Sexual and reproductive health: team competences in Primary Health Care services

Telo, Shana Vieira; Witt, Regina Rigatto

doi:10.1590/1413-812320182311.20962016

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ARTICLE • Ciênc. saúde colet. 23 (11) • Nov 2018 • https://doi.org/10.1590/1413-812320182311.20962016 copy

Sexual and reproductive health: team competences in Primary Health Care services

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Sexual and reproductive health rights were developed recently as a result from the movements held for Human Rights and citizenship. Delimitations of this subject have not been explored in Brazil yet, even though the importance of developing skills related to this subject is recognized. This paper aims to construct a Sexual and Reproductive health transversal skills framework based on specialists’ point of view. A mix methods descriptive exploratory research with the use of the Delphi Technique was developed with 41 specialists in sexual and reproductive health and rights. Three rounds of data gathering were carried out. Of the 36 skills resulting from the qualitative analysis, 32 achieved a general consent and were classified in four domains: ethics and professional principles; leadership and management; community work, health and education, counseling and evaluation; and health care. Results corroborate skills content recommended by the international literature. These skills, which are transversal, may support the development of actions and practices of the health professionals concerning sexual and reproductive health care.

Sexual and reproductive health; Sexual and reproductive rights; Professional competence; Primary health care

Domain/Competences	Mean	Standard deviation	Percent % (scores 4 and 5)
Ethics and professional principles
Offers active listening	4.61	0.50	100
Establishes dialogue to promote sharing of knowledge	4.61	0.58	94.44
Communicates dialogically	4.5	0.46	94.44
Shows capacity of care without prejudices and judgments	4.72	0.46	100
Shows empathy, respect and develops confidence when providing care	4.61	0.60	94.44
Understands the ethical/bioethical and humanization grounds in people-centered care and family approach	4.77	0.42	100
Considers the cultural, economic and social context of individuals	4.61	0.69	88.88
Respects different knowledge and cultures	4.55	0.70	88.88
Promotes empowering of subjects	3.16	1.46	50
Shows initiative to solve problems	4.38	1.03	94.44
Acknowledges the other person as a life worth professional investment	4.11	0.96	72.22
Acknowledges his/her beliefs and values against those of patients	2.94	1.30	38.88
Ensures professional secrecy	4.83	0.38	100
Leadership and management
Assures access to serology exams and medications for sexually transmitted diseases	3	1.37	33.33
Establishes networks for eventual referrals	4.38	0.63	100
Promotes care longitudinality	4.5	0.64	100
Promotes intersectoriality	4.44	0.61	94.44
Work with the community, health and education, counseling and assessment
Demonstrates understanding of the political and legal, national and international referential frameworks on rights in Sexual and Reproductive Health	4.72	0.46	100
Articulates interdisciplinary knowledge inherent to population health in the area of Sexual and Reproductive Health	4.6	0.50	100
Provides counseling and referrals for cases of sexual violence	4.72	0.46	100
Promotes and encourages self-care in Sexual and Reproductive Health	4.61	0.50	100
Articulates educational activities that address Sexual and Reproductive Health for men, women and youth	4.72	0.46	100
Promotes Sexual and Reproductive Health of individuals, families and community	4.55	0.70	88.88
Understands the social and cultural dynamics considering gender, class, race, ethnic group and social diversity aspects	4.66	0.48	100
Provision of care
Works with woman, man, family and community in the ambit of pre-conception	4.72	0.46	100
Works with the woman, man, family and community in the ambit of reproductive planning	4.72	0.46	100
Works with the woman, man, family and community in the ambit of prenatal	4.77	0.42	100
Works with the woman, man, family and community in the ambit of birth	4.38	0.97	77.77
Works with the woman, man, family and community in the ambit of climacteric period	4.61	0.60	94.44
Works with the woman, man, family and community in the ambit of menopause	4.44	0.65	88.88
Works with the woman, man, family and community in the ambit of andropause	3.88	1.27	66.66
Guides and provides actions of care to the woman and man in the context of sexual and reproductive health	4.55	0.51	100
Provides pre and post test counseling	4.77	0.42	100
Establishes diagnosis according to his/her professional field	4.55	0.61	94.44
Uses problem solving skills in face of male and female sexual dysfunctions	4.33	0.68	88.88
Demonstrates technical capacity for sexual and reproductive health clinic exercise	4.61	0.50	100

Domain/Competences	Mean	Standard deviation	Percent % (scores 4 and 5)
Ethics and professional principles
Promotes empowering of subjects	3.41	1.17	52.94
Acknowledges his/her beliefs and values against those of patients	3.70	1.10	58.82
Leadership and management
Assures access to serology exams and medications for sexually transmitted diseases	3.23	1.20	41.17
Provision of care
Works with the woman, man, family and community in the ambit of andropause	3.58	0.93	52.94

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Collaborations

SV Telo and RR Witt participated equally in all stages of the paper preparation.