MANAGEMENT OF THE HEALTH WORKFORCE IN FACING COVID-19: DISINFORMATION AND ABSENCES IN BRAZIL'S PUBLIC POLICIES

Silvana Nair Leite; Mirelle  Finkler; Jussara Gue  Martini; Ivonete  Heidemann; Marta  Verdi; Fernando  Hellmann; María Fernanda Vásquez

doi:10.1590/SciELOPreprints.1206

##article.authors##

Silvana Nair Leite Universidade Federal de Santa Catarina https://orcid.org/0000-0002-5258-9684
Mirelle Finkler Universidade Federal de Santa Catarina https://orcid.org/0000-0001-5764-9183
Jussara Gue Martini Universidade Federal de Santa Catarina https://orcid.org/0000-0003-2629-293X
Ivonete Heidemann Universidade Federal de Santa Catarina
Marta Verdi Universidade Federal de Santa Catarina https://orcid.org/0000-0001-7090-9541
Fernando Hellmann Universidade Federal de Santa Catarina https://orcid.org/0000-0002-4692-0545
María Fernanda Vásquez Universidade Federal de Santa Catarina https://orcid.org/0000-0001-5165-5646

DOI:

https://doi.org/10.1590/SciELOPreprints.1206

Keywords:

worforce, health personnel, pandemics, COVID-19, Brazil, public policy

Abstract

How well a country manages the Covid-19 crisis depends largely on how effectively the health workforce is used. Much can be done to ensure that the workforce is prepared to deal with the pandemic. The objective of this research was to highlight the strategies implemented in Brazil in relation to the health workforce in the context of the Covid-19 pandemic and to analyse federal government interventions in crisis management and the consequences for health professionals. This is a documentary-type qualitative research project. Brazilian federal regulations referring to work and health education produced during the pandemic emergency of COVID-19, published from January 28 to June 2, 2020, were identified. Of the total of 845 documents, 62 were selected in accordance with the inclusion criteria and were then submitted to Thematic Content Analysis. The results and discussions were grouped into four categories: Workforce management, Workforce protection, Workforce training and Academic-Workforce relationship. An absence of a federal coordinating actions aimed at the governance of the health workforce facing the pandemic in Brazil was identified. It is considered that this lacking mechanisms for coordination contributed decisively to the tragic epidemiological situation still underway, especially in terms of the exposure of health workers to the risk of contamination, revealed in the extremely high rates of professionals infected or killed by Covid-19 in Brazil and the failure to control the pandemic in the population.

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Author Biographies

Silvana Nair Leite, Universidade Federal de Santa Catarina

Pharmacist. Ph.D. in Public Health from the University of São Paulo. Post-doctorate from the Division of Pharmacy Policy and Practice at the University of Nottingham (England). She is currently a professor and researcher at the Federal University of Santa Catarina and an advisor at the Post-graduation Program in Pharmaceutical Sciences at the University of Brasília and the Post-graduation Program in Pharmacy at UFSC. Member of the Research Group on Pharmaceutical Policies and Services, general coordinator of the National School of Pharmacists, director of the National Federation of Pharmacists (FENAFAR). Titular Member of the Intersectoral Commission on Human Resources and Labor Relations of the National Health Council - Ministry of Health.

Mirelle Finkler, Universidade Federal de Santa Catarina

Graduated, Master and Doctorate in Dentistry at the Federal University of Santa Catarina (UFSC). She works at UFSC as a Professor in the Dentistry Department, as a permanent professor in the Postgraduate Program in Public Health and as a collaborative professor in the Postgraduate Program in Dentistry at UFSC. She is a founding member of the Center for Research in Bioethics and Public Health - NUPEBISC and the Brazilian Society of Bioethics - Regional of SC, currently president (2018-2020). He is vice-leader of the research group NUPEBISC, a member of the Interinstitutional Network of HumanizaSUS Research and member of the Study and Research Group on Interdisciplinarity, Education and Health.

Jussara Gue Martini, Universidade Federal de Santa Catarina

Graduated in Nursing from the University of Vale do Rio dos Sinos, master's and a doctorate in Education from the Federal University of Rio Grande do Sul. She is currently a Professor and researcher at the Federal University of Santa Catarina (UFSC) in the Nursing Department, coordinator of the Graduate Nursing Program (PEN), and Coordinator of the Internationalization Project PRINT / UFSC, sub-project Interprofessional Education in Health. Brazilian Research Productivity Scholarship, level 2.

Ivonete Heidemann, Universidade Federal de Santa Catarina

She holds a bachelor's and master's degree in Nursing from the Federal University of Santa and a doctorate in Public Health Nursing from the Ribeirão Preto School of Nursing / USP (2006). She is currently an associate professor at the Federal University of Santa Catarina (UFSC). Professor at the Department of Nursing and the Graduate Program in Nursing (Master and Doctorate) at UFSC. She is the leader of the Laboratory for Research in Nursing and Health Promotion - LAPEPS. Coordinates the Department of International Relations Laboratory and Graduate Nursing Program - LARISE. Member of the Salud Familiar Research Group / Universidad Del Magdalena - Unimagdalena -Colombia. Member of the Scientific Department of Primary Care of the Brazilian Nursing Association (ABEn) - Santa Catarina (SC). Brazilain CNPq Research Productivity Scholarship, level 2.

Marta Verdi, Universidade Federal de Santa Catarina

She is graduated in Nursing from the Federal University of Rio Grande do Sul - UFRGS, Specialist in Public Health, Master in Nursing from the Federal University of Santa Catarina - UFSC. He completed a Ph.D. in Nursing from UFSC. She is a professor in the Department of Public Health at the Federal University of Santa Catarina. Permanent Professor of the Graduate Program in Collective Health at UFSC and the Interdisciplinary Graduate Program in Human Sciences. Leader of the Research Group on Bioethics and Public Health - NUPEBISC / UFSC. She is currently coordinator of the Graduate Program in Collective Health at UFSC.

Fernando Hellmann, Universidade Federal de Santa Catarina

Doctor in Public Health at Federal University of Santa Catarina - UFSC. Master in public health. Graduation in Naturopathy. Professor at the Department of Public Health and the Graduate Program in Public Health at the Federal University of Santa Catarina. Sub-coordinator of the Research Ethics Committee of the State Health Secretariat of the State of Santa Catarina, Brazil.

María Fernanda Vásquez, Universidade Federal de Santa Catarina

Graduated in Bacteriology and Clinical Laboratory - Universidad de Antioquia, Colombia and Master in History - Universidad Nacional de Colombia - Headquarters Medellín. PhD in Human Sciences from the Federal University of Santa Catarina (UFSC). she has a young foreign talent scholarship from the Postgraduate Programs in Nursing and Public Health at UFSC. She is working as a researcher for the PRINT / CAPES project "Interprofessional education in health: implementation of an international network for innovation and qualification in higher education in health.