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Print version ISSN 0103-1104On-line version ISSN 2358-2898


ZAVARIZZI, Camilla de Paula; SIMAS, José Martim Marques; SANTOS, Luiza Fabro dos  and  ALENCAR, Maria do Carmo Baracho de. Rural context and professional rehabilitation in a region of the Ribeira Valley. Saúde debate [online]. 2019, vol.43, n.123, pp.1057-1069.  Epub Mar 09, 2020. ISSN 2358-2898.


To investigate the sociodemographic profile, of work and health, of workers from a region of Registro (SP), locate in Ribeira Valley, and to identify the barriers and facilitators in the professional rehabilitation process of the National Institute of Social Security (INSS), of insured persons workers of this region.


Two steps: (1) A list of workers was obtained from the Family Health Strategy of rural neighborhoods in the city of Registro (SP), and a questionnaire with sociodemographic data, of work and health, was applied, under the form of an interview. (2) Subsequently, two reference professionals of the INSS, who worked at the headquarters of this region were identified and, in addition, individual interviews were conducted to analyze thematic content.


Regarding the profile of the subjects, most workers worked on banana plantations, lived on farms, had low schooling; all reported musculoskeletal symptoms, among others. In interviews with reference professionals of the INSS, it was possible to observe, among the main barriers found to professional rehabilitation: the profile of insured rural people with low schooling, with difficulties in transportation, few courses offered, and the evaluation of the medical expert based on the biomedical model, with suffering and injustice. Among the facilitators: the welcome of the social workers reference professionals, the bond established and the empathy.


There is a need for public policies that can guarantee the rights of workers and promote improvements in the current model of professional rehabilitation.

Keywords : Occupational health; Rural health; Rehabilitation.

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