Archives - Page 2
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Interdisciplinarity in public health
Vol. 46 No. especial 6 dez (2022)This special issue of the journal ‘Saúde em Debate’, dedicated to the theme ‘Interdisciplinarity in public health’, reflects and explores theoretical and methodological aspects, training and research on the theme in the field of public health. [...] This issue of the journal opens with the article by Nísia Trindade, debated by Gulnar Azevedo e Silva and Aurea Ianni, about the challenges in the path of interdisciplinarity and the way in which they have been developing in the field of public health. The text highlights that the COVID-19 pandemic brings a new order of issues, in which it is necessary to rethink the divisions between the natural world and society and the environmental challenges, as well as the current configuration of the field of information and communication. The publication features original and review articles, as well as experience reports. Some texts present practical experiences of research, teaching, extension, management, and health care, and others produce and deepen discussions on interdisciplinarity in terms of its episteme and guiding theories.” (Excerpts from the Presentation signed by the scientific editors).
Topics covered: Pandemic and interdisciplinarity: challenges for collective health; Interdisciplinary training for medical students; PET-Saúde/Interprofessionality; documentary cinema as an inspiration to decolonize knowledge production; Children with Congenital Zika Syndrome; Child and adolescent mental health and the school; Priority for the elderly in health claims in Rio de Janeiro; Children and teenagers who lived with leprosy; Health Literacy Scale and eHEALS for older person; Social support networks for trans people; Extended Action-Research Communities; Interdisciplinarity, interprofessionality, and racial diversity in the anti-racist training of health professionals; Interprofessionality and interdisciplinarity in health: reflections on resistance from concepts of Institutional Analysis; Relationship between territory and health residence; Interdisciplinarity in health: the experience of conversation circles in the pandemic; Interdisciplinarity in the construction of Permanent Education in Health with management teams; Culture Circle as a strategy to promote health; gender and health in the training of residents of a university hospital; Solidarity economy and mental health; Interdisciplinarity in mental health care practices; Teaching public health in Brazil.
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Child health: integration between teaching, research, service and management
Vol. 46 No. especial 5 dez (2022)The Presentation of the special issue of Saúde em Debate ‘Child Health: integration between teaching, research, service and management’, signed by the guest scientific editors, begins with the poetry of Gabriela Mistral, ‘Your name is today’:
“We are guilty of many mistakes and faults
but our worst crime is the abandonment of children
denying them the source of life
Many of the things we need can wait.
The child cannot
Now is the time when their bones are forming
their blood is too
and their senses are developing
To them, we cannot answer ‘tomorrow’
Their name is today."The poetry of the 1945 Nobel Prize winner for Literature calls for the emergence of caring for children. It was pressing in the middle of the last century; it is urgent today. No wonder, one of the first measures announced by the transition team of president-elect (in 2022) Luiz Inácio Lula da Silva was the priority in the recovery of children’s vaccination coverage rates – a topic that has been heavily neglected in the last four years in Brazil. [...] The issue of this publication on children’s health meets this process and becomes a voice that responds to the cry: ‘Their name is today’, especially if we highlight children’s health, an area that has gone through many challenges.”
Topics covered: Child’s Handbook and occupational therapy; Brazilian Amazon Primary Health Care professionals on maternal and child health; Registration of infant feeding and clinical complications in the Children’s Handbook; Health promotion in early childhood: weaving local networks; Vaccination Coverage in children aged zero to 12 months in Piauí, Brazil; Interprofessionality, training, and collaborative work in the context of family health; Family relationships of children in situations of vulnerability and violence; Vulnerability of children with special health needs; Socioeconomic determinants on the motor development of infants in Manaus, Amazonas; Parental practices and knowledge about children's motor skills acquisitions; Frenectomies performed in the context of the SUS after mandatory tongue test; Family-centered home motor intervention on the functioning of individuals with Duchenne; Repercussions of the COVID-19 pandemic on Elementary School children; Sociodemographic and pharmacoepidemiology profile of HIV infected children; Methylphenidate prescriptions in a pediatric neurology outpatient clinic; The child’s body as a receptacle of physical violence; Sexual abuse against children: strategies in Primary Health Care in a municipality in the metropolitan region of Recife; Child care in the prison contexto; Childcare in the SUS; child health training in the Brazilian Amazon; Multicampi Saúde da Criança: extension contributions to medical training in Northern Brazil; healthy complementary feeding in Acre, Brazilian Amazon; integrality in the interprofessional performance in the care of childhood obesity; Breastfeeding promotion actions at daycare centers in the city of São Paulo; Almanac of Emotions for children and adolescents in times of pandemic.
