Guide For The Implementation Of Integrative And Complementary Health Practices In Primary Care In A Municipality Of The Seridó Region, Rio Grande Do Norte: A Methodological Study.
Integrative and Complementary Practices; Continuing Education; Professional Training; Educational Technology; Primary Health Care.
Integrative and Complementary Health Practices (ICHPs) have been incorporated into the Unified Health System as a strategy to strengthen comprehensiveness and humanization of care in Primary Health Care (PHC). Despite their normative institutionalization, there is a gap between the political recognition of ICHPs and their effective implementation in different areas, especially within Family Health. The question arises of how to structure a technical tool capable of supporting the implementation of these practices in a contextualized and sustainable way. The aim was to develop a Guide for the Implementation of PICS in Primary Health Care in a municipality of Seridó, Rio Grande do Norte, linking a situational diagnosis with national guidelines. This is a methodological study conducted between December 2025 and February 2026, carried out in two stages: field research with professionals from the municipal network and the preparation of the technical product. Twenty-eight healthcare and management professionals participated, whose data were collected through an electronic questionnaire, analyzed using simple descriptive statistics, and subjected to Bardin's Content Analysis. Four thematic axes emerged: conceptions about PICS; the gap between knowledge and practice; structural determinants of implementation; and the cultural potential of the territory. The results showed consistent conceptual understanding and a high level of interest among professionals, recognizing the potential of PICS to improve listening, reduce excessive medicalization, and strengthen the longitudinal bond characteristic of the Family Health Strategy. However, obstacles were identified, such as the absence of specific municipal guidelines, insufficient formal training, structural limitations, and workload overload. Based on these findings and the guidelines from the Ministry of Health, a digital guide was developed with a dialogic language and progressive organization, adapted to the local reality. It is concluded that the consolidation of ICPS in PHC requires municipal governance, ongoing education, and institutionalization in strategic planning, with the applicable guide serving as a technical-operational tool to support Family Health teams in organizing comprehensive, culturally sensitive care aligned with the principles of the SUS.