A Pluralidade do Conceito de Saúde: o Poder de Voz dos Usuários do SUS em uma Conferência Municipal de Saúde/The Plurality of the Concept of Health: the Voice Power of Unified Health System (SUS) Users in a Municipal Health Conference

1970 ◽  
Vol 5 (2) ◽  
pp. 91-99 ◽  
Author(s):  
Renato Augusto Passos ◽  
Sylvia da Silveira Nunes ◽  
Luiz Felipe Silva
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Sector ◽  
Minas Gerais ◽  
Ethnographic Study ◽  
Local Health ◽  
Research Committee ◽  
Unified Health System ◽  
Concept Of Health ◽  
Municipal Health

RESUMOObjetivo: O presente trabalho teve como objetivo principal analisar o conceito de saúde sob a perspectiva de um grupo de usuários do SUS moradores de um município de pequeno porte situado no sul de Minas Gerais, em uma conferência municipal de saúde. Materiais e métodos: Tratou-se de um recorte da dissertação intitulada “Cotidiano e saúde(s): estudo etnográfico dos usuários do SUS em um município do Sul de Minas” aprovado pelo comitê de ética em pesquisas da Faculdade de Medicina de Itajubá (FMIT), sob parecer 618.702. O estudo foi transversal de pesquisa qualitativa etnográfica, com levantamento de dados realizado por meio de observação participante. Resultados e discussão: Ao refletir sobre as necessidades em saúde, o grupo demonstrou a pluralidade de situações que envolvem o conceito de saúde relacionando-o a questões como a necessidade de atividades físicas regulares, a necessidade de água tratada, os riscos da ingestão de alimentos contaminados, a necessidade da coleta de lixo acumulado nos bairros rurais, a inclusão de terapias alternativas (homeopatia e acupuntura) nos serviços de saúde, entre outros. Conclusão: As propostas finais aprovadas na Conferência Municipal de Saúde demonstram a necessidade em ampliar os modos de lidar com métodos centrados em produção de dados ligados às doenças, visto a pluralidade de maneiras de lidar com o conceito de saúde(s). Apontam para necessidade do setor público de saúde planejar suas ações baseadas nas necessidades da comunidade e atuar em conjunto com outros setores, como o de infraestrutura urbana e rural, transporte, meio ambiente, educação, entre outros.Palavras chave: Conferências de saúde, Sistema Único de Saúde, Formação de conceito. ABSTRACTObjective: This study aimed to analyze the concept of health from the perspective of a group of public health system (SUS) users who live in a small city  in southern Minas Gerais, in a local health conference. Materials and methods: This was a clipping of the dissertation entitled "Daily life and health: ethnographic study of SUS users in a southern city of Minas" approved by the ethics in research committee of the Medicine School of Itajubá (FMIT), under report 618,702. The study was a cross ethnographic qualitative research, with data collection conducted through participant observation. Results and discussion: When thinking over health needs, the group demonstrated the plurality of situations involving the concept of health relating it to issues such as the need for regular physical activity, the need for clean water, the risks of contaminated food intake, the need of accumulated garbage collection in rural districts, the inclusion of alternative therapies (homeopathy and acupuncture) in health services, among others. Conclusion: The final proposals approved at the Municipal Health Conference demonstrate the need to broaden the ways of dealing with methods focusing on data production linked to disease, considering the plurality of ways to deal with the concept of health. It points to the need for the public health sector to plan their actions based on community needs and work together with other sectors, such as urban and rural infrastructure, transport, environment and education among others. Keywords: Health conferences, Unified Health System, Concept Formation.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

scholarly journals It never happened to me, so I don’t know if there are procedures”: identification and case management of torture survivors in the reception and public health system of Rome, Italy

2018 ◽  
Vol 28 (2) ◽  
pp. 38-55
Author(s):  
Caterina Spissu ◽  
Gianfranco De Maio ◽  
Rafael Van den Bergh ◽  
Engy Ali ◽  
Emilie Venables ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Health System ◽  
Public Health System ◽  
Health Sector ◽  
Linkage To Care ◽  
Public Health Care ◽  
Prise En Charge ◽  
Correct Identification ◽  
Torture Survivors

Background: Access and linkage to care for migrant torture survivors is contingent on their identification and appropriate referral. However, appropriate tools for identification of survivors are not readily available, and the (staff of) reception systems of host countries may not always be equipped for this task. This study explores practices in the identification and case management of torture survivors in the reception structures and in the public health sector in Rome, Italy. Method: Data were analysed manually and codes and themes generated. Results: A non-homogeneous level of awareness and experience with torture survivors was observed, together with a general lack of knowledge on national and internal procedures for correct identification of torture survivors. Identification and case management of torture survivors was mainly carried out by non-trained staff. Participants expressed the need for training to gain experience in the identification and management of torture survivors’ cases, as well support and increased resources at both the reception and public health system levels. Conclusions: The crucial process of identification and prise en charge of survivors of torture among migrant and refugee populations is relegated to nontrained and inexperienced professionals at different levels of the reception system and public health care sector, which may carry a risk of non-identification andpossible harm to survivors. Additional resources and structured interventions are urgently needed, in the form of developing procedures, training, and adapted multidisciplinary services.

scholarly journals The Strategic Dimension of the Public Health Sector in the Global Age. The Nexus Between Public Health and National Security