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Saúde em Debate
Vol. 46 No. 135 out-dez (2022)Editorial of the last regular issue of ‘Saúde em Debate’ of 2022, written by the journal’s scientific editors: ‘Lula for President: the heritage and the challenges for the democratic field’ – For the past six years, democracy in Brazil has been confronted with the fascism that has settled here along with serious political, economic, health, cultural, and social crises. Until September 2022, the COVID-19 pandemic had killed 685,677 people, proportionately one of the highest mortality rates on the planet (14th place), and the second in the Americas, with 3,214 million inhabitants, lagging behind only Peru. [...] In the context of a society divided and flooded by hatred, Lula’s great task will be to rebuild the country, democracy, unity, and hope, while implementing social policies that reduce the enormous inherited inequalities, particularly the hunger that today reaches 33 million Brazilians. There is great expectation regarding the strengthening of the health sector and the Unified Health System (SUS), which gained visibility and certain popular appreciation in the pandemic, but which, at the same time, is a sector in strong dispute with the private market. The invitation to the leaders of the National Health Council and the Brazilian Center for Health Studies (CEBES) to compose the government’s Transition Commission in the field of health signals the role that organizations and entities of collective health and the Health Reform Movement (MRS) can play in the future government as actors with the capacity and power to influence the direction of health”.
Topics covered: quality of health information on the Internet; Violence, mental suffering and invisibilities in the favelas of Rio de Janeiro; Humanization of birth and women’s empowerment in Quebec and Chile; Hospital care during childbirth; Judicialization of health as a sustainability strategy for the SUS; Prevention and control of oral câncer in Rio de Janeiro; Dental services in Paraná during the Covid-19 pandemic; The Caps and Winnicottian theory; Work and practices of nursing in Primary Health Care in the state of Paraíba – Brazil; Diagnosis of HIV/AIDS represent after four decades of epidemic; Health care practices from the perspective of People Living With HIV/AIDS; case study on the living and care of women with HIV; Collective health and social psychology: an interdisciplinary path for meta-formation in graduate studies; Physical education and training in public health; Continuing Health Education: an interprofessional and affective policy; Quality of care and patient safety; Applicability of the Three Delays Model in the context of maternal mortality; Big Data and artificial intelligence for translational research in COVID-19; Planning and Sizing of the Health Workforce in Brazil; Pedagogical experiences for the construction of interdisciplinary in public health; Construction of the Municipal Health Plan from the district perspective.
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Institutional accreditation in SUS ombudsmen and participation of society
Vol. 46 No. especial 4 nov (2022)The Public Ombudsman’s Offices are essential and innovative bodies [...]. They represent the gateway to individual and collective demands from citizens and beneficiaries of public policies. In the national health sector, there is an evident evolution in its integration into decision-making processes, which reflects its progressive institutionalization. The articles published in this issue reflect on the direct or intertwined connections between the Ombudsman of the Unified Health System (SUS) and decision-making processes on a sectoral scale. Integrated with the theme of governance and the participation of society, these articles provide analyses on these experiences and related topics in the national and international context. [Excerpt from the Presentation of the special issue signed by the scientific editors José Inácio Jardim Motta and José Mendes Ribeiro].
Topics covered: Health systems, mechanisms of governance, and governmental porosity in a comparative perspective; Participation, representation, and deliberation in the decision-making process of the Municipal Health Council of Marabá-PA; Profile and manifestations of the population aged 15 to 29 years to the SUS General Ombudsman; Society, phobias, and diferences; Governance mechanisms, societal institutions, and State bureaucracy; Civilian health surveillance, population studies and participation; Analysis of the Chilean health system and its structure in social participation; Public participation in health and Covid-19 in Portugal; Participative management in Primary Health Care in a vulnerable urban territory; Institutional Accreditation of SUS Ombudspersons; building the Institutional Accreditation process for SUS ombudpersons; SUS Ombudsman offices and the Brazilian Public Health School Network; SUS Bahia Ombudsman Office’s experience; Interview with Fernando Pigatto – President of National Health Council; From the struggles against dictatorship to the struggles for democracy: the thinking of Antônio Ivo de Carvalho.
