Public and Private Responses to Social Exclusion among Youth in São Paulo

2006 ◽  
Vol 606 (1) ◽  
pp. 216-230 ◽  
Author(s):  
Pedro Jacobi
Keyword(s):  
Social Exclusion ◽  
Sao Paulo ◽  
São Paulo ◽  
Public And Private

scholarly journals How the ‘plates’ of a health system can shift, change and adjust during economic recessions. A qualitative interview study of public and private health providers in Brazil’s São Paulo and Maranhão states

2020 ◽  
Author(s):  
Giuliano Russo ◽  
Maria Luiza Levi Paim ◽  
Maria Teresa Seabra Soares de Britto e Alves ◽  
Bruno Luciano Carneiro Alves de Oliveira ◽  
Ruth Helena de Souza Britto Ferreira de Carvalho ◽  
...  
Keyword(s):  
Health System ◽  
Access To Care ◽  
Health Systems ◽  
Low Income ◽  
Sao Paulo ◽  
São Paulo ◽  
Public And Private ◽  
Qualitative Interview Study ◽  
Economic Recessions ◽  
The Impact

Background. Economic recessions carry an impact on population health and access to care; less is known on how health systems adapt to the conditions brought by a downturn. This particularly matters now that the COVID-19 epidemic is putting health systems under stress. Brazil is one of the world’s most affected countries, and its health system was already living the aftermath of the 2015 recession. Methods. Between 2018 and 2019 we conducted 46 semi-structured interviews with health practitioners, managers and policy-makers to explore the impact of the 2015 recession on public and private providers in prosperous (São Paulo) and impoverished (Maranhão) states in Brazil. Thematic analysis was employed to identify drivers and consequences of system adaptation and coping strategies. Nvivo software was used to aid data collection and analysis. We followed the Standards for Reporting Qualitative Research to provide an account of the findings.Results. We found the concept of ‘health sector crisis’ to be politically charged among healthcare providers in São Paulo and Maranhão. Contrary to expectations, the public sector was reported to have found ways to compensate for diminishing federal funding, having outsourced services and adopted flexible – if insecure – working arrangements. Following a drop in employment and health plans, private health insurance companies streamlined their offer, at times at the expenses of coverage. Low-cost walk-in clinics were hit hard by the recession, but also credited for having moved to cater for higher-income customers in Maranhão.Conclusions. The ‘plates’ of a health system may shift and adjust in unexpected ways in response to recessions, and some of these changes might outlast the crisis. As low-income countries enter post-COVID recessions, it will be important to monitor the adjustments taking place in health systems, to ensure that past gains in access to care and job security are not eroded.

scholarly journals Só me resta ser puta? Enfrentamentos da heteronormatividade em um programa de aprendizagem para o trabalho

2020 ◽  
Vol 10 (2) ◽  
pp. 103
Author(s):  
Jacqueline Figueiredo ◽  
Ana Paula Leivar Brancaleoni
Keyword(s):  
Social Exclusion ◽  
Gender Issues ◽  
Sao Paulo ◽  
Qualitative Approach ◽  
The State ◽  
São Paulo ◽  
Inclusion Process ◽  
Country Town

O presente estudo visa analisar o processo de inserção de uma adolescente transexual em um programa de formação técnico-profissional, o qual ocorre em um município no interior do estado de São Paulo. Adotou-se, pois, uma abordagem qualitativa de cunho cartográfico, por meio do qual uma das pesquisadoras acompanhou, registrou e interveio ao longo do processo de inserção. Constatou-se que as questões de gênero e do corpo em transição da adolescente promoveram esgarçamentos na heternormatividade, ocasionando tensionamentos na estrutura e dinâmica do programa. Contudo, impingiu-se, à adolescente, a reposição da condição de exclusão já vivenciada em outros espaços. Ademais, a instituição não foi capaz de oferecer os aportes necessários de proteção psicossocial à adolescente e que, sem os mesmos, a sua finalidade não pôde ser garantida. Frente a essas ausências, cristalizam-se os abandonos, rupturas e solidificam-se as exclusões.Palavras-chave: Aprendizagem para o trabalho; Transsexualidade; Processos formativos; Adolescência. ABSTRACT: This study aims to analyze the inclusion process of a transsexual adolescent in a certified technical professional program, which takes place in a country town in the state of São Paulo. It was adopted a mapping nature qualitative approach, by means of which one of the researchers monitored, registered and intervened throughout the previously mentioned process. It was shown that gender issues and the individual’s body transition disturbed the heteronormativity, which led to tensions in the dynamic and structure of the program. However, the adolescent experienced the recurrence of situations related to social exclusion, which had already taken place in other environments. In addition, the institution was not capable of providing all the necessary psychosocial protection to the adolescent, who consequently was not able to graduate. Due to the lack of all the resources quoted, abandonment and ruptures become evident, and thus social exclusion consolidates.Keywords: Learning for work; Transsexuality; Formative processes; Adolescence.

