THE IMPLEMENTATION OF THE PROGRAM ACCESS SAFER IN BASIC HEALTH UNIT

Introduction and Objective The territory is the area of intervention of the Family Health Strategy, with or without the presence of factors of urban violence. Exposing the many social vulnerabilities teams restricting care. The support of the ICRC International Committee of the Red Cross and the Municipal Health Department of the Municipality of Rio de Janeiro (SMSRJ) were discussed and adapted to the reality of the FHS teams working in communities vulnerable to armed violence. Method The methodology was participatory, through workshops based on local conditions, the risks of vulnerability to armed violence of practical experience and strategies of the teams, standardizing an Action Plan. Results and Conclusion The workshops created spaces for reflection on the difficulties experienced within the armed communities, enabling the autonomy of staff to recognize and manage risks. To achieve success in the implementation of the Action Plan the staff especially the Health Workers had to take leadership of the process, incorporating the agreed actions in daily life. This contributed to integration of teams by improving communication among all members, the organization of the work process and greater security for the performance of activities. Standardizing decision-making, failing to be an instinct for action, providing a planned action of care, generating analysis and evaluation of the impact of violence in the work process improving stress management in acute situations of violence and reducing the risks of exposure professionals.