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PSE: 15 years promoting health at school
Vol. 46 No. especial 3 nov (2022)‘PSE: 15 years promoting health at school’ is the result of the intersectoriality between health and education in the long commitment of those sectors in the implementation of the School Health Program (PSE) in Brazil. […] Its proposal is to disseminate knowledge on the implementation, intersectoral management, and actions of the PSE in health promotion, prevention of diseases and injuries, as well as health care for students in the public Basic Education network. […] In celebration of the 15th anniversary of the PSE, Department of Health Promotion of the Secretariat of Primary Health Care of the Ministry of Health (DEPROS/SAPS/MS), and supported by the United Nations Educational, Scientific, and Cultural Organization (UNESCO)and the Brazilian Center for Health Studies (CEBES), chose to celebrate a feast of scientific knowledge of innovations in the field of intersectoriality between health and education through the publication of this special issue of the journal ‘Saúde em Debate’. (parts from the Presentation of the special number).
Topics covered: Implementation of the School Health Program (PSE) in Brazil; youth participation in the PSE: the role of federal management; the PSE in the Federal District before and during the COVID-19 pandemic; scope of the PSE in Vitória de Santo Antão-PE; integration of PSE actions among health and education professionals in Belo Horizonte-MG; analysis of the work process of health and education professionals in the PSE; perception of health and education professionals about the PSE; PSE: potentialities and limits of intersectoral articulation for child health promotion; adequate and healthy food under the PSE; educational practices of nutritionists in the PSE; actions of body practices and physical activity in the PSE; PSE: aspects of students’ oral health; PSE: prevent Dengue, Zika and Chikunguny; PSE: intervention against dengue in Matinhos-PR; violence against children and adolescents: multiprofessional interventions in Primary Health Care at school; eye health and PSE; adolescent health in the Brazilian federal education network; PSE: challenges and possibilities to promote health from the perspective of healthy eating.
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Saúde em Debate
Vol. 46 No. 134 jul-set (2022)Trechos do editorial publicado neste número da ‘Saúde em Debate’ assinado por Lucia Souto, presidenta do Centro Brasileiro de Estudos de Saúde (Cebes), sob o título ‘Conferência Livre, Democrática e Popular lança diretrizes para refundação do Brasil’:
“Nos aproximamos das eleições mais importante de nossas vidas. Em outubro, o povo brasileiro vai decidir, com o voto eletrônico, se retomaremos os rumos da democracia plena ou se continuará a barbárie de um governo autoritário, excludente, misógino, que aniquilou conquistas históricas do povo na área da saúde, do trabalho, da cultura e das políticas sociais. [...] Durante a Conferência, realizada em 5 de agosto, em São Paulo, foi entregue a Luiz Inácio Lula da Silva, candidato a Presidente da República pela Coligação Brasil da Esperança, o documento ‘Saúde como Direito’, que representa toda a força do movimento sanitário no Brasil. [...] O documento final é uma síntese de políticas de cuidados e direitos universais e foi elaborado em conjunto pelas entidades e movimentos que integram a Frente Pela Vida, entre elas, o Cebes, o Conselho Nacional de Saúde, a Associação Brasileira de Saúde Coletiva (Abrasco), a Rede Unida e a Sociedade Brasileira de Bioética, ampliado com as sugestões acolhidas durante a conferência. O documento foi construído sobre cinco eixos fundamentais: o primeiro é o acesso universal à saúde; o segundo é a articulação das redes, levando em consideração integralidade e equidade; o terceiro é relativo ao Complexo Econômico e Industrial da Saúde (Ceis); o quarto, a gestão compartilhada e o controle social do SUS; e o quinto, a gestão do trabalho e da educação em saúde.”
