The Role of Professionals in Policy Reform: Cases from the City Level, São Paulo

2014 ◽  
Vol 56 (03) ◽  
pp. 141-162 ◽  
Author(s):  
Monika Dowbor ◽  
Peter P. Houtzager
Keyword(s):  
Middle Class ◽  
Family Health ◽  
Sao Paulo ◽  
Private Institutions ◽  
São Paulo ◽  
Public And Private ◽  
Family Health Program ◽  
New Generation ◽  
The City

Abstract A new generation of social policies in Brazil and elsewhere in Latin America are being read by scholars as first and foremost the result of top-down initiatives by state elites and technocrats. This article explores what role, if any, middle-class professionals have played and how this role might be framed in analytical terms. The article examines the trajectory of two of the most important new social programs that target the poor in the city of São Paulo, Brazil: the family health program PSF and Renda Mínima. It compares the city-level reform dynamics that have shaped the trajectory of the programs over 18 years. It finds that networks of reformist middle-class professionals that traverse public and private institutions played a substantial role in the creation and evolution of the new programs.

scholarly journals Registros de violência doméstica de gênero nos prontuários-família na Atenção Primária à Saúde / Occurrences of domestic violence in the records of Primary Healthcare Services

2019 ◽  
Vol 64 (1) ◽  
pp. 35
Author(s):  
Elise Carmona Darmau ◽  
Maria Fernanda Terra
Keyword(s):  
Domestic Violence ◽  
Primary Healthcare ◽  
Family Health ◽  
Secondary Data ◽  
Healthcare Services ◽  
Sao Paulo ◽  
São Paulo ◽  
Family Health Program ◽  
Violencia Domestica ◽  
The City

Objetivo: identificar os registros de violência doméstica de gênero nos prontuários-família de Serviço de Atenção Primária à Saúde (APS) das regiões dos Coordenadores Oeste e Sudeste, no Município de São Paulo. Método:  Pesquisa descritiva, retrospectiva, com abordagem quantitativa, analítica de dados secundários advindos de 18 prontuários-família das mulheres em situação de violência doméstica de gênero, usuárias de Unidades Básicas de Saúde. Resultados: aumento do registro da violência em prontuário em 9% e a importância da ESF nesse processo de visibilizar o problema na APS. Conclusões: o Agentes Comunitários de Saúde (ACS) é muito importante para dar visibilidade aos casos de violência no território e assim, mesmo com o aumento da violência descrita no território, há pouca informação de como tal problema foi trabalhado nos serviços. Estudo que mostra a necessidade de que essa temática esteja presente nas formações dos profissionais de saúde e compreendida como parte da responsabilidade do profissional de saúde.Descritores: Violência contra as mulheres, Identidade de gênero, Mulheres, Violência doméstica, EnfermagemAbstractAim: Identify the occurrences of domestic violence in the records of Primary Healthcare (PHC) services in both western and southeastern regions of the city of Sao Paulo. Method: Descriptive and retrospective research, with a quantitative approach, analyzing secondary data from 18 records of women in situations of domestic violence, all users of health centers. Results:  an increase in the cases of recorded domestic violence by 9% and the importance of the Family Health Program (ESF, in Portuguese) in the process of raising the awareness of the problem at PHC units. Conclusions: Community Health Agents (ACS, in Portuguese) play an important role in raising the awareness of ongoing domestic violence cases and, despite the aforementioned increase of these cases, there is little information on how such a problem has been addressed by Primary Healthcare services. The study shows the necessity for this topic to be part of the formation of healthcare agents and to be understood as part of their very own responsibilities.Key words:  Violence against women, Gender identity, Women, Domestic violence, Nursing  

scholarly journals The role of social protection structures in the economic integration of refugees: analysis of Syrian refugees in the city of São Paulo

2021 ◽  
Vol 19 (2) ◽  
pp. 365-376
Author(s):  
ANDRÉ CAVALLER GUZZI
Keyword(s):  
Economic Integration ◽  
Social Protection ◽  
Sao Paulo ◽  
Civil Society Organizations ◽  
Syrian Refugees ◽  
São Paulo ◽  
Transfer Program ◽  
The City ◽  
Protection Structures

