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Armed violence in the context of Primary Health Care work: the Safer Access Program

Abstract

This study aimed to understand the construction and performance of action plans to use the Safer Access tool in Primary Care in Porto Alegre city, Rio Grande do Sul, Brasil. To this end, a qualitative and descriptive-exploratory study was carried out, with focus groups, application of sociodemographic questionnaires and examination of action plans. Thirty-three professionals from eight health units participated in the study. The analysis of the data from the focal discussions reached three categories: assessment of the risk of violence; functioning of Safer Access; and performance of the decision-making group. The results demonstrate that the tool assists health teams in times of risk of violence. However, improvements are needed in the notification process and communication between professionals, sectors and the community, improving the use of action plans. Thus, to understand the true meaning of the Safer Access Program, it is necessary to interpret it in the work context, characterized by the precariousness of working conditions, which leads the government to outsource the solution to the problem of violence against health professionals.

Keywords
violence; health; work; risk; communication

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