Assuntos abordados nos artigos publicados: SUS na mídia em contexto de pandemia; ‘o outro’ da pandemia da Covid-19: ageísmo contra pessoas idosas em jornais do Brasil e do Chile; a Atenção Primária à Saúde e o enfrentamento da Covid-19; a telemedicina no combate à Covid-19 em Vitória/ES, Brasil; testes diagnósticos nacionais e a vigilância sindrômica da Covid-19; Síndrome Inflamatória Multissistêmica e Covid-19 em crianças e adolescentes no Brasil; secretários de saúde: interfaces entre saúde e os processos político-eleitorais; projetos formativos em saúde pública no Brasil; Atenção Primária à Saúde em uma região da Amazônia colombiana; Saúde Socioambiental na Atenção Básica; saúde socioambiental na formação em saúde; Rede de Atenção às Urgências e Emergências; judicialização na saúde suplementar e planos de saúde em Belo Horizonte, Minas Gerais; atuação das autoridades e das comunidades no controle das arboviroses; Política Distrital de Alimentação e Nutrição; internação compulsória decorrentes do uso de drogas; Acidente de Trabalho com Exposição a Material Biológico; conjuntura política brasileira e saúde: do golpe de 2016 à pandemia de Covid-19; individualização e trabalho no contexto da pandemia de Covid-19 no Brasil; medidas de obrigatoriedade da vacina contra a Covid-19 no Brasil; sindemia: tautologia e dicotomia em um novo-velho conceito; políticas farmacêuticas para acesso a medicamentos de alto preço na Inglaterra e no Brasil; o acadêmico de Medicina frente à população em situação de rua.
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Health, pesticides, and agroecology
Vol. 46 No. especial 2 jun (2022)“This special issue of ‘Saúde em Debate’, whose theme is ‘Health, Pesticides, and Agroecology’ and which was built to contribute to a strategic debate, seeking to deepening the understanding of more critical theoretical, practical, and epistemological approaches aimed at strengthening agroecology and reducing the harmful effects of pesticides on health, the environment, and society. We sought to reflect on the relationship between these elements and the field of public health, with a view to promoting a transition towards food systems that provide socio-environmental justice, food and nutrition security and sovereignty, sustainable territories, and health” (excerpt from the Presentation of the journal signed by the invited scientific editors Guilherme Franco Netto, Aline do Monte Gurgel and André Campos Burigo).
It gathers manuscripts with the following themes: agribusiness in the Cerrado; indigenous territories and socio-environmental determination of health; exposure to pesticides in municipalities in Mato Grosso; soy production, pesticides and participation in environmental health in Uruguay; consumption and impacts of pesticides in Colombia; women farmers and pesticides in family farming; pesticides and health of rural workers in Pernambuco; empowerment and collective construction in the face of risk situations in the use of pesticides; collective health and agroecology; medicinal plants in agroforestry in the promotion of healthy and sustainable territories; family farming and school meals in Rio Grande do Norte; purchase of food from family farming for school meals in Brazil; child exposure to pesticides in the city of Rio de Janeiro; commercialization of pesticides and the chemical-dependent model of agriculture in Brazil; aerial spraying of pesticides in a rural community in the context of conflict; tax benefits for pesticides, agricultural sustainability, and health in Brazil; Healthy and Sustainable Territories in the Federal District: agroecology and the impact of pesticides; public health and agroecology: sustainable and healthy food systems; voices and actions of the semiarid: invitations to the decolonization of the scientific field; critical toxicology applied to pesticides; food sovereignty, a therapeutic strategy to recover health in the face of the advance of agro-industrial extractivism; mental health, human rights and environmental justice: the ‘chemicalization of life’; health promotion and peasant resistance; agroecology and collective health in the construction of pesticides as a public health problem in Brazil; from pandemic to agroecology; agribusiness productivity and its externalities from the perspective of biopower; pesticides and cancer development in the context of public health; Covid-19 and hunger: agroecological future; agroecology in the Brazilian public policy agenda; socio-environmental and sanitary disasters in agribusiness; pesticides, health outcomes, and agroecology in Brazil; health and sanitation of a quilombola community in the surroundings of the capital of Brazil; Chácara Bindu, an agroecology experience; health surveillance of populations exposed to pesticides; organic street markets as a food supply and health promotion policy; book reviews ‘Agrobiodiversity and farmers’ rights’, by Juliana Santilli, and ‘Health, ecologies and emancipation: alternative knowledge in times of crisis(s)’, by Marcelo Firpo Porto, Diogo Ferreira Rocha and Marina Tarnowiski Fasanello.
