Pathways for Promoting Equity Between Community Health Workers and Endemic Disease Control Agents
Community Health Workers. Health Promotion. Health Equity. Health Education. Health Personnel
Inequities in health work represent a significant challenge in the Brazilian context, affecting the daily lives of professionals, including those on the front lines. In contrast to this scenario, the present study analyzes how structural inequities shape the daily routine of Community Health Workers (ACS) and Endemic Disease Control Agents (ACE), seeking to understand the production of equity in the workplace based on the experiences of these professionals. The general objective of this study is to understand how equity is produced within the context of health work. To this end, the following specific objectives were defined: to map the forms of inequity reported by participants; to examine the coping strategies used, as well as their perceptions of effectiveness and structural limitations; and to assess how continuing education contributes to the production of equity in the health work carried out by ACS and ACE. The methodology adopted in this study was based on a qualitative, exploratory, and participatory approach. Data were collected through a workshop and a focus group. Data analysis followed the Content Analysis technique proposed by Bardin. Sixteen workers participated in the workshop, while the focus group included 11 professionals, among ACS and ACE in both meetings. The results will be presented and analyzed in two articles. The first article identifies recurrent inequities related to race, gender, sexual orientation, social class, and religion, with emotional, professional, and social impacts, in addition to reports of resilience and collective support. The second article shows that formative processes broadened critical awareness, strengthened communication, encouraged intervention in the face of injustices, facilitated the identification of inequities in daily practice, and reinforced the sense of professional belonging. Taken together, the results demonstrate that structural inequities remain central challenges for these workers, while Continuing Education in Health emerges as a tool capable of promoting reflection, transforming practices, strengthening identities, and enhancing the collective capacity to produce equity in health work.