Strategies Used in Sexual Health Care for Low-Income Rural Populations ; Estrategias usadas en la atención de la salud sexual de poblaciones rurales de bajos ingresos ; Estratégias utilizadas na atenção à saúde sexual de populações rurais de baixa renda

Introduction: The strategies used for constructing health agent-user relationship are crucial for executing public policies on sexual health. In the literature, few articles explore the strategies used by health agents to interact with rural residents when addressing these problems. We aimed to describe and understand these strategies used by health agents for sexual health care in low-income rural residents. To achieve this, the doctor–patient relationship is assumed to be a social interface and a space of articulation between the worlds of meaning of the actors involved. Materials and methods: An exploratory, descriptive, and cross-sectional study was developed. Overall, 21 semistructured interviews were conducted with health agents, and the results were qualitatively analyzed. Results: Health agents use a wide repertoire of strategies to address the sexual health of rural residents. Two types of strategies (dialogical and monological) and their respective subtypes were identified and characterized. Conclusion: Dialogic strategies are an alternative to the doctor–patient relationship and are contradictory to the traditional monological strategies. They impact the training of health agents and the formation of teams that address sexual and reproductive health in rural settings. ; Introducción: en la ejecución de políticas públicas de salud sexual, resultan cruciales las estrategias utilizadas en la construcción de la relación agente de salud-usuario. En la literatura son pocos los artículos que exploran las estrategias que utilizan los agentes de salud para interactuar con pobladores rurales al abordar estas problemáticas. Este artículo se propone describir y comprender las estrategias que utilizan los agentes de salud en la atención de la salud sexual y reproductiva de pobladores rurales de bajos ingresos. Para ello, se conceptualiza la relación médico-paciente como una interfaz social, es decir, como un espacio de articulación entre los mundos de sentido de los actores involucrados. Materiales y métodos: se ...