Strategies of intra and intersectorality to integrate the occupational health at all healthcare levels

Abstract

Objective:

to describe the role and the actions carried out by the Worker’s Health Reference Center (Cerest) of São Bernardo do Campo, in the state of São Paulo, Brazil, in the implementation of the worker’s health policy in the municipality between 2010 and 2016.

Methods:

this report on experience was based on collective reflections associated with the analysis of documents - reports, meeting minutes, Cerest’s work plans, municipal health plans - on the Cerest actions and their intra and intersectoral structuring.

Results:

the Cerest’s role was to foment the debate and to problematize the interventions by introducing and disclosing, in the health network, the workers’ healthcare. Cerest’s actions focused on the networking to develop a clinical, epidemiological and sociopolitical reasoning about the population’s health reality. Technical references were built through matrix support aiming at implementing the compulsory notification of injuries related to occupational health in the public and private network, intersectoral articulation, strengthening of social participation and of regional actions’ articulation.

Conclusion:

rooted in the ethic-political commitment imposed to health actions, the experience has been seeking to institute a culture of worker’s health in the scope of the health system and municipality, agreeing with the principles of care completeness and work centrality.

Keywords:
public health; occupational health; intersectorality; health services; matrix support