Original Article- 519- Text Context Nursing, Florianópolis, 2012 Jul-Sep; 21(3): 519-27. HEALTH EVALUATION AND ITS CONSEQUENCES FOR THE COMMUNITY HEALTH WORKERS

ABSTRACT: This paper presents the findings of a qualitative research which analyses the characteristics of the evaluation process of community health agents ’ work. The research was undertaken in three different municipalities. Community health agents, their supervisors, and Primary Health Care managers took part in the investigation, which consisted of semi-structured interviews and focus groups. The discussion was organized according to content analysis, and based on the concept of health work process. Four categories of analysis were proposed: work load minimization, productivism, disease control and supervision. These categories show the predominance of evaluation practices that emphasize quantitative results, particularly those related to coverage targets and to the performance of activities structured by the biomedical approach. Conclusions point to the importance of considering the limitations of the kind of evaluation practices used in Primary Health Care, and to the need for elaborating theoretical and methodological frameworks for evaluation that will effectively contribute to improve the health agents ’ work. DESCRIPTORS: Community health workers. Health evaluation. Family health. Health education