Mulheres que fazem uso de substâncias psicoativas: entre desafios e potencialidades do cuidado integral na Estratégia Saúde da Família

Abstract

The use of Psychoactive Substances by women is still permeated by prejudice and stigma which hinders their access to health services. Usually when access occurs women find themselves with aggravated clinical conditions and/or are pregnant, in this circumstance the fetus becomes the center of attention. In view of this perspective, the need to extend care actions to this woman within basic care is perceived since this service is the gateway to health promotion and prevention activities. This study aimed to know the contributions of the Family Health Team in the prevention of risks, disease and health promotion of women who use Psychoactive Substances. It is a qualitative research made in the period of June and July of 2018 through the application of semi-structured interviews to eighteen professionals who compose the family health team of a municipality in the interior of Rio Grande do Sul whose data were organized and submitted to content analysis proposed by Bardin. In the results we find that the subjects of the research even in face of vulnerabilities challenged in the context of someone’s life, they try to welcome and create a bond with the women and this link usually happens with at least one member of the team therefore that they have access to the service. However, it was noticed that even when they arrive at the facility the use of Psychoactive Substances is omitted to the team, thus accessing the service for other reasons. It was also noticed the lack of training referred by professionals on the use of Psychoactive Substances, which makes it difficult for them to attend to users. Nevertheless, it should be noted that they seek to look at these women in an integral way, analyzing their context and thus trying to access other means such as groups available at the unit, nursing consultations with their children, home visit and among others, so that they can carry out the necessary care for their health. Therefore, this work intends to reflect the essentiality of basic care for risk and disease prevention as well as the promotion of health in the territory. For this reason, the main thematic found assert that even with all the challenges encountered the Family Health Strategy effectively contributes to the realization of integral care in the territory. Thus, I invite readers to read and reflect on the possibilities of health promotion that can be conducted in the territory.