Incidence of hospital‐acquired pressure injury: A cohort study of adults admitted to public and private hospitals in Sao Paulo, Brazil

2020 ◽  
Author(s):  
Leticia Faria Serpa ◽  
Margarita Maria Ortiz ◽  
Anne Chaves Lima ◽  
Línea Bueno ◽  
Paula Cristina Nogueira ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Private Hospitals ◽  
Public And Private ◽  
Pressure Injury ◽  
Public And Private Hospitals ◽  
Hospital Acquired

scholarly journals A DESTINAÇÃO FINAL DOS RESÍDUOS SÓLIDOS URBANOS: ALTERNATIVAS PARA A CIDADE DE SÃO PAULO ATRAVÉS DE CASOS DE SUCESSO

2013 ◽  
Vol 5 (1) ◽  
pp. 96-129
Author(s):  
Ana Karolina Tanaka Seara ◽  
Marilson Alves Gonçalves ◽  
André De Azevedo Amedomar
Keyword(s):  
Waste Disposal ◽  
Reverse Logistics ◽  
Sao Paulo ◽  
São Paulo ◽  
Domestic Waste ◽  
Solid Domestic Waste ◽  
Public And Private ◽  
Sanitation Services ◽  
Full Compliance ◽  
Effective Manner

The article studies public sanitation services - in as much as solid domestic waste is concerned - within the municipality of São Paulo and employs as base year, that of 2010. Highlights include issues related to the current waste management model in the region and solutions are proposed to those deemed most critical, utilizing as benchmarks, adequate treatments conducted at other globalized cities. The bibliographical review seeks to elucidate concepts that are most aligned with the theme under study. Information concerning the management of solid domestic waste and reverse logistics in the private sector was gathered, whilst findings as to impairments observed in the municipality are listed. Local and international success cases concerning waste disposal were studied with views to encountering sources of potential improvements. It is understood that the adequate destination of residues, by means of recycling, composting or generation of fuels, calls for the population´s commitment in terms of developing separation and waste disposal habits, municipal administration involvement - in as much as supplying the required resources is concerned to ensure progress of alternatives - and finally, cannot do without reverse logistics actions undertaken by producing companies, in full compliance with existing federal rulings. In the quest to expand discussions concerning solid waste, the article attempts to include this matter - in a more effective manner - within strategic and investment decisions taken by both the public and private sectors.

scholarly journals Sweat test and cystic fibrosis: overview of test performance at public and private centers in the state of São Paulo, Brazil

2017 ◽  
Vol 43 (2) ◽  
pp. 121-128 ◽  
Author(s):  
Maria Fátima Servidoni ◽  
Carla Cristina Souza Gomez ◽  
Fernando Augusto Lima Marson ◽  
Adyléia Aparecida Dalbo Contrera Toro ◽  
Maria Ângela Gonçalves de Oliveira Ribeiro ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Test Performance ◽  
Sao Paulo ◽  
The State ◽  
Sweat Test ◽  
São Paulo ◽  
Cross Sectional ◽  
Public And Private ◽  
Qualified Personnel ◽  
Increasing Demand

