Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.
The article discusses the social differentiations presented as challenges to the community health agents in their daily work. The study consisted of analyzing the social configurations built in the assigned territory, based on the agents’ action. We highlight the analytical tools that allow us to understand the different patterns of social stratification between groups belonging to the same socioeconomic environment. The research method adopted was based on the qualitative approach through ten semi-structured interviews and follow-up with a family clinic in Rio de Janeiro, in 2016 and 2017 using socio-ethnographic techniques. The results point to the existence of difficulties that prevent the adherence of the population to the services offered by the family clinic, as well as the identification of groups with differences in power and prestige. The question is reiterated about how health teams deal with specific social configurations. It is concluded that the relationships established in the space which circumscribes family health units need to be constantly monitored to identify possible differences in adherence resulting from the specific social configurations of the population enrolled in health services.
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