Reflections about attention to children with disabilities on the brazilian primary health care

Abstract

Due to the people with disabilities growing number in Brazil, it is imperative to ensure the access to the Public Primary Health Care (PHC). This study, through research based on action, aimed to monitor and evaluate the development of a group of children with disabilities in a Basic Health Unit (BHU) in São Paulo, Brazil, in one year period. The project was coordinated by an Occupational Therapist. Data collection: bibliographical survey; participative observation; construction / application of a qualitative protocol to assess the children development; interviews with parents. By crossing data into a chronic descriptive narrative composition, they were analyzed using a specifi c theoretical approach. Results: 53 papers were selected in different databases; results show the built of support networks between parents; children developmental improvements; greater movement of such users in BHU; professional refl ection about the access of this population to PHC. Conclusion: It is possible to draw and execute rehabilitation actions which can go beyond the biomedical model in PHC. However, diffi culties and challenges will probably appear, due to the fact that there are deconstructions to be done regarding the tradition of special services for people with disabilities.