The biases in the name Bolsa Família

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FURTADO, Ariandeny [1]

PEREIRA, Fernando Marcello Nunes [2]

TOMÉI, Maria Cristina da Mota [3]

FURTADO, Ariandeny; PEREIRA, Fernando Marcello Nunes; TOMÉI, Maria Cristina da Mota. The biases in the name bolsa família.  Multidisciplinary Core scientific journal of knowledge. Year 1. Vol. 9. pp. 50-56, October/November 2016. ISSN. 2448-0959

SUMMARY

Introduction: the Bolsa Familia is an income transfer program that serves families in vulnerability in Brazil. Your coverage percentage data are obtained through registration of the users by professionals in the field of health and education. Biases of record low percentage of culminate in an program coverage in the area of health. Objectives: to Elucidate the difficulties accompanying the Bolsa Família. Results and discussion: healthcare professionals are unaware of their co-responsibility in the Bolsa Família.  Conclusion: enlightening Training of professionals is critical to the performance of government programs.

Keywords: Bolsa família, record professionals, health, training.

1 Introduction

The Family allowance program was established by law No. 10,836, of 9 January 2004, and regulated by Decree No 5,209, of 17 September 2004, however, the Interministerial Ordinance No 2,509, from 18 November 2004 is that rules on the tasks and standards for the provision and monitoring of health actions relating to compliance with the conditions of households benefited. The Family allowance program (GMP) was created to support the most vulnerable families and guarantee the right to basic social services. For this, the Federal Government transfers direct income for families, being the service done on a monthly basis, in addition to promoting access to health, education and welfare (BRAZIL, 2010).

As most vulnerable families means those in extreme poverty situation (family with income per person up to $ 70 per month) and poverty (income per person from R$70,01 to R$140,00 per month) (BRAZIL, 2010). With this income, is not viable if you lead a dignified life, with access to leisure, health, education and food and satisfy the basic needs of an individual. The PBF has emerged as an attempt to create, to give a "gateway" for Brazilians vulnerabilizados.

Families in extreme poverty receive the basic benefit R$68,00 and families in poverty and extreme poverty receive the benefit of variable R$22,00 to R$66,00, whereas the children and teenagers who have regular frequency in school and/or health services, in accordance with the age and current conditionalities (BRAZIL, 2010).

The percentage of coverage of the PBF is given through the registration of beneficiaries in the area of education and health: the first, through the school attendance of the students and, second, through the registration of health professionals that meet the beneficiaries of the program.

According to the Municipal Goiânia, the area of education offers superior coverage data to 80% of users of the PBF, since school attendance is mandatory and is not a task the more; It's been part of the routine of the teachers. However, in the area of health, this percentage of coverage of the GMP users is below 50%, because it is necessary that the professionals that meet beneficiaries of GMP registration thereof in carrying out specific systems of health units, systems that don't always have screen locking, not requesting, often mandatory, which leaves something to be desired GMP monitoring by health area.

In trainee at Paço Municipal (Municipal Department of the municipality of Goiânia) could accompany the reality of monitoring of Bolsa Família and Resolutive solutions to improve adherence to the health program.

2. Goal

Elucidate the difficulties encountered in the monitoring of the Family allowance program in health and propose resolutivo flowchart.

3. Results and discussions

For a citizen to be beneficiary of GMP, in addition to fit the criteria of poverty and extreme poverty, must meet some requirements/conditions. In the case of education, children and adolescents should have regular frequency to school. In the area of health, it is necessary the beneficiary be in day care to the growth and development of the child under 7 years, vaccination, attention to women's health, and prenatal health education (BRAZIL, 2010).

Each State/region of Brazil has an internal system of registration of beneficiaries of the public health area, where they are registered to promote public data. In Goiania, this system is the SICA (Integrated System of consultations and attendance). In this system, there is a field to users of GMP.

Registration bias culminate in an extremely low percentage of adherence to Family allowance program (GMP) by the beneficiaries of the health area. On account of this issue, the municipality of Goiânia runs the risk of losing money from the PBF, according to the Municipal de Goiânia.

The participation of health professionals in social programs is very under registration of data, which foster the information made available to the municipal administration. The Paço Municipal de Goiânia underscored difficulties in dealing with health professionals about aspects of registration, stating that they do not like this task for her demand query time. These professionals typically do not know why you're feeding data from internal registration systems as the SICA. You know that the data will be made available to municipal management, but do not understand what can cause the lack of such data, such as the loss of the funding of government programs for the respective municipality. Maybe, for not having this knowledge, consider dull the task of registration.

To contribute to the transformation of reality of Bolsa Família, interns at the Federal University of Goiás, involved designing a flowchart for the monitoring of health resolutivo conditionalities, including the context in which they are inserted the problems and increased coverage of beneficiaries (Figure 1).

Flowchart of the Bolsa Familia
Figure 1: flow chart of forwarding of Bolsa Família.
Source: Author

The SICAA (or MUSIC) is a registration system within the city of Goiânia from beneficiaries of the public health service in the capital. The SUS is the DATE Department of Informatics of the unified health system (SUS), which provides information that can provide objective analysis of the health situation, evidence-based decision-making and action programmes in the field of health (BRAZIL, 2016). The SUS is a national DATE.

The proposed flow chart is useful as there are screen locking, i.e. compulsory request filling out patient data, specifying whether or not he user of the Bolsa Familia and if their families are too.

The proposed flow chart, combined with mandatory locking screen to GMP data fill in electronic healthcare systems, plus the trainings with clarification of the utmost importance to fill correctly the data of beneficiaries, will contribute to a better adhesion of the health area to the program and ensure the supply of funds for this Government initiative for the creation of vulnerabilizados.

5. Conclusion

Qualify health professionals on registration of the Bolsa Familia is an alternative solution to the problem. It is not enough to explain what to do and how to do it, but why do it this way: the risk of loss of municipal budget for the program in the case of inconsistent fills.

THANKS

Contribution: Paço Municipal de Goiânia-Goiânia Municipal Secretariat.

References

MINISTRY Of HEALTH (Brazil). Manual of guidance on Family Health. Brasilia, DF: MS, 2010.72 p.

MINISTRY Of HEALTH (Brazil). Executive Office/Ms: Department of computer science of the unified health system. Brasilia, DF: SUS, 2016. Available in: <http: datasus.saude.gov.br/informacoes-de-saude="">.</http:> Access in: 21 set. 2016.

[1] A substitute teacher at the Federal University of Goiás

[2] Degree in nutrition at the Federal University of Goiás

[3] Student in Nutrition at the Federal University of Goiás

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