Community Health Agents: sociodemographic profile, employment and satisfaction with work in a city of Bahia’s semiarid

Abstract Introduction The Community Health Agent (CHA) is a link between health service and community, being an indispensable professional to implement Primary Health Care actions. Employment conditions and dissatisfaction with the job can affect the worker’s health. The aim of this study was to identify the sociodemographic profile, employment characteristics and job satisfaction in CHA work of Juazeiro, Bahia. Method An epidemiological survey was performed to collect data of 145 CHA, using a structured questionnaire, applied by interviewer. Results Most participants were women (81.38%), up to 40 years old (51.72%), brown skin color (60.69%), married/common-law marriage (66.21%), city staff (95.77%), and working six to twelve years in the same unit (55.86%). Just over half proved showed interest in reapplying for the job (52.,08%) and most reported as satisfied/very satisfied with the work capacity (77.93%). As for work capacity, 28.28% declared themselves dissatisfied/very dissatisfied, 60.00% indifferent and 11.72% satisfied/very satisfied. Conclusion The consolidation of organizational policies and management of CHA work processes and appreciation of these professionals is fundamental to modify the existing dissatisfaction frame, contributing to the strengthening of Primary Health Care.

摘要

引言
社区健康专员（Community Health Agent，以下简称CHA）是连接健康服务与社区的纽带，是落实基层卫生保健（Primary Health Care）工作不可或缺的专业人员。就业现状与工作不满情绪均会对从业者的健康状况产生负面影响。本研究旨在明确巴西巴伊亚州茹阿泽鲁市（Juazeiro）社区健康专员的社会人口学特征、就业特征及工作满意度情况。

方法
本研究采用流行病学调查方案，通过访谈员发放的结构化问卷，收集了145名社区健康专员的相关数据。

结果
研究对象中女性占比81.38%，40岁及以下者占51.72%，棕色肤色者占60.69%，已婚或处于事实婚姻关系者占66.21%，为市政编制人员者占95.77%，且在当前单位供职6~12年者占55.86%。超半数受访者表示愿意再次应聘该岗位（52.08%），多数受访者表示对工作感到满意或非常满意（77.93%）。针对工作能力维度，28.28%的受访者表示不满意或非常不满意，60.00%持中立态度，11.72%表示满意或非常满意。

结论
完善组织政策、优化社区健康专员工作流程的管理机制，并重视对该类专业人员的价值认可与人文关怀，是扭转当前不满情绪局面的核心举措，有助于强化基层卫生保健服务体系建设。