Sexual and reproductive health of adolescents in Primary Health Care: reflections of professionals from the culture circle

Abstract

Introduction: Primary Health Care services can contribute to actions to promote and prevent serious adverse effects on adolescents. However, difficulties in implementing these assumptions are perceived, highlighting the adequacy of health services, the creation of bonds, the strengthening of the relationship with the family and the community, and the inclusion of adolescents in activities. Objective: To investigate the perceptions of family health team professionals about the best strategies to improve sexual and reproductive health care for adolescents in their territory. Methodology: Qualitative study of the participatory action type, which adopts the theoretical methodological framework of the Freirean Itinerary (IF), a methodological strategy based on the liberating pedagogical perspective that is guided by dialogue and horizontal relationships. Results: Nine professionals participated in the research. In the first stage of the Culture Circle, 21 themes were raised, 4 of which were coded and decoded, with 2 of them being critically unveiled: Work Management, in which they presented the characteristics and difficulties of the work process in approaching adolescents, as well as possible alternatives to be incorporated into the work process; and Health Education, a moment in which they considered the communication barriers faced by professionals and families with adolescents, in addition to the knowledge gaps for providing care to adolescents. Final considerations: The study revealed the team's distance from adolescent sexual health, due to weaknesses in training and legal challenges. Continuing Health Education actions are crucial to overcome barriers and ensure comprehensive care.