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Saúde em Debate
Vol. 46 No. 133 abr-jun (2022)‘Defending democracy, the right to health, to life, and the SUS: agenda of the Free, Democratic and Popular Conference’, title of the Editorial of Saúde em Debate Vol. 46, No. 133, signed by the journal’s editors, Maria Lucia Frizon Rizzotto, Ana Maria Costa, Lenaura de Vasconcelos Costa Lobato. The editorial presents and reflects on the creation of the Front for Life which launched the Free, Democratic and Popular National Conference on Health, on April 7, 2022, in preparation for the XVII National Health Conference, which will take place in 2023.
In this issue, the journal brings together topics such as: Federal funding of the Unified Health System to combat Covid-19; SUS human resources in the pandemic: weaknesses in the Ministry of Health’s initiatives; Impacts of the Covid-19 pandemic in the Canal do Cunha Sub-Basin region, Rio de Janeiro; Mental health of public school students in the Covid-19 pandemic; Gender and vulnerability in public policies for the care of Human Papilloma Virus (HPV) and Cervical Cancer (CC) in Mexico; Barriers for referral to exclusive palliative care: the oncologist’s perception; Ten-year increase in healthcare establishments in Brazil and links with the Unified Health System; The pharmacist in Primary Health Care in Brazil; Macro-regional inequalities in primary care for Diabetes Mellitus; Social vulnerability and ethical-political problems transversal to oral health in Primary Health Care; Primary Health Care professionals and the Overweight and Obesity Care Line in the state of Piauí; SUS Connection: a YouTube channel as an instrument for educational training and strengthening of the Unified Health System; Use of WhatsApp to support health education actions; the pandemic of capital in sanitation; Occupationally exposed workers in a cassiterite ore processing industry; The scientific field of public health; Neo-extractivism, mining, and the vulnerability of indigenous peoples as an expression of persistent colonialism in Brazil; Pharmaceutical Assistance and global health governance in times of Covid-19; Ageism, Covid syndemic, and Intervention Bioethics; Brazilian Sanitary Reform: a review of political subjects and action strategies; Care from the hospital: interdisciplinarity and devices for integrality in the health care network; Management practices in HIV care; Book review ‘Madness and social transformation: an autobiography of the psychiatric reform in Brazil’, by Paulo Amarante.
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Two years into a pandemic: health challenges of the 21st century
Vol. 46 No. especial 1 mar (2022)The editorial ‘There is still a pandemic, but there is hope’, by Ana Maria Costa, Arthur Chioro, Josué Laguardia and Regina Fernandes Flauzino, opens the journal:
“Two Years have passed since the beginning of the pandemic and after a year of vaccination of segments of the population, the global situation of COVID-19 still shows no concrete prospects that this disease will be controlled shortly. The expectation that vaccination would change the courses of the infection was confronted with the emergence of a new variant, with vaccine hesitancy in richer countries due to denialism and nationalism of vaccines, and with unequal access to immunizations in poorer countries. […] The challenges for the Brazilian health system are complex, for which five structuring guidelines are presented here, such as objective-images, as a contribution to the national debate on the future of health and the SUS in our country:
- Health is the right to live well
- Investing in health is essential to national sovereignty and economic development
- The SUS is indispensable to care for people and promote citizenship
- It is necessary to ensure adequate funding for the SUS
- Health is democracy, and there is no health without the facing of inequities and social justice”.