2020 ◽  
Vol 25 (2) ◽  
pp. 100-107
Author(s):  
Anca Dinicu
Keyword(s):  
Public Health ◽  
National Security ◽  
Health Sector ◽  
Well Being ◽  
Theory And Practice ◽  
Health Security ◽  
The Public ◽  
Public Health Sector ◽  
Concept Of Health ◽  
Global Age

AbstractAlthough the health sector is a great contributor to the well-being status of every individual and community as a whole, and it is recognized that good health supports the economy, the idea of connecting it with the national security was not very much promoted by the public policymakers, nor by the academics. Over the last three decades, not only that the situation has started to change, but even the concept of health security has gained acceptance and attractiveness. Nevertheless, there is a great debate in theory and practice concerning the real meaning of the concept and the way of understanding it by the professionals from different domains connected with the public health sector. Not to mention that its importance is brought into discussion mainly in times of crisis and the disagreement regarding its content and scope is much deeper between developed and developing countries. This paper proposes to make the necessary distinction between the concepts that constitute the foundation of the specific analysis, but without treating them in a separate way. Also, by dealing with the concept of health security, it aims at highlighting the role of government in the process and last, but not least, to emphasize the need of international cooperation in the global age.

scholarly journals Public health agendas addressing violence against rural women - an analysis of local level health services in the State of Rio Grande do Sul, Brazil

2015 ◽  
Vol 20 (5) ◽  
pp. 1379-1387 ◽  
Author(s):  
Marta Cocco da Costa ◽  
Marta Julia Marques Lopes ◽  
Joannie dos Santos Fachinelli Soares
Keyword(s):  
Public Health ◽  
Rural Women ◽  
Local Level ◽  
Rio Grande ◽  
The State ◽  
Local Health ◽  
Rio Grande Do Sul ◽  
Local Public Health ◽  
Municipal Health ◽  
Health Managers

This study analyses health managers' perceptions of local public health agendas addressing violence against rural women in municipalities in the southern part of the State Rio Grande do Sul in Brazil. It consists of an exploratory descriptive study utilizing a qualitative approach. Municipal health managers responsible for planning actions directed at women's health and primary health care were interviewed. The analysis sought to explore elements of programmatic vulnerability related to violence in the interviewees' narratives based on the following dimensions of programmatic vulnerability: expression of commitment, transformation of commitment into action, and planning and coordination. It was found that local health agendas directed at violence against rural women do not exist. Health managers are therefore faced with the challenge of defining lines of action in accordance with the guidelines and principles of the SUS. The repercussions of this situation are expressed in fragile comprehensive services for these women and programmatic vulnerability.

scholarly journals The Idealized Brazilian Health System versus the real one: contributions from the nursing field

2014 ◽  
Vol 22 (6) ◽  
pp. 1026-1033 ◽  
Author(s):  
Dirce Stein Backes ◽  
Martha Helena Teixeira de Souza ◽  
Mara Teixeira Caino Marchiori ◽  
Juliana Silveira Colomé ◽  
Marli Terezinha Stein Backes ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Health System ◽  
Linear Model ◽  
Descriptive Study ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
System Versus ◽  
Qualitative Nature ◽  
Brazilian Health System

OBJECTIVE: to identify the perceptions of professionals working in a facility connected with the Brazilian Unified Health System - SUS in regard to what they know, think and talk about public health policy.METHOD: this exploratory-descriptive study with a qualitative nature was conducted with 28 professionals working in a facility connected with the SUS. Data were collected through interviews with guiding questions and analyzed through the thematic content analysis technique.RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web that does not work in practice; The recurrent habit of complaining about the SUS; The need to rethink the way of thinking about, acting in and managing the SUS.CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines that govern the Brazilian health system, however, they reproduce a dichotomous and linear model of conception and practice strongly linked to the thinking of society in general.

scholarly journals (Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão
Keyword(s):  
Public Health ◽  
Health Management ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Technical Cooperation ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
Health Council ◽  
Self Administered Questionnaire ◽  
Municipal Health

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

Applications of a Health Planning Model in Morocco

1976 ◽  
Vol 6 (1) ◽  
pp. 103-122 ◽  
Author(s):  
Robin Barlow
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Health Planning ◽  
Health Sector ◽  
Underdeveloped Country ◽  
General Hospitals ◽  
Principle Calculation ◽  
Vaccination Programs ◽  
Made In

It is argued in this paper that public health planning should be guided by the principle of output maximization. The objectives of the health sector should be specified, and measurable forms of output should be derived from these statements of purpose. Knowledge of the contributions which given combinations of inputs make toward output thus defined allow, in principle, calculation of the particular deployment of the available inputs which will maximize output. There is a discussion of the objectives or forms of output in a public health system, both humanitarian and economic. A verbal model of such a system for an underdeveloped country is constructed which identifies the relationships which must be known if spending decisions are to succeed in maximizing output. An attempt is then made, in the context of the Moroccan public health system, to show that the model is not merely a theoretical exercise, but is potentially useful as a planning instrument. The respective contributions of general hospitals and of mass vaccination programs toward the objective of reducing mortality are estimated. On the whole, the preventive activities (the mass vaccinations) are found to be a much cheaper way of saving lives than are the curative activities (the general hospitals).

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