Ação discricionária e criação embrionária de política pública: agentes comunitários de saúde no enfrentamento à violência e familiar contra a mulher
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Data
2020-12-10
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Universidade Federal de Goiás
Resumo
The Public Policy literature in Political Science provides the theoretical basis for understanding the dynamics of implementation and its importance in the process of delivering public services to society. This type of implementation analysis presents itself as a gap in the Brazilian literature in relation to the performance of community health agents (CHAs) in the preservation of women's human rights. The present work is based on the theory of Bureaucracy of Street Level and interrelated concepts, practical patterns (concepts) identified and developed by Lipsky (1980), characterized by discretionary actions, causing or not the creation of public policies in the front line. Quantitative and qualitative methods are applied. Design of semi-structured questionnaire with closed questions (quantitative variables) and open questions (qualitative variables). Due to the pandemic of COVID 19, research was done through online (WhatsApp) sent to 348 (CHAs) in Goiânia. 147 responses were obtained, a descriptive statistical analysis was carried out, tables of contingencies (crosstabulations) of the closed questions, thematic analysis and synthesis of the open questions. The results revealed that community health agents exercise little discretionary; their actions are permeated by dilemmas: a) between the requirement of notification and personal security; b) notification and confidentiality or respect for the privacy of the woman served; c) link with the service and professional ethics, resulting in little embryonic creation of public policy. It is necessary to invest in the training of the CHA so that he can get to know the Maria da Penha Law better. Concrete actions are also needed that help the CHA to alleviate or remedy dilemmas experienced during the work (whether at the time of notification, monitoring or other), thus leading to a provision of quality service in addressing domestic and family violence against women.
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Violência contra a mulher , Políticas públicas , Implementação , Burocracia de nível de rua , Agente comunitário de saúde , Discricionariedade , Criação embrionária , Violence Against Women , Public policy , Implementation , Street-level bureaucracy , Community health agent , Discretion , Embryonic creation
Citação
COUTINHO, Rúbian C. Ação discricionária e criação embrionária de política pública: agentes comunitários de saúde no enfrentamento à violência e familiar contra a mulher. 2020. 150 f. Dissertação (Mestrado em Ciência Politica) - Universidade Federal de Goiás, Goiânia, 2020.