Abstract This paper aims to analyze the role of social protection structures in the economic integration of refugees. While most of the literature on economic integration focuses on refugee access to formal workforce, this paper explores the importance of social protection in the integration process and how it paves the way for greater economic integration. This paper investigates both formal social protection structures and informal ties within immigrant communities that help refugees obtain a basic income while they are in the process of integration. Brazil has no national program for economic integration of refugees and, in terms of social protection structures, they are recipients of the same social assistance programs that are offered to the low-income population. By looking at a conditional cash transfer program, Bolsa Família, and analyzing the access and outcomes of this program for Syrian refugees in the city of São Paulo, this paper shows the limitations of providing these programs to refugees without considering their specificities. In conclusion, for a stronger economic integration, formal structures of social protection need to be more efficient and better address refugees’ needs. In order to conduct this work, I used academic and news articles, and interviewed members from the government and civil society organizations who work with refugee integration.

scholarly journals Potentials of Technologics dimensions of care in the set of family health program in Sao paulo city

2007 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Anna Maria Chiesa
Keyword(s):  
Health Program ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Family Health Program

O artigo apresenta dois casos acerca da atenção aos indivíduos portadores de lesões de pele crônicas realizada em uma UBS integrante do PSF no município de São Paulo. Os casos evidenciam aspectos chave para o fortalecimento da implantação da Estratégia Saúde da Família em grandes cidades, tais como: a superação da polarização generalista versus especialista, o reconhecimento da complexidade tecnológica da atenção básica, a necessidade do vínculo e co-responsabilização dos profissionais com os projetos terapêuticos e a importância da educação permanente em parceria com a universidade.

scholarly journals On Allotopia: The Spatial Accumulation of Difference in Bixiga (São Paulo, Brazil)

2018 ◽  
Vol 22 (4) ◽  
pp. 387-404
Author(s):  
Jeroen Stevens ◽  
Bruno De Meulder
Keyword(s):  
Urban Area ◽  
Urban Space ◽  
Cultural Practices ◽  
Sao Paulo ◽  
São Paulo ◽  
Urban Analysis ◽  
Territorial Claims ◽  
The City

This article will unfold a longe durée spatial biography of the urban area of Bixiga (São Paulo, Brazil) to probe the particular role of space in the conflation of different cultural practices and territorial claims. The extended case study bridges indigenous, colonial, and postcolonial urbanization as they amalgamated an intricate assemblage of material and cultural strata. Combined historical urban analysis and fieldwork allow to uncover how the resulting urban milieu integrates discrepant urban worlds, perpetually iterating between centrality and marginality, innovation and degradation, oppression and resistance. Building on Foucault’s (1984) conception of heterotopia, Bixiga will surface as an allotopia, a place that accommodates, cumulates, and celebrates a multitude of differences. It sheds light, this way, on more insurgent histories of urbanism, where urban space is piecemeal forged through contentious struggles over space in the city.

scholarly journals Ecstasy (MDMA): effects and patterns of use reported by users in São Paulo

2003 ◽  
Vol 25 (1) ◽  
pp. 11-17 ◽  
Author(s):  
Stella Pereira de Almeida ◽  
Maria Teresa Araujo Silva
Keyword(s):  
Middle Class ◽  
Sao Paulo ◽  
Psychoactive Drugs ◽  
São Paulo ◽  
Anonymous Questionnaire ◽  
Patterns Of Use ◽  
The City

OBJECTIVE: As there are no studies about the use of ecstasy in Brazil, our aim was to identify the effects and patterns of use of this substance among users in the city of São Paulo. METHODS: Subjects were recruited through the snowball technique. Fifty-two subjects of both genders who had been using ecstasy frequently and recently were interviewed. The instrument was a self-reported and anonymous questionnaire. RESULTS: The sample's mean age was 24 years, mostly composed by single, college graduated middle-class subjects. Among the interviewed users, 61.6% used ecstasy at least once per week and 50% of them took one pill per episode of use and 46% more than one. Drug taking was usually performed in company of several people (63%) in contexts related to night leisure, such as rave parties (78.8%), dancing clubs (69.2%) and parties (53.8%). Ecstasy pills were mainly purchased from friends or acquaintances in order to favor a dancing mood in those places. Most subjects used ecstasy associated to other psychoactive drugs (93.3%), mainly Cannabis, followed by tobacco and LSD. The effects attributed to ecstasy were mainly positive. DISCUSSION: The use of ecstasy in São Paulo has had a recreational pattern quite similar to those described in previous studies. The assessment of the use of ecstasy as positive also agrees with the findings of the literature.

