Goldstein Roberta Argento, Barcellos Christovam, Magalhães Monica de Avelar Figueiredo Mafra, Gracie Renata, Viacava Francisco
Laboratório de Informações em Saúde, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Av. Brasil 4365, Manguinhos, Rio de Janeiro, RJ.
Cien Saude Colet. 2013 Jan;18(1):45-56. doi: 10.1590/s1413-81232013000100006.
Maps and mapping procedures are useful tools for systematic interpretation and evaluation and for reporting of results to management. Applied to the Family Health Strategy (FHS), these maps permit the demarcation of the territory and the establishment of links between the territory, its population and health services. In this paper the use of maps by the FHS in 17 municipalities in northern and northeastern Brazil is studied and the process of demarcation and digitization of areas with the participation of teams is described. The survey conducted using questionnaires and discussion workshops showed that difficulties still prevail in reconciling the map (drawing) produced at the local level with maps produced by other government sectors. In general, the maps used at local level employ their own references, which prevent the interplay of information with other cartographic documents and their full use as a tool for evaluation and management. The combination of participatory mapping tools, associated with Geographic Information Systems (GIS) applications proposed in this paper, represents an alternative to mapping the territory of operations of FHS teams, as well as a reflection on the concept of territory and operation by the FHS.
地图及制图程序是用于系统解读与评估以及向管理层汇报结果的有用工具。应用于家庭健康战略(FHS)时,这些地图有助于划分区域,并在区域、其人口与卫生服务之间建立联系。本文研究了巴西北部和东北部17个市的家庭健康战略对地图的使用情况,并描述了在团队参与下进行区域划分和数字化的过程。通过问卷调查和讨论研讨会进行的调查显示,在使地方层面绘制的地图与其他政府部门制作的地图相互协调方面,仍然存在困难。总体而言,地方层面使用的地图采用各自的参考标准,这妨碍了信息与其他制图文件的相互作用,也阻碍了其作为评估和管理工具的充分利用。本文提出的参与式制图工具与地理信息系统(GIS)应用相结合,是一种绘制家庭健康战略团队作业区域地图的替代方法,同时也反映了家庭健康战略对区域和作业概念的思考。