Gestão e Planejamento em Saúde Pública: Aprendizagem de uma ação de educação permanente em saúde, na região TOPAMA

Abstract

Introduction: Permanent Health Education (PHE) is characterized as workplace learning, where learning and teaching become part of the daily routine of health organizations and work. PHE is based on meaningful learning and the possibility of transforming professional practices in daily work. Objective: To analyze the learning process of professionals participating in the Permanent Education Course in Health Management and Planning (GPSP) offered in the TOPAMA region. Methods: This quasi-experimental study, with a longitudinal and analytical quantitative approach, was conducted in 2022 and 2023 with health workers from the TOPAMA network. The present work resulted in 2 original articles, one of which has already been published in the journal Caderno Pedagógico, Qualis CAPES A2. The second article was prepared following the guidelines of the journal Estação Científica, Qualis CAPES A1, and will be submitted after the dissertation defense. Results: A total of 161 health workers participated in the course offering in 2022, most of them from the municipalities of Ananás, Rondon do Pará, Santa Fé do Araguaia, and Piraquê. It was found that the majority worked under statutory regime (54.3%) and operated in Primary Health Care (49.8%). Regarding the use of Health Information Systems before and after the PHE intervention, it was found that the Sanitary Surveillance System (SIVISA) was the only one whose use significantly changed, where 68.8% did not use it, and of these, 31.3% of the workers started using it after the course (p=0.012). In the 2023 course offering, regarding the respondents of the GPSP course self-assessment questionnaire, in the different centers where the PHE action was developed, 38.5% (n=30) were from Araguaína, 23.0% (n=18) from Marabá, and 38.5% (n=30) from Imperatriz. When analyzing the groups by centers (Araguaína, Marabá, and Imperatriz), it was observed that in Araguaína, the percentage of correct answers in the initial test was 50.2%, demonstrating a balance with the number of incorrect answers (49.8%). In Marabá, the percentage of correct answers in the initial test was slightly above 50%, with 50.2% correct and 49.8% incorrect answers. Regarding the Imperatriz center, it showed the lowest percentage of correct answers in the initial test, with 42.3% correct answers and 57.7% incorrect answers. Conclusion: PHE interventions proved effective in improving knowledge and professional practice. This result highlights the importance of investing in continuous training programs that not only expand the technical knowledge of professionals but also promote positive changes in care practices and the quality of health services.