scholarly journals Analysis of the indicators of the Family Health Program in the Metropolitan Region of São Paulo

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Paulo Augusto Monteclaro Cesar ◽  
Márcia Mello Costa De Liberal ◽  
Valdecir Marvulle ◽  
Paola Zucchi
Keyword(s):  
Primary Care ◽  
Health Program ◽  
Family Health ◽  
Health Indicators ◽  
Sao Paulo ◽  
Metropolitan Region ◽  
São Paulo ◽  
Family Health Program ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive. Methods This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations. Results We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo. Conclusion Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.

Strikes and Pickets in Brazil: Working-Class Mobilization in the “Old” and “New” Unionism, the Strikes of 1957 and 1980

2013 ◽  
Vol 83 ◽  
pp. 86-111 ◽  
Author(s):  
Paulo Fontes ◽  
Francisco Barbosa de Macedo
Keyword(s):  
Labor History ◽  
Sao Paulo ◽  
Metropolitan Region ◽  
São Paulo ◽  
Brazilian Society ◽  
Time Gap ◽  
Brazilian History ◽  
New Unionism ◽  
The City

AbstractThis article analyzes the role of pickets in two of the most emblematic strikes in Brazilian labor history during the twentieth century: the “strike of the 400,000,” which involved several industry categories in São Paulo and neighboring cities in 1957, and the “forty-one days strike” in 1980 involving the metalworkers of the industrial belt, known as ABC Paulista, in the metropolitan region of the city of São Paulo. Both strikes broke out at a time of profound reconfiguration of Brazilian society, marked by industrialization, migration, and urbanization processes. Although separated by a time gap of almost twenty-five years, both the “strike of the 400,000” and the “forty-one days strike” reveal important aspects of the performance of workers in that crucial period of Brazilian history.

The Making of the Middle-Class City: Transportation Policy in São Paulo

1997 ◽  
Vol 29 (2) ◽  
pp. 293-310 ◽  
Author(s):  
E A Vasconcellos
Keyword(s):  
Middle Class ◽  
Public Transportation ◽  
Social Reproduction ◽  
Circulation Pattern ◽  
Sao Paulo ◽  
Transportation Policy ◽  
São Paulo ◽  
Economic Activities ◽  
Middle Classes ◽  
The City

The adaptation of urban spaces to cope with increased automobile traffic has been called the ‘building of automobile cities’. This is a vague and otherwise politically naive interpretation of these important changes in capitalist societies. Cars do not run on their own and one has to ask who is behind the wheels, and for what purposes. I argue that these spatial transformations are definite economic and political undertakings related to capitalist modernization processes, in which the middle classes, as preferential partners of ruling classes, play the most important role. In these contexts, the automobile turns out to be an essential means for the reproduction of the middle classes in their pursuit of social mobility. Therefore I argue that these large transformations should instead be seen as the ‘building of middle-class cities’. This paper is about how São Paulo was transformed into a middle-class city. In it I emphasize the period from 1960 to 1980, when the city population increased from 3.6 million to 8.5 million, and 1.6 million new automobiles were put into circulation. In this period Brazil experienced a highly dynamic capitalist modernization process, with high rates of GNP growth, under authoritarian (and often repressive) political rule. New middle-class sectors were generated, supported by the concentration of income and by their ideological commitment to the new regime. The city space was physically transformed to allow for a new pattern of circulation which was directly related to the new economic activities and the new lifestyle of these middle-class sectors, for whom the automobile became a vital means of social reproduction. The middle classes were represented, inside the state, by transportation planners who promoted the ideology of modernization. The space was then reshaped in a way which favored the circulation needs of the middle class population, in its prime role of driver, rather than the needs of the majority of the population, in their primary roles of pedestrian and captive public transportation user. Moreover, the mobility and fluidity needs of these selected middle-class sectors were pursued regardless of the safety and environmental consequences of the new circulation pattern. Similar processes can be identified in the developing world where other middle-class cities have been created. In spite of social and political differences, these processes share the objective of readapting space to ease the circulation of the social sectors which are relevant to economic accumulation and political legitimation.

