MECANISMOS DE EMPODERAMENTO: O QUE DIZEM OS AGENTES COMUNITÁRIOS DE SAÚDE (ACS) A RESPEITO DA SAÚDE SEXUAL NA ATENÇÃO BÁSICA

One of the biggest challenges of the present time is to move from thinking and acting in a fragmented way to thinking and acting in a systemic and interconnected way. It is common to think of sexuality as merely the sexual act, which is a reduction of something much broader. The purpose of this research was to study the opinion of the Community Health Agents (CHA) regarding the level of comprehension of the concepts on health, sexuality and problem solving experienced by four CHAs acting in territories assisted by the Family Health Strategy in the Municipality of Olinda. In the qualitative analysis of the answers, the following items were prioritized: the understanding of health with a direction to the aspects: physical, mental, spiritual, social and environmental. Then, the understanding of sexual health and the possibility of its transmission of health in relation to the five aspects mentioned above. After conducting four semi-structured interviews, the content analysis revealed that the health concern presented systemic characteristics addressing the physical, mental and social dimensions, there were no mentions regarding the spiritual and environmental aspects. In the concept of sexual health, there was a predominance of aspects related to sexually transmitted diseases, but there were also reports of mental and social aspects. The subject of sexual health transmission was mentioned by two of the interviewees. In the area of sexuality, the main problems mentioned were: early initiation into sexual life, resistance to prevention, taboo on sexuality, lack of sexuality in old age and sexual prejudice. Regarding the comprehensiveness of the solutions, it was found that the interviewees took an approach focused only on aspects related to management and socio-culturaleducational. Regarding the seminar, a summary of the results and the booklet were distributed. Participants reported that they did not usually deal with systemic health content, but only with pathologies. In addition, they reported not dealing with the spiritual aspect in primary care. In general, it was noted the need to deepen the aforementioned themes both in vocational training and in constant training of the health team at UBS.