Topics covered: managing the SUS at the municipal level in the face of COVID-19; Legislative and Executive branches in the COVID-19 pandemic; decisions of the Federal Supreme Court at the beginning of the COVID-19 pandemic; state governments in the fight against COVID-19; conceptions of Brazilian adults and elderly people about the COVID-19 pandemic; work process of journalists during the Covid-19 pandemic; public health in facing the infodemic and fake news; Health Surveillance within the scope of Primary Care to face the COVID-19 pandemic; Family Health Strategy at the forefront of the COVID-19 pandemic; Integrative and Complementary Practices offered by nursing in Primary Health Care; patient perspective on health care in the context of COVID-19; adherence to social isolation in the COVID-19 pandemic among teachers; health / mental health in the production of care in the COVID-19 pandemic; repercussions of COVID-19 on the mental health of higher education students; biosafety standards for COVID-19 among oral health professionals; Long-Term Reversible Contraception (LARC) in the pandemic; vaccine against COVID-19: arena of the Brazilian federative dispute; social distancing during the COVID-19 pandemic and the Federal State crisis; fictionalization in the midst of COVID-19; coronavirus pandemic and women: effects on working conditions and health; vaccine hesitancy and refusal in countries with universal health systems; inequalities in hospital supply in the context of the COVID-19 pandemic in Brazil; COVID-19 in the light of social markers of difference: race, gender, and social class; Open Science: literature review of scientific communication on COVID-19 on the SciELO platform; Community Health Agents in the COVID-19 pandemic; factors associated with burnout in healthcare professionals during the COVID-19 pandemic; continuing education experience in times of COVID-19; Information and Communication Network on Workers’ Exposure to SARS-CoV-2 in Brazil.
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Saúde em Debate
Vol. 46 No. 132 jan-mar (2022)The editorial of the first issue of Saúde em Debate of 2022 presents the current Thesis of the Brazilian Center for Health Studies (Cebes) ‘Health is Democracy, Democracy is Health’, approved at its General Assembly on December 10, 2021. The Thesis “discusses the current global pattern of universalization of malaise, with the worsening of inequalities and the exponential increase in hunger and misery, demonstrating the incapacity of capitalism, increasingly financialized and concentrated, to provide security and well-being to populations”.
The volume 46, number 132 of the periodic brings together the following topics: public producers of medicines and strategic actions in the COVID-19 pandemic; quality of information on websites about COVID-19 and the fight against fake news; women health professionals and the COVID-19 pandemic; mortality from violence against women before and during the COVID-19 pandemic in Ceará; women working in the field of health on gender violence; Uber drivers about working and health conditions in the context of COVID-19; decentralization of outpatient regulation in the city of Rio de Janeiro; health of rural families in the sertão of Ceará; care for People Living with HIV/AIDS in Primary Health Care; work in the Family Health Strategy aimed at overweight and obese people in São Paulo; popular education and mental health; rhizomatic communication and resistance movements in times of COVID-19; different perspectives on the Brazilian Sanitary Reform Movement; access to health services by the homeless population; Expanded Community of Research in a virtual environment on teacher work and health.
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Public health, science, and society
Vol. 45 No. especial 2 dez (2021)The Brazilian Center for Health Studies (Cebes), together with the Sergio Arouca National School of Public Health (Ensp), of the Oswaldo Cruz Foundation (Fiocruz), launch a special thematic issue on the impact of the Covid-19 pandemic on science and society. It brings together original articles, essays, reviews and a book review, which point to the challenge of building a new model of social development and to the urgent expansion of the regulatory and service provision role of the Unified Health System (SUS).
Topics covered: resilience in Brazilian cities and the COVID-19 pandemic; social inequality and vulnerability of indigenous peoples in the face of COVID-19; COVID-19 and Neglected Diseases in the face of inequalities in Brazil; digital technology to fight COVID-19; chronic diseases in the state of São Paulo during the COVID-19 pandemic; private sanitation concession and the incidence of COVID-19 in the favelas in Rio de Janeiro; from the ‘More Doctors’ Program to the COVID-19 pandemic: double denialism in the performance of the Brazilian medical corporation; COVID-19 in the work environment and the health of workers; monitoring of COVID-19 in the favelas of Rio de Janeiro; fear, risk, and vulnerability in times of COVID-19; stressors and protective factors of the COVID-19 pandemic in mental health; gender and the COVID-19 pandemic; government actions to address the misinformation crisis during the COVID-19 pandemic; book review ‘Fighting the first wave. Why the Coronavirus was tackled so differently across the global’ by Peter Baldwin.
