National Primary Care Policy (2017) and the roles of community health workers

ABSTRACT Objective: To analyze the new roles of community health workers as outlined in the 2017 National Primary Care Policy (PNAB) from the perspectives of both nurses and community health workers. Methods: This qualitative study involved nurses and community health workers from Family Health te...

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Main Authors: Juliana Roza Dias, Sonia Acioli, Vanessa de Almeida Ferreira Corrêa, Inês Leoneza de Souza, Ricardo de Mattos Russo Rafael, Paulo Henrique de Almeida Rodrigues, Glaucia Bohusch
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2025-01-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672025000100152&lng=en&tlng=en
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author Juliana Roza Dias
Sonia Acioli
Vanessa de Almeida Ferreira Corrêa
Inês Leoneza de Souza
Ricardo de Mattos Russo Rafael
Paulo Henrique de Almeida Rodrigues
Glaucia Bohusch
author_facet Juliana Roza Dias
Sonia Acioli
Vanessa de Almeida Ferreira Corrêa
Inês Leoneza de Souza
Ricardo de Mattos Russo Rafael
Paulo Henrique de Almeida Rodrigues
Glaucia Bohusch
author_sort Juliana Roza Dias
collection DOAJ
description ABSTRACT Objective: To analyze the new roles of community health workers as outlined in the 2017 National Primary Care Policy (PNAB) from the perspectives of both nurses and community health workers. Methods: This qualitative study involved nurses and community health workers from Family Health teams, conducted through semi-structured interviews via videoconference between August 2021 and April 2022. The data were analyzed using thematic content analysis. Results: We identified professionals who argued that the new roles for community health workers aim to increase their autonomy and professional recognition. Others highlighted concerns about the loss of originality in their work and the potential for the illegal practice of nursing or nursing technician duties. Final Considerations: The 2017 PNAB emphasizes task execution for these workers, contributing to the mechanization of activities, reinforcing the biomedical model, and undermining the role of community health workers in promoting health within Primary Care.
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issn 1984-0446
language English
publishDate 2025-01-01
publisher Associação Brasileira de Enfermagem
record_format Article
series Revista Brasileira de Enfermagem
spelling doaj-art-a06b5d176d0c46c49836b5c27e576d6f2025-01-14T07:35:12ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462025-01-0178110.1590/0034-7167-2024-0230National Primary Care Policy (2017) and the roles of community health workersJuliana Roza Diashttps://orcid.org/0000-0002-6615-3603Sonia Aciolihttps://orcid.org/0000-0002-0772-8235Vanessa de Almeida Ferreira Corrêahttps://orcid.org/0000-0001-7121-4493Inês Leoneza de Souzahttps://orcid.org/0000-0001-8280-3306Ricardo de Mattos Russo Rafaelhttps://orcid.org/0000-0003-1315-4271Paulo Henrique de Almeida Rodrigueshttps://orcid.org/0000-0002-3159-6711Glaucia Bohuschhttps://orcid.org/0000-0002-3529-7399ABSTRACT Objective: To analyze the new roles of community health workers as outlined in the 2017 National Primary Care Policy (PNAB) from the perspectives of both nurses and community health workers. Methods: This qualitative study involved nurses and community health workers from Family Health teams, conducted through semi-structured interviews via videoconference between August 2021 and April 2022. The data were analyzed using thematic content analysis. Results: We identified professionals who argued that the new roles for community health workers aim to increase their autonomy and professional recognition. Others highlighted concerns about the loss of originality in their work and the potential for the illegal practice of nursing or nursing technician duties. Final Considerations: The 2017 PNAB emphasizes task execution for these workers, contributing to the mechanization of activities, reinforcing the biomedical model, and undermining the role of community health workers in promoting health within Primary Care.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672025000100152&lng=en&tlng=enPrimary Health CareFamily HealthPublic PolicyHealth PolicyCommunity Health Workers
spellingShingle Juliana Roza Dias
Sonia Acioli
Vanessa de Almeida Ferreira Corrêa
Inês Leoneza de Souza
Ricardo de Mattos Russo Rafael
Paulo Henrique de Almeida Rodrigues
Glaucia Bohusch
National Primary Care Policy (2017) and the roles of community health workers
Revista Brasileira de Enfermagem
Primary Health Care
Family Health
Public Policy
Health Policy
Community Health Workers
title National Primary Care Policy (2017) and the roles of community health workers
title_full National Primary Care Policy (2017) and the roles of community health workers
title_fullStr National Primary Care Policy (2017) and the roles of community health workers
title_full_unstemmed National Primary Care Policy (2017) and the roles of community health workers
title_short National Primary Care Policy (2017) and the roles of community health workers
title_sort national primary care policy 2017 and the roles of community health workers
topic Primary Health Care
Family Health
Public Policy
Health Policy
Community Health Workers
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672025000100152&lng=en&tlng=en
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