, da UFAM.
Segundo Juliana Gagno, mestre em Saúde Pública pela Escola Nacional de Saúde Pública (ENSP/Fiocruz), que apoia o grupo de coordenação geral do PMAQ, “o próximo passo é a seleção e treinamento de entrevistadores. Nesse momento estaremos trabalhando os instrumentos que serão aplicados em um tablet, iremos falar também sobre a responsabilidade desses profissionais que aplicam as entrevistas, desde padrões éticos até a qualidade dessa coleta de dados”.
SOBRE O PMAQ
O PMAQ tem como objetivo incentivar os gestores e as equipes a melhorar a qualidade dos serviços de saúde oferecidos aos cidadãos do território. Para isso, propõe um conjunto de estratégias de qualificação, acompanhamento e avaliação do trabalho das equipes de saúde.
O programa eleva o repasse de recursos do incentivo federal para os municípios participantes que atingirem melhora no padrão de qualidade no atendimento. O programa foi lançado em 2011, e conta com a participação de todas as equipes de saúde da Atenção Básica (Saúde da Família e Parametrizada), incluindo as equipes de Saúde Bucal, Núcleos de Apoio à Saúde da Família e Centros de Especialidades Odontológicas que se encontrem em conformidade com a Política Nacional de Atenção Básica (PNAB).
A ação é uma iniciativa do Governo Federal, que prevê a realização de um censo da infraestrutura das Unidades Básicas de Saúde (UBS) e a avaliação das condições de acesso e de qualidade das Equipes de Saúde da Família (ESF) participantes do programa.
As equipes de avaliação são formadas por um supervisor e três entrevistadores, que percorrerão as UBS aplicando questionários avaliativos a gestores, trabalhadores e usuários atendidos pelas equipes de saúde da família.
ILMD/Fiocruz Amazônia
Texto e fotos por Eduardo Gomes
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