ENCONTROS, DESEJOS E CUIDADO NO TRABALHO VIVO EM ATO EM DUAS UNIDADES DE ESTRATÉGIA DE SAÚDE DA FAMÍLA EM CAMPO GRANDE/MS.

Abstract

Health care is fundamental for the production of life and should be the purpose of health teams’ actions. However, not all health actions are necessarily founded on caring. In this perspective, the work in the Family Health Strategy produces discomforts and questions about how care is produced in meetings between users and workers in the Family Health Units (FHU), as well as doubts about which desires would be involved in the production of care. The objective was to map health care experiences based on meetings in live work in the Basic Health System in two FHU in Campo Grande (MS), and establish theoretical connections with the narratives produced based on the meetings in the field of research. A qualitative study was carried out, using cartography, which allows knowing and monitoring the subjectivities of the psychosocial and relational scenarios of the production of health care. Weekly meetings were held with workers and users during live work in the period of 6 months. In several meetings, there were conflicts during care actions or, even, absence of relationships or bonds, with “mechanized” meetings. At the same time, there were meetings in which connections between the desired productions of users and workers became evident, producing new possibilities of care that escaped the limitations imposed by established practices and routines. In these cases, the experiences of care demonstrated the creation of escape lines from the instituted, producing other singular possibilities of care, more aligned with the desires of the actors involved in the production of care. There were experiences involving health workers with autonomy, demonstrating the ability to produce ways to reinvent themselves, opening spaces to produce care centered on the users’ desires. There were also experiences with health workers who distanced themselves from the production of care as a fundamental path in defense of life, disregarding the production of desires in meetings. In these situations, actions based on states of domination were evident; these were full of disciplines that abolish freedom and were also limited to the treatment of diseases of the biological body, always trying to intercept the production of the users' desire. The developed cartography shows that it is fundamental that the micropolitical spaces in the health units become permeable to the desired productions of the meetings, promoting the transformation of the actors involved in the care process, in a permanent becoming, in an eternal becoming. Without intending to generalize the results, this research is relevant in giving visibility to the different ways of producing health care in the daily life of two FHU, whether care as surveillance and domination over the other, as care that defends life with autonomy and that considers the movements of the users' desires, with reception, emancipation and exchanges, through subjective processes that reinvent the possibilities of existing and that emphasize the production of health as the production of subjectivities. By problematizing care in live work in the field of Family Health, may this research produce discomfort and summon thoughts that instigate us, as health workers, to produce care practices in the Family Health Strategy with possibilities that consider the production of desire and more life in lives. Keywords: Family Health Strategy. Qualitative research. Care. Full Health Care. Full Health Care Practice.