Práticas integrativas e complementares na atenção básica no contexto do Oeste do Pará

Abstract

The National Policy on Integrative and Complementary Practices (PNPIC) instituted the offer of Integrative and Complementary Practices in 2006. However, before that, health professionals already used these practices, promoting autonomy in care. Among the practices approved and included in this context are homeopathy, acupuncture, phytotherapy and social thermalism. Between 2017 and 2018, 18 new integrative and complementary practices (PIC) were included, despite the potential in the insertion and use of these practices in health care, weaknesses are still observed in their full implementation in primary care. Therefore, the objective of this study is to characterize access to integrative and complementary practices in primary care in the municipalities that make up the western region of Pará. This is a descriptive, crosssectional, quantitative study. The data were collected in the secondary database of the National Program for the Improvement of Access and Quality of Primary Care (PMAQAB), the selected variables were related to the questions about the PIC of module II, which consists of the interview of the health professionals interviewed , the clipping used covered the 14 municipalities that make up the Lower Amazon region, for data analysis descriptive statistics were used in Excel software. The results of this study demonstrate that the 12% (n=11) of the PIC's offered, mainly in the municipality of Santarém (54.5%), the ones that stood out the most were music therapy and community therapy, both with 36.4% (n=4) and among others. Despite the insertion, the North region has a lower offer due to the socioeconomic context, when compared to other regions such as the South and Southeast. Barriers such as lack of financial resources, resistance or lack of knowledge on the part of professionals and managers mean that the region has a low offer for the use of these practices. These findings reiterate the need for incentives so that professionals can implement PICs that require a greater investment, both financial to pay for the performance of some practices, and training to promote the training of these professionals through continuing education programs. It is still recommended to develop strategies that portray and replicate successful experiences, such as those observed in the western region of Pará.