scholarly journals MSW management in São Paulo city and the national policy of solid waste

2017 ◽  
Author(s):  
Veronica R. Polzer ◽  
Kenneth M. Persson
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Solid Waste Management ◽  
Integrated Management ◽  
National Policy ◽  
Sao Paulo ◽  
São Paulo ◽  
Msw Management ◽  
The City

The objective of this paper is to present a brief overview of the current situation of solid waste in Brazil, as well as the importance of the National Policy of Solid Waste as the main regulatory milestone of the country, clarifying the role of society, government and the private sector. Moreover, this law is essential for determining the closing of dumps, encouraging municipal consortia and establishing a hierarchy for solid waste management through waste reduction at source, reuse, recycling, energy recovery and disposal. Also it aims to understand how São Paulo, the most important city of Brazil, is currently facing the problem and what are the scenarios and proposals indicated in the Integrated Management Solid Waste Plan of the city to get the sustainable solid waste management of São Paulo in operation.

scholarly journals Una nueva forma de vivir en el siglo XX: bungalós en la ciudad de Bauru

2017 ◽  
Vol 4 ◽  
pp. 28-38
Author(s):  
Karla Di Giacomo Dias Oliveira dos Santos ◽  
Nilson Ghirardelo
Keyword(s):  
Middle Class ◽  
Historical Context ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State ◽  
Siglo Xx ◽  
The City

Resumen: La arquitectura ecléctica se destacó en Brasil, en ciudades del interior paulista, debido a la presencia del café y la riqueza generada por sus plantaciones. Sin embargo, Bauru, no presentó una arquitectura ecléctica expresiva, pero posee, aún hoy, un número significativo de construcciones denominadas bungalow, que obedecían a determinados patrones arquitectónicos, formales, técnicos y constructivos, destinados a la clase media. Incluso, ante su cantidad significativa, todavía es poco estudiado por los expertos. Este trabajo tiene como objetivo distinguir esa vivienda como elemento importante en el desarrollo de la arquitectura, reconociéndola como parte del contexto histórico de la ciudad. ___Palabras clave: Bungalós, vivienda, Bauru. ___Abstract: The eclectic architecture stood out in cities of the countryside of São Paulo state in Brazil due to the presence of the coffee and the wealth generated by its plantations.  Although Bauru city did not show an expressive eclectic architecture, it still has until nowadays a significant number of buildings called bungalows, which followed certain architectural, formal, technical and constructive standards for the middle class. Despite its significant amount in the city, it is not well studied by specialists yet. Thus, this work aims to highlight this housing as an important element for the development of architecture, recognizing it as part of the historical context of the city. ___Keywords: Bungalow, housing, Bauru. ___Resumo: A arquitetura eclética destacou-se, no Brasil, em cidades do interior paulista, devido à presença do café e à riqueza gerada por suas plantações. No entanto, Bauru, não apresentou uma arquitetura eclética expressiva, mas possui, ainda hoje, um número significativo de construções denominadas bangalô, que obedecia a determinados padrões arquitetônicos, formais, técnicos e construtivos, destinado à classe média. Mesmo diante de sua quantidade significativa, ainda é pouco estudado pelos especialistas. Assim, este trabalho tem como objetivo distinguir essa habitação como elemento importante no desenvolvimento da arquitetura, reconhecendo-a como parte do contexto histórico da cidade. ___Palavras – Chave: Bangalô, moradia, Bauru. ___Recibido: 26 de julio 2017. Aceptado: 5 de octubre de 2017.

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