A Política de Saúde: Dilemas e desafios para a implementação do SUS no município de São Félix

Abstract

The present paper analyses the health policy, specifically what the dilemmas and challenges in the process of implementation of the Unified Health System (SUS) in São Félix, Bahia, through the study of the Family Health of the Unit Dona Vivi, understanding primary care, as the gateway to the SUS. Performing an analysis of the course of health policy in Brazil,highlighting the historical context, and the importance of social movements such as the Movement of the Brazilian Health Reform, for the reorganization of the care model of health care, until the construction of the Unique System Health.Emphasizing the importance of Basic Attention as the main axis to structure the SUS, as a new health care model with centrality in the family. A cozy basic attention, which advances in the caring perspective, seeking to break with the old hospital-centered care shape, where the doctor was the center, and also stressing the importance of a health care form that is guided on an organizational and doctrinal principles of the SUS so that everyone has access to health policy, as recommended by the Federal Constitution of the year 1988, ensuring the completeness of services to the population. Regarding the methodology used for research, it is divided into three stages. At first, we performed the bibliographic and documentary then narrative interviews with the technical team of USF Dona Vivi, in the last step, the analysis and presentation of results obtained in the research.