USER’S PERCEPTION OF FAMILY HEALTH STRATEGY SERVICES IN RURAL AREAS IN THE CITY OF JANAÚBA, MINAS GERAIS

Abstract

Objective: To understand the perception of Basic Health Care (BHC) users regarding the services provided and the work dynamics of the Family Health Strategy team in a rural environment. Method: Qualitative study, conducted through semi-structured interviews with BHC users, living in the rural area of Janaúba, Minas Gerais, Brazil. The sample was intentional and by saturation. The material was analyzed using content analysis. Results: 12 users participated in the study. BHC was the service of first choice for users for their health care. They perceived the Health Unit (HU) as having the role of offering consultations, outpatient services and referrals to specialties, when necessary, in addition to preventing serious illnesses and welcoming/serving the population in a resolute manner. Reports of satisfaction were linked to the quality of communication in users' interactions with BHC professionals. They identified in the BHC, pharmaceutical and dental care services, consultations in Nursing and Psychology, and immunization. Community health agents, reception professionals, managers and nurses were cited as reference professionals at the HU. Good service from the HU, reception, pharmaceutical assistance and physical structure were positive aspects perceived by users. Challenges related to the insufficient number of professionals, team qualifications, unavailability of transport to carry out exams in the city, doctor's opening hours and doctor turnover were highlighted. Conclusion: This research stands out for bringing the perception of users about an ABS service in the rural context. Its findings constitute strategic planning tools for municipal management. Health education actions in rural communities are recommended.