ABSTRACT Objective: The sweat test (ST) measures chloride levels in sweat and is considered the gold standard for the diagnosis of cystic fibrosis (CF). However, the reliability of a ST depends on their being performed by experienced technicians and in accordance with strict guidelines. Our aim was to evaluate how sweat stimulation, sweat collection, and chloride measurement are performed at 14 centers (9 public centers and 5 private centers) that routinely perform STs in the state of São Paulo, which has the highest frequency of CF in Brazil. Methods: This was a cross-sectional cohort study, using a standardized questionnaire administered in loco to the staff responsible for conducting STs. Results: No uniformity regarding the procedures was found among the centers. Most centers were noncompliant with the international guidelines, especially regarding the collection of sweat (the samples were insufficient in 10-50% of the subjects tested); availability of stimulation equipment (which was limited at 2 centers); modernity and certification of stimulation equipment (most of the equipment having been used for 3-23 years); and written protocols (which were lacking at 12 centers). Knowledge of ST guidelines was evaluated at only 1 center. Conclusions: Our results show that STs largely deviate from internationally accepted guidelines at the participating centers. Therefore, there is an urgent need for standardization of STs, training of qualified personnel, and acquisition/certification of suitable equipment. These are essential conditions for a reliable diagnosis of CF, especially with the increasing demand due to newborn screening nationwide, and for the assessment of a possible clinical benefit from the use of modulator drugs.

scholarly journals Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Juan Stuardo Yazlle Rocha ◽  
Rosane Aparecida Monteiro ◽  
Marizélia Leão Moreira
Keyword(s):  
Hospital Care ◽  
Sao Paulo ◽  
The State ◽  
Southeastern Brazil ◽  
São Paulo ◽  
Public And Private ◽  
The Public ◽  
Care Access ◽  
Flow Balance ◽  
Migration Flows

OBJECTIVE To describe the migration flows of demand for public and private hospital care among the health regions of the state of Sao Paulo, Brazil. METHODS Study based on a database of hospitalizations in the public and private systems of the state of Sao Paulo, Southeastern Brazil, in 2006. We analyzed data from 17 health regions of the state, considering people hospitalized in their own health region and those who migrated outwards (emigration) or came from other regions (immigration). The index of migration effectiveness of patients from both systems was estimated. The coverage (hospitalization coefficient) was analyzed in relation to the number of inpatient beds per population and the indexes of migration effectiveness. RESULTS The index of migration effectiveness applied to the hospital care demand flow allowed characterizing health regions with flow balance, with high emigration of public and private patients, and with high attraction of public and private patients. CONCLUSIONS There are differences in hospital care access and opportunities among health regions in the state of Sao Paulo, Brazil.

scholarly journals Social policies, neoliberalism and individualization in the periphery of São Paulo

2019 ◽  
Vol 34 (2) ◽  
pp. 34
Author(s):  
Ricardo De Lima Jurca ◽  
Aurea Maira Zöllner Ianni
Keyword(s):  
Family Health ◽  
Sao Paulo ◽  
Social Policies ◽  
São Paulo ◽  
Current Crisis ◽  
Public And Private ◽  
The Public ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Healthcare Program

The present article explores the expansion of the public and private health segment in response to the needs of the population of a peripheral sector of the South Zone of São Paulo, Brazil. Management of the sector is led from the margins of the capitalist peripheral State in the context of the current crisis of democracy which is driving a gradual individualization of social policies. As such, this management is both social and structural in nature. In addition to those users of the system who were interviewed, participants in the research included social leaders, Basic Health Unit (UBS) professionals, and agents of the Family Health Strategy (ESF) primary healthcare program. We focus on the continuities and discontinuities of public policies and highlight the important role that strategies of containment and reproduction of poverty have played in the process of legitimizing the democratic regime in Brazil.

scholarly journals Sources of Brazil's Counter-Hegemony

2010 ◽  
Vol 53 (2) ◽  
pp. 125-141 ◽  
Author(s):  
Marcos Aurelio Guedes de Oliveira
Keyword(s):  
Social Exclusion ◽  
Sao Paulo ◽  
Business Community ◽  
The Other ◽  
São Paulo ◽  
Regional Economic ◽  
Relative Independence ◽  
State Bureaucracy ◽  
High Level

There have been two key initiatives taken in the last two decades in Brazil to create a counter-hegemonic project for the country. One initiative resulted from Brazil's business community and high-level State bureaucracy and aimed at forming a regional economic and political bloc that would guarantee and enlarge a relative independence from the hegemonic powers. The other resulted from the emergence of the new unionist movement in São Paulo and from the formation of Partido dos Trabalhadores and aimed at promoting radical democratization and reducing social exclusion. Both initiatives have created policies and changes that have converged to enhance Brazil's counter-hegemonic position as a regional and emerging power.

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