Insertion and performance of Speech-Language Pathology and Audiology in Family Health Support Centers

Purpose: To analyze the structure of the Centers for Supporting the Family Health (NASF), in 2010, identify the satisfaction degree of speech language pathologists who work in this area and compare the model proposed by the Brazilian Ministry of Health with practice. Methods: Prospective and descriptive study, with 40 speech language pathologists inserted in NASF type one, from all Brazilian regions, in 2010. It was used a questionnaire with nine questions related to different topics (work infrastructure, NASF team, actions developed by these professionals and satisfaction about the work), sent by electronic mail to the speech language pathologists. Descriptive statistics, χ, ANOVA and Pearson coefficient of variation were used to analyze variables. Significance level of 5% was adopted. Results: The speech language pathologists reported that, in their working places (NASF), there was an average of 12.2 Health Family Teams, with 8.9 professionals and 1.6 speech language pathologists. Most of them work 40 hours per week. Routine activities cited by speech language pathologists were: promotion and health prevention actions, matricial, therapies, support to health community workers, referrals, home visits, intersectoral actions and administrative tasks. There was variability in the satisfaction score: the majority of interviewees indicated the degree “Somewhat satisfied” for work infrastructure and referrals, as well as reported “Very satisfied” degree for home visits and support for health community workers. Comparing the model proposed by the Ministry of Health with the speech language pathologists’ practices, there was no significant difference. The results show that 40% of speech language pathologists consider that the NASF actions are below the proposed model. Conclusion: The NASF structure varied in terms of the number of Family Health Teams, professionals involved and actions performed. There was also significant variability in the satisfaction degree among the subjects studied.

in individuals with this disease, such as difficulties in coordination and muscle support during the speech and presence of oropharyngeal dysphagia.
The first case report on voice, by Godoy, Brasolotto, Berretin-Felix and Fernandes, entitled Neuroradiology and voice findings in stroke -AVE, describes the phonatory features of ten elderly patients taken by cerebrovascular accident and highlights that the vocal manifestations do not depend only on the topography of the lesion, since one should consider the individuality of each patient at the time of their clinical evaluation.Oliveira e Pinho presented a case of Extended Neuralgic Amyotrophy, with evaluation data and well succeeded treatment.
The second issue of 2014 also marks a year of significant change in the process of editing CoDAS, with the hiring of a publishing house, in order to professionalize the process.During this period, we could count on the immense understanding and collaboration of many authors, reviewers and readers, who pointed out flaws in the process, difficulties in submissions and accesses and, above all, understood the unwanted misunderstandings and contributed to the necessary adjustments.Many of these adjustments are still in process and they include the great challenge represented by the changing in the submission system of SciELO for ScholarOne of the Manuscript Central.Agility and timely response has been a challenging goal.This was an innovative proposal by SciELO, which we have accepted and have been developing as a team, overcoming the difficulties of working with a new platform.In the sense of expanding our editorial base in order to count on a greater involvement of teachers from other institutions, from January 2014 on, we can also count on the valuable contribution of the colleagues Ana Luiza Navas, Katia Genaro Flores and Roberta Gonçalves da Silva in the position of executive editors, sharing the daily routine of the editorial activities and searching for ways to innovate and improve each step of the process.
Another important aspect involved in these changes concerns the sustainability of the publication, which has the best index of the Brazilian Speech Language Pathology and Audiology.We understand that it is the role of scientific societies to encourage and support the development of our science, but, as former presidents of the SBFa, we understand the economic challenges which lie ahead.Thus, we consider it essential to share with members of the SBFa the information that these changes -laborious, slow and, sometimes, confusing -also represented an achievement in the pursuit of the economic efficiency and sustainability of this publication.
The CoDA is a key publishing to the Brazilian graduate programs, which have shown impressive growth and produced works of undisputed quality, recognized through citations in international journals.The active participation of these programs, with the submission of high quality work, is the essential resource for the continued improvement of this magazine.However, it is yet our duty to highlight that another relevant contribution would be if all advisors and students of these programs were associated to the SBFa and would take part in the ongoing development of the scientific society of the Brazilian Speech Language Pathology and Audiology.At the present time, we publish articles both from member and non-member authors, but one shall reflect on the strength we would bring forth if all participants were to be members of the SBFa.Join in.Approach YOUR scientific society!