Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

The goal of this study was to describe the process of validation of the logical model of implementation of the Ongoing Education in Health Policy in Primary Health Care in the municipality of Vitória, state of Espírito Santo, Brazil. It was an evaluability study in which quantitative and qualitative techniques were used. We used the Delphi method with 15 (municipal and state) specialists, between January and June 2019. The participants classified the structural components, and the activities and products needed for the implementation of the policy and its respective results and impacts. There was a consensus regarding the items that would reach more than 80% of agreement, which were confirmed by the analysis of the median and interquartile range. The results were organized according to the technical components. Financial and human resources were considered indispensable. Regarding the processes, the items considered relevant for the implementation of the policy were: collective development of the ongoing education in health actions and of a document to guide the actions of the municipality, as well as evaluation instruments. The items regarding the results and impact were considered relevant, except for those related to the organization and structuring of the policy at the state and regional levels. The validated logical model was established as a contribution to the management of the Ongoing Education in Health Policy in Vitória.

The study that led to this article featured the results of an integrative review of literature on the management of work in the Unified Health System, and its purpose was to analyze the different scientific contributions, experiences, and strategies the municipalities developed in the area. The PubMed and SciELO databases were used for data collection in 2014. After applying the inclusion and exclusion criteria, 22 articles were analyzed. Most were published in the 2010–2011 biennium and referred to major cities or states. Two thematic categories were constructed: Work management concepts and issues related to the worker's functional life, such as provisioning and guaranteeing labor rights. It was noted that there has been evolution in the human resources term for the conception of work management; an expansion process in public employment at the municipal level and in the various forms of selection adopted; in employment bond stability from the 2000s, and that there are difficulties in attracting and securing professionals, as well as in the non-consolidation of the career, position and salary plan as a strategic tool for managing the work. The complexity of the issue and the need for constant studies were evident due to the importance of these factors for the Unified Health System.

Ongoing education in health guides significant learning processes, and proposes the production of effective results in health actions. This study had the goal of outlining the profile of the practices of ongoing education in health in the municipalities of the state of Goiás, Brazil, under the perspective of the representatives of the field. The present cross-sectional research used a semi-structured questionnaire that was filled out online by the participants. Most of the respondents are local references regarding ongoing education in health (68.9%); they are nurses who also work as primary care coordinators (31.8%). There was a predominance of municipalities that identify the existence of ongoing education in their territories (66.2%). In general, the actions are promoted by the municipalities themselves (61.3%) or by the regional health department (37.9%), and ongoing education stands out, followed by the (re)organization of the work processes and education in health. Factors regarding attitude, interpersonal relationships and human resources were pointed out as the most frequent challenges. Based on this diagnosis, we understand that most of the problems identified could be subjected to intervention. This study provides inputs for the strategic planning of ongoing education in health, for the support to the agencies responsible for its promotion and management in the municipalities, and to strengthen the ongoing education actions in the health services.

SESTELO, José A. F. Planos de Saúde e Dominância Financeira. Salvador: EDUFBA, 2018. 397 pp.

FRIGOTTO, Gaudêncio (org.) Escola “sem” Partido – Esfinge que ameaça a educação e a sociedade brasileira. Rio de Janeiro: UERJ, LPP, 2017, 144 p.

The study presented in this article aimed to analyze social participation in a health promotion initiative carried out in the city of Campo Grande, Mato Grosso do Sul, Brasil. This survey was conducted in 2009 based on a qualitative approach involving document analysis, interviews (with managers and technicians), focus groups (regional directors), and content analysis with data triangulation. The views on social participation were not restricted to the experience, since the institutionalization of participation channels in the city and regional urban boards stood out, and they are seen as progress made in the democratic processes and as drivers of the greater involvement of the members of the board in urban planning decisions. However, barriers to democratic exercise were highlighted: The need for training in policy for advisers, the fragility of the population's presence in participatory instances, difficulty in coordinating with the legislative, a lack of knowledge and access to information, difficulties in acting as an adviser, and disbelief in the participatory process, which causes the evasion of leaderships. It was noticed that these collegiate spaces were strengthened and that the leaders in the neighborhoods came around common objectives, forming a growing spiral of participation driven by a network of community support.

This study aimed to evaluate the quality of life at work and the main correlated factors for people with disabilities. This was a cross-sectional study carried out in 2012 at a reference center for the rehabilitation of people with disabilities located in the city of João Pessoa, the state capital of Paraíba, Brazil. The sample consisted of 110 individuals who answered a sociodemographic questionnaire; a validated scale was used to assess the quality of life at work. Cronbach's Alfa test, the Kaiser-Meyer-Olkin test, and Bartlett's sphericity test were done for data analysis. The level of internal consistency of the scale was satisfactory (α = 0.85), attesting to the reliability of the instrument that was used. The correlation matrix between scale items showed the possibility for factor analysis (KMO = 0.60) and Bartlett (p<0.001). Insofar as views on the quality of life at work is concerned, 67.9% pointed to dissatisfaction; 21.4%, had an intermediate evaluation, and 10.7% claimed to be satisfied. The most correlated factors were salary (0.74), possibility for professional growth (0.73), opportunity to express opinions (0.71), hour load and amount of work (0.66). It was concluded that the quality of life at work of people with disabilities is not satisfactory, mainly due to issues such as salary, working hours, inadequate amounts of work, and hurdles in career advancement.