Banca de DEFESA: GILDAZIO JOSE DOS SANTOS MOURA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : GILDAZIO JOSE DOS SANTOS MOURA
DATE: 29/09/2026
TIME: 14:00
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: 86
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: The National Network for Comprehensive Health Care of Male and Female Workers (RENASTT) was conceived as a polyarchic network to articulate actions within SUS. However, its effectiveness depends on integration among points of care,  which is challenging in inland Northeastern contexts due to distance from Reference Centers in Worker's Health (CEREST). Objective: To analyze knowledge, practices, and perception regarding RENASTT articulation among higher-level professionals in the Health Care Network (RAS) of Afogados da Ingazeira-PE, identifying critical nodes in the territory. Method: A mixed-method, cross-sectional, descriptive-exploratory study. Participants were 44 higher-level professionals (dentists, physicians, nurses,
physiotherapists, psychologists, speech therapist, social worker) in PHC (30) and municipal 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 via descriptive statistics and chi-square test (with Fisher's exact test); qualitative data via Bardin's Thematic Content Analysis in NVivo; followed by descriptive triangulation. Results: Findings show that 43.2% of participants had no contact with the field during undergraduate studies and 56.8% never participated in continuing education. Only 36.4% report cases to SINAN; 34.1% have no defined procedure for work-related conditions; and 6.8% refer to CEREST. Lack of flow knowledge (47.7%), information system complexity (43.2%), and work overload (36.4%) were main obstacles. Chi-square test showed a significant association between participation in continuing education (EPS) and better practices (χ²(4) = 16,83; p < 0,05; V de Cramér = 0,43 – moderate effect). Qualitative analysis revealed five categories: "The invisibility of the sick worker"; "Distance as a structural barrier"; "Fragmentation and lack of counter-referral"; "Professional overload and illness"; and "Training gaps and continuing education". SINAN data (2025) showed that Emília Câmara Regional Hospital
(HREC) accounted for 95.9% of severe work accident notifications, while PHC notified only 4 cases. Discussion: Findings reveal that RENASTT operates in "organized chaos", with chronic underreporting and structural barriers. The 295 km distance from CEREST makes matrix support unfeasible, and notification concentration in HREC highlights PHC surveillance weakness. Access denial to units managed by OSS HTRI reveals tensions between private management and SUS principles, corroborating healthcare financialization. Training deficits and lack of EPS perpetuate illness invisibility. Final considerations: Local RENASTT exists on paper but not in practice. Overcoming this requires creating the municipal CIST, a permanent EPS program, articulation with the new CEREST of Serra Talhada, and ensuring researcher access to SUS units. The proposed flowchart offers support to reorganize care in the territory, reaffirming occupational health as an inalienable human right.

COMMITTEE MEMBERS:
Presidente - 1674532 - DIMITRI TAURINO GUEDES
Interno - 1297190 - ELEAZAR MARINHO DE FREITAS LUCENA
Externo à Instituição - PEDRO COSTA CAVALCANTI DE ALBUQUERQUE - Fiocruz - PE