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Saúde em Debate
Vol. 45 No. 131 out-dez (2021)“Over these last two years, the COVID-19 pandemic in Brazil has translated into a catastrophic event, which, in addition to exposing the emphasis of public policies by the federal government against the citizenship rights conferred by the Federal Constitution of 1988, shows, each increasingly, a political determination to destroy the civilizing role of the State in guaranteeing individual and collective rights. This is a criminal political attitude, which disregards the vulnerability and enormous inequality in the Brazilian population, which are only increasing during this health crisis. Contrary to what should be done, morally and constitutionally, it was necessary to implement policies aimed at controlling, overcoming, and reducing the economic, social, cultural, educational, and science and technology impacts that the pandemic had created. [...] The activities of the Brazilian Center for Health Studies (Cebes) in the struggle for the democratization of society and the defense of social rights, in particular the universal right to health, were intensified by the articulation of partnerships between people and institutions, social movements, committed to reform the Brazilian health in the expectation of strengthening and mobilizing against this current situation of underfunding and dismantling the Unified Health System (SUS) and the rights conquered through the Citizen Constitution!” – Excerpts from the Editorial ‘Cebes in the struggle during the Covid-19 pandemic’ from the latest issue of the journal Saúde em Debate, 2021, by Lucia Souto and Carlos Silva.
The journal presents: regionalization and federative crisis in the COVID-19 pandemic; care for women in situations of violence; low-risk emergencies: integration between Primary Care and the Emergency Care Unit; work in multidisciplinary teams in Primary Care in Ceará; Organization of Primary Health Care in a rural municipality in Brazil; health care strategies for the black rural population in Caruaru/Pernambuco; public-private conflict in the SUS: specialized outpatient care in Paraná; pharmaceutical care: revolution or paradigmatic twilight?; pay by performance to Primary Care Teams: analysis from the PMAQ-AB cycles; Primary Health Care teams in the rapid test for Sexually Transmitted Infections; assistance and adherence to antiretrovirals in specialized HIV services in Pernambuco/Brazil, 2017-2018; social representations of people living with HIV: self-perception of ego-ecological identity; hospitalization for COVID-19 in the health regions of Brazil; health collapse in Manaus: the burden of not adhering to non-pharmacological measures to reduce the transmission of COVID-19; fulfillment of the goals of the management contracts and quality of health care; More Doctors Program, an attempt to solve the problem of medical distribution in the Brazilian territory; technosociality in the daily life of primary care and health promotion professionals; popular participation and social control in the SUS management.
Visit Saúde em Debate also on the Cebes website – http://cebes.org.br/publicacao-tipo/revista-saude-em-debate/ and on SciELO – https://www.scielo.br/j/sdeb/
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Women, Sciences, and Health
Vol. 45 No. especial 1 out (2021)“The special issue ‘Women, Sciences, and Health’ was built from the many views and contributions of authors from different fields of knowledge, which came together to bring new and different perspectives of analysis. The pertinence and social, political, and scientific relevance of this theme have been emphasized in the growing context of debates on the role of women in the production of knowledge, with emphasis on feminist and gender studies, in conjunction with practices and research in health” – Opening of the presentation of the scientific editors invited for the construction of this special issue of ‘Saúde em Debate’.
It gathers topics such as: black professors in postgraduate courses in health: between structural racism and the feminization of care; epistemological violence to their own epistemologies: narrative experiences with peripheral cis women, trans women, and transvestites; feminist contributions and gender issues in Primary Health Care practices in the SUS; Black Women’s Science; women in medical and health sciences and Brazilian publications on COVID-19; gender differences among speakers at dental congresses in Brazil; gender inequalities by field of knowledge in Brazilian science; presence of women in the patenting activity in Brazil; COVID-19 pandemic narrated by women health professionals; Lygia Clark: breaths to enchant the experience of care; social relations of sex/gender, work, and health: contributions by Helena Hirata; occupational therapy: a feminine or feminist profession; feminist epistemologies for situated obstetric practice; women researchers in the midst of the pandemic; female leadership: report of the first meeting of women Family and Community Physicians in Brazil; women in technology management and clinical engineering: the case of lung ventilators in COVID-19; from social sciences to public health: interview with Maria Andrea Loyola.
