Territorialization in Primary Health Care: Experiences and understanding of socio-environmental processes

Abstract

Objective: To report the experience of Family Health residents in the territorialization process, analyzing the interrelationships between this process and socio-environmental determinants. Methods: This is a descriptive, qualitative study, in the form of an experience report, developed by a multidisciplinary team of Family Health residents during the territorialization process in a Basic Health Unit in the eastern zone of Teresina (PI), in April 2025. Data collection was carried out through direct observation of social and environmental aspects in the micro-areas of the territory monitored by Community Health Agents, complemented by records in field diaries, analysis of secondary data from e-SUS APS, SINAN and IBGE, in addition to validation meetings with the multidisciplinary team. Results: Changes in relief, unpaved roads, changes in geomorphological processes caused by human actions, areas with steep slopes, and accumulation of solid waste of domestic origin incorporated into the soil in some relief compartments were observed. Regarding the social aspects of the territory, a high rate of informal employment, fragile public transportation, and the presence of violence were observed. Conclusion: The territorialization experience allowed for the identification of relationships between socio-environmental aspects and the population's health, and promoted closer ties between residents and the community, offering practical support for intervention planning.