Pré-natal do homem: prática das equipes de saúde da família para o cuidado da população masculina na atenção básica

Abstract

The Partner's Prenatal Care is a strategy of the National Policy for Men's Health Care, to expand and promote the health of the male population, given that most adult men do not regularly seek Primary Health Care (PHC) services, even considering it to be important. In this sense, the objective of this work is to evaluate how the Family Health teams conduct this artifice as a care strategy for the male population in Recife/PE. This is an evaluative, cross-sectional, quantitative and qualitative study, involving nurses, doctors, dentists, nursing technicians and community health agents. A semi-structured questionnaire was applied to the professionals who agreed to participate in the study, followed by six focus groups with the six Family Health teams with the highest number of respondents in the first stage, to deepen the development of the strategy. Quantitative data were analyzed using measures of central tendency and qualitative data using thematic content analysis. The evaluation matrix developed in the study allowed identifying the main strengths and difficulties found in the structure, work process and results of the proposed care. It was observed that although accepted as an excellent strategy, Men's Prenatal care encounters resistance that ranges from structural to cultural issues, making it difficult to propose expanding access to actions and services to promote men's health, maintaining the biomedical model. Care refers to the unfolding of the assistance already provided to pregnant women, but encounters limiting mishaps for its sustainability. Workers refer to reasons for men's nonadherence to PHC services being their (non) relationship with care, the performance of restricted and punctual actions by workers and the discontinuity of care provided by services, reasons intrinsically related to the stereotype of the male being. They also point out ways to promote men's health with greater integration of Health Policies, health education and support from municipal management. It is believed that there will be greater male adherence to PHC services when there is a dissolution of political, economic and cultural barriers.