Professionals with potential to promote intersectoral
collaboration |
So, I invited four [nurses], from four FHS teams, the four nurses
participated [in the Projeto Nascente], and from two teams the... the
community health agents participated. The agents of the other two teams did
not participate. But my goal is that... they will be future facilitators in
order to really be able to... foster the implementation of the policy [to
promote child development]. (HM2) |
Formation of intersectoral committees |
There is a low intersectoriality in the municipality, right? The sectors
talk very little to each other. And so we need the committee. It will make it
possible for everyone to know the progress of the actions, right, make the
communication among the city's sectors easier. (SWM) |
The [intersectoral] collaboration, I believe that now, it will be better
configured, with the intersectoral committee and with the matrix support that
we did not have. So, I believe that is it, a cultural issue, of work format,
you know. The public sectors are [not] used to and now, a new vision is
coming. (HM1) |
There is a very vulnerable area. Really, very vulnerable, you know? So they
[FHS team] wanted to work on a way that they could actually have this matrix
support and have this intersectoral support for families, because it is
imperative to do something there. One of the intervention projects [as result
of Projeto Nascente] was the creation of an intersectoral committee. Then we
already had a first meeting, it was on last Friday, to set up the committee,
and to plan, you know, what will be the objectives of the committee, how are
we going to work, what will be the role of the committee, right? And then,
within this committee, we created a matrix support form. Vulnerability cases
will be discussed at committee meetings, matrix support will be carried out.
The next committee meeting is scheduled, and the remaining actions are already
discussed, programmed and proposed within the matrix support. We are thinking
it is going to be okay. (HM1) |
Matrix support |
We do the meeting, we delegate functions, you know, do the matrix support
and each professional is in charge of... of developing some activities, trying
to solve the problem that was discussed. (SWM) |
They [FHS teams] pointed out the issue of... matrix support, right? We have
been carrying out matrix support here in terms of health care, together with
the FHS teams, NASF, mental health team, too. But this matrix support has to
be broad, it has to involve the Department of Education, the school. It has to
involve the... the Department of Social Work, CRAS [Centro de Referência de
Assistência Social - Social Work Reference Center], CREAS [Centro de
Referência Especializado de Assistência Social - Specialized Social Work
Reference Center]. The Children Tutelary Council. And the proposal... made by
this team, was the matrix support and the intersectoral work with these
professionals. So... it's really important that we develop this work in a
broad conversation, right, so the service becomes more effective, and we can
give better answers to our users. (HM3) |
Case managers |
We do the entire meeting, and then we delegate it to the responsible
person, to pass it on to other... competent services, right? (HM4) |
It is very easy to say that the problem is someone else's, right, and not
take the problem for yourself. So, you know... when it becomes clear what is
the problem, who is involved, what are the actions that will be done and who
are responsible for the action, as is the proposal we made... with the
committee, maybe this makes it easier, improve intersectoriality. (SWM) |
University support |
We have the rural internship from UFMG [Faculty of Medicine, Universidade
Federal de Minas Gerais]. We have... absorbed many ideas from, from academics,
because they have already worked, they have already done the internship in
other cities as well, they managed to absorb a lot of experience there, so
they bring us this information and we apply it here, in our daily routine.
(HM3) |
They’ve widened the vision! So, training [Projeto Nascente] is something
that should happen more, because from the training they [professionals]
managed to broaden their vision and understand that the work carried out
previously was multisectoral and not intersectoral and to engage for the
creation of this committee. So, I believe that the engagement of
professionals, through training, is a factor that has made it much easier for
us. (HM4) |