Quick participatory estimation: A necessary tool for planning in a family health strategy

Abstract

Introduction: Participatory Rapid Estimation (PRE) is a tool that allows us to know the real needs of the population, as well as to experience the health situation.  In addition, it makes it possible to identify and seek the necessary changes in the work processes of the territory to face problems. Objective: To obtain a situational diagnosis of the area covered by the family health strategy based on the ERP. Methodology: The information for the ERP was collected by filling out a questionnaire answered by users and health staff with questions about the community, health problems and the functioning of health services, including access and work process. Secondary sociodemographic data from the municipal database and the Ministry of Health's e-SUS medical record were also analyzed. The systematization of the data supported the elaboration of the situational strategic planning (PES). Results and Discussion: Several weaknesses were found, such as the geography of the area being predominated by hills, pointed out as a limiting factor to access to the ESF, the increase in the incidence of mental disorders in adolescents and the significant increase in users with NCDs and neoplasms in adults and the elderly, including the distribution of age groups in the territory signaling a reality not found nationally, as it presents an inverse pyramid showing that most of our users are elderly and adults. In addition to difficulties in the work process, there was also a lack of information on gender and sexual orientation issues for the lesbian, gay, bisexual, transsexual and transgender, queer, intersex, asexual and other (LGBTQIA+) population, which should be questioned during user registration. Knowing that the lack of data collection implies the estimation of this population in the face of public policies, it is necessary to overcome this flaw through permanent education with CHWs. The social vulnerabilities of the community are notorious (unemployment, food quality and access to medications outside the SUS). Final Considerations: Based on the ERP, we recognized the territory's coverage area, as well as identified organizational problems, user access and actions that can be enhanced in the ESF's area of activity.