Banca de QUALIFICAÇÃO: GILDAZIO JOSE DOS SANTOS MOURA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : GILDAZIO JOSE DOS SANTOS MOURA
DATE: 05/06/2026
TIME: 09:00
LOCAL: Remoto
TITLE:

RENAST AS A NETWORK: AN ANALYSIS OF THE ARTICULATION, KNOWLEDGE, AND PRACTICES AMONG HEALTHCARE FACILITIES IN THE NORTHEASTERN INTERIOR OF BRAZIL

KEY WORDS:

Unified Health System; Health Care; Health Evaluation; Occupational Health Services; Health Policies; Continuing Education.

PAGES: 53
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Intriduction: The National Network for Comprehensive Worker's Health Care (RENAST) was conceived as a polyarchic network to articulate worker's health actions within the Brazilian Unified Health System (SUS). However, its effectiveness depends on the integration among all points of care, which is particularly challenging in inland Northeastern contexts with great geographical distance from Reference Centers in Worker's Health (CEREST). Objective: To analyze the knowledge, practices, and perception regarding the articulation among different points of RENAST among higher-level professionals from Primary Health Care (PHC) and municipal specialized services in Afogados da Ingazeira-PE. Method: A mixed-method (quantitative-qualitative), cross-sectional, descriptive-exploratory study. Participants were 44 higher-level professionals (dentists, physicians, nurses, and others) from PHC and specialized services (CER III, CEO, CAPS, Women's Health Center). An electronic self-administered questionnaire and semi-structured interviews were used. Quantitative data were analyzed using descriptive statistics; qualitative data were subjected to Bardin's Thematic Content Analysis; and data triangulation was performed. Results: 43.2% of participants had no contact with Worker's Health during undergraduate studies, and 56.8% had never participated in continuing education in the field. Only 36.4% report cases to SINAN; 34.1% have no defined procedure when facing a work-related condition; and 6.8% refer to CEREST. Lack of knowledge about the reporting flow (47.7%), complexity of information systems (43.2%), and work overload (36.4%) were the main obstacles. Qualitative analysis revealed four categories: "The invisibility of the sick worker"; "CEREST is far away" (mentioned by 15/44 – 34.1%); "Every man for himself" (fragmentation and lack of counter-referral); and "We learn on the job" (training gaps and need for continuing education). Complementary SINAN data (2025) showed that the Emília Câmara Regional Hospital (HREC) was responsible for 95.9% of severe work accident notifications in the municipality, while PHC notified only 4 cases. Final considerations: RENAST in Afogados da Ingazeira operates in a fragmented manner, with underreporting, absence of protocols, and structural barriers, especially the 295 km distance from CEREST. The exclusion of HREC and UPAE from the research due to institutional denial by OSS HTRI reveals tensions between the Social Organization management model and SUS principles. It is recommended to create a municipal Intersectoral Worker's Health Committee (CIST), implement continuous continuing education, and guarantee researchers' access to all SUS units. The proposed flowchart as a knowledge translation product provides support for reorganizing worker's health care in the territory.

COMMITTEE MEMBERS:
Presidente - 1674532 - DIMITRI TAURINO GUEDES
Interno - 1297190 - ELEAZAR MARINHO DE FREITAS LUCENA
Externa à Instituição - MARIANA OLIVIA SANTANA DOS SANTOS - Fiocruz - PE
Externo à Instituição - ROBSON DA FONSECA NEVES - UFPB