Corrdination of care for premature newborns

challenges for primary health care

Abstract

Objective: to analyze how the coordination of care for premature newborns in the
second health region of the state of Rio Grande do Norte (RN) is understood. Method:
the research had a qualitative approach was and was carried out with the primary
health care managers of the municipalities that comprise the second health region of
the state of Rio Grande do Norte. Data were collected from an event that occurred in
the 2nd Unidade Regional de Saúde Pública in October 2016. The script was submitted
to a pre-test for validation and the collection of data was made after the event. A
convenience sample of seven participants from four municipalities of the health region
participated in the study. The instrument used for data collection was an interview, and
thematic content analysis was used as the analysis technique the. Results: the results
showed three empirical categories, namely: return to the territory of the Estratégia de
Saúde da Família; work process in the Estratégia de Saúde da Família; and municipal
health management. Discussion: the first category addressed the situation of the
team in the return of premature newborns to the territory based on the description
of actions, the need for matrix support and fragility in articulation at different levels and places of service delivery; the second category describes the work
process in the strategy of family health and newborn health before
the difficulties in continued management, territorial invasion, referral
culture, nurse-centered health responsibility, and the meanings of
work for the population; and finally, the third category shows the
implications for municipal health management.