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Publication
Capacitar a população requerente de asilo para o acesso aos serviços de saúde :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 10.21 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
De acordo com algumas investigações, a associação entre imigração e
vulnerabilidade em saúde parece estar relacionada com um reduzido acesso e
utilização dos serviços de saúde (Dias & Gonçalves, 2007). Em Portugal, existem
poucos estudos sobre os requerentes de asilo e saúde ao contrário do que se passa
no terreno da imigração (Santinho, 2016). Por outro lado, os profissionais dos
serviços de saúde apresentam, frequentemente, um limitado conhecimento do
quadro legal do acesso aos cuidados de saúde (Dias & Gonçalves, 2007). Isto pode
levar ao recurso à automedicação, medicina alternativa/tradicional, à procura de
cuidados de saúde em farmácias (Dias et. al., 2018; Dias e Gonçalves, 2007 citando
CCHS, 1997 & WHO, 2013) e ao recurso a serviços de saúde em caso de
emergência ou numa fase avançada da doença o que resulta em níveis de saúde
mais baixos e a um elevado custo do tratamento (Gonçalves et al., 2003; WHO,
2018). Assim, o objetivo desta intervenção de enfermagem comunitária consistiu em
contribuir para o aumento do conhecimento da população requerente de asilo,
inserida numa determinada comunidade, acerca do acesso ao Serviço Nacional de
Saúde (SNS), através da capacitação dos técnicos envolvidos, identificando áreas
prioritárias, no sentido de contribuir para o aumento da literacia em saúde desta
população.
Neste projeto foi utilizada a metodologia do planeamento em saúde; o diagnóstico de
situação foi efetuado através da realização de uma entrevista semi-estruturada a
uma amostra da população requerente de asilo, constituída por 15 participantes. A
intervenção desenvolvida consistiu na criação de um ToolKit de Intervenção
composto por um Handbook, um Panfleto e um Suporte Formativo Digital,
disponíveis nas três línguas: português, inglês e francês que pudessem ser
utilizados como recursos para os técnicos do CAR/profissionais de saúde aquando
novas integrações de requerentes de asilo. A avaliação da intervenção de
enfermagem comunitária desenvolvida, através da análise das atividades elaboradas
e satisfação com as mesmas, demonstra que os objetivos foram alcançados e a
intervenção foi eficaz, atingindo o seu objetivo geral: o de contribuir para a
capacitação para o acesso aos serviços de saúde desta população.
According to some studies, the association between immigration and health vulnerability seems to be related to reduced access and use of health services (Dias & Gonçalves, 2007). In Portugal, there are few studies on asylum and health seekers, unlike in the field of immigration (Santinho, 2016). On the other hand, health service professionals often have limited knowledge of the legal framework of access to health care (Dias & Gonçalves, 2007). This can lead to the use of self-medication, alternative/traditional medicine, looking for health care in pharmacies (Dias et. al., 2018; Dias e Gonçalves, 2007 citing CCHS, 1997 & WHO, 2013) and the use of health services in the event of an emergency or in an advanced phase of the disease, resulting in lower levels of health and a high cost of treatment (Gonçalves et al., 2003; WHO, 2018). Thus, the objective of this community nursing intervention was to contribute to increasing the knowledge of the asylum-seeker population, inserted in a given community, about access to the National Health Service (SNS)through the training of the technicians involved, identifying priority areas in order to contribute to the increase of health literacy in this population. In this project, the methodology of health planning was used; the diagnosis of the situation was made by conducting a semi-structured interview with a sample of the asylum-seeker population, consisting of 15 participants. The intervention consisted in the creation of an Intervention Toolkit composed of a Handbook, a Pamphlet and a Digital Training Support, available in three languages: Portuguese, English and French that could be used as resources for CAR technicians/health professionals when new integrations of asylum seekers. The evaluation of the community nursing intervention developed, through the analysis of the activities elaborated and satisfaction with them, demonstrates that the objectives were achieved and the intervention was effective, achieving its general objective: to contribute to capacity building for access to health services of this population.
According to some studies, the association between immigration and health vulnerability seems to be related to reduced access and use of health services (Dias & Gonçalves, 2007). In Portugal, there are few studies on asylum and health seekers, unlike in the field of immigration (Santinho, 2016). On the other hand, health service professionals often have limited knowledge of the legal framework of access to health care (Dias & Gonçalves, 2007). This can lead to the use of self-medication, alternative/traditional medicine, looking for health care in pharmacies (Dias et. al., 2018; Dias e Gonçalves, 2007 citing CCHS, 1997 & WHO, 2013) and the use of health services in the event of an emergency or in an advanced phase of the disease, resulting in lower levels of health and a high cost of treatment (Gonçalves et al., 2003; WHO, 2018). Thus, the objective of this community nursing intervention was to contribute to increasing the knowledge of the asylum-seeker population, inserted in a given community, about access to the National Health Service (SNS)through the training of the technicians involved, identifying priority areas in order to contribute to the increase of health literacy in this population. In this project, the methodology of health planning was used; the diagnosis of the situation was made by conducting a semi-structured interview with a sample of the asylum-seeker population, consisting of 15 participants. The intervention consisted in the creation of an Intervention Toolkit composed of a Handbook, a Pamphlet and a Digital Training Support, available in three languages: Portuguese, English and French that could be used as resources for CAR technicians/health professionals when new integrations of asylum seekers. The evaluation of the community nursing intervention developed, through the analysis of the activities elaborated and satisfaction with them, demonstrates that the objectives were achieved and the intervention was effective, achieving its general objective: to contribute to capacity building for access to health services of this population.
Description
Keywords
Enfermagem em saúde comunitária Literacia em saúde Refugiados Serviços de saúde Promoção da saúde