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Saúde em Debate
Vol. 45 No. 130 jul-set (2021)‘Hunger, unemployment, corruption, and preventable deaths: faces of necropolitics’, title of the Editorial that presents this new issue of Saúde em Debate. Signed by the scientific editors of the journal, Ana Maria Costa, Maria Lucia Frizon Rizzotto and Lenaura de Vasconcelos Costa Lobato, it points out the hardships that the Brazilian people suffer “from the adoption of economic policies practiced by the government, which submits to the interests of the market and the capital to the detriment of the population’s needs and demands”.
Topics addressed: Brazilian Sanitary Reform; Intersectoral Chamber of Food and Nutrition Security; precariousness of work: Social Organizations in Primary Care in the city of Rio; work of professionals in a university hospital; social networks and teams in a Primary Health Care unit in the city of Rio de Janeiro; lifestyles: the experience of an educational community in Colombia; Expanded Family Health Centers: analysis according to the cycles of the Program for Improving Access and Quality of Primary Care; nurses’ performance in different models of Primary Health Care in Brazil; family history of breast cancer in women in Uberaba (MG); proportional mortality in indigenous peoples in Brazil; health technologies incorporated in the SUS; medical students and their academic career; perspectives of Brazilians during the COVID-19 pandemic: self-care and environmental bioethics; Primary Health Care in the SUS network to combat COVID-19; the voice of the community in the face of COVID-19: propositions to reduce health inequities; COVID-19: primary care in Guatemala; conjuncture analysis in health: conceptual, methodological and technical aspects; judicialization of health: the theses of the Supreme Court; diagnostic error subsidizes reform package that undermines the Family Health Strategy; National Policy for Integral Attention to Women’s Health; disability: words, models, and exclusion; exhibition ‘Zika Lives that Affect’; characteristics of health professionals affected by COVID-19; mental health and COVID-19; reuse regulation policies and implications for public health; evaluation of postpartum care programs in Brazil.
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Saúde em Debate
Vol. 45 No. 129 abr-jun (2021)“While these lines are being written, Brazil has reached 18 million cases of Covid-19 and has just broken the barrier of 500,000 deaths from the disease. The President of the Republic makes jokes, encourages crowds, discourages vaccination. The year 2020 ended with the country back on the United Nations’ Hunger Map: 60% of Brazilian households in a situation of food insecurity, 15% in a situation of severe food insecurity – hunger itself1. June 2021, almost 15 million unemployed, of which about 3.5 million for more than two years” – opening of the Editorial of the new issue of ‘Saúde em Debate’ signed by José Carvalho de Noronha and Lucia Souto, director and president of the Brazilian Center for Health Studies (Cebes).
Volume 45, number 129 presents articles on: Regional Intermanagers Commission as a governance mechanism for health policy in Ceará; reflection on the discourse of well-being and development in neoliberalism: the case of the Colombian health system; actors of care regulation in the SUS; performance of SUS health services in Pernambuco; Participatory management in the Family Health Strategy (Paideia Method); coordination of care at the Consultório na Rua (Street Clinic) in the city of Rio de Janeiro; Mother of Paraná Network; National Policy for the Comprehensive Health of the Black Population; Development and validation of an instrument to measure Self-Perception of Health in adults; spending on compulsory hospitalizations for drug use in Espírito Santo; barriers to access for Men who have Sex with Men to HIV testing and treatment in Curitiba; satisfaction and access to oral health for people living with HIV/AIDS in northeastern Brazil; aesthetic and bodily practices: creation and production of subjectivity in psychosocial care; List of Work-Related Illnesses; Afro-Brazilian art as identity strengthening among medical students; health needs: concepts, implications, and challenges for the SUS; Parliamentary Amendments on health in the context of the Federal budget; scientific production on Intermediate Care and Community Hospitals; instruments most used in the assessment of exposure to Adverse Childhood Experiences; Primary Health Care practices in the field of drugs; scientific production on community pharmaceutical services in coping with the coronavirus pandemic; book review ‘Tobacco control policy in Brazil’ by Leonardo Henriques Portes.
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Saúde em Debate
Vol. 45 No. 128 jan-mar (2021)“The Brazilian Center for Health Studies (Cebes), with the publication of this journal ‘Saúde em Debate’, is part of the struggle to democratize access to the defense of life and health in this conflict environment. It has been struggling to insert COVID-19 as a disease mainly of occupational transmission and lethality in which the illness of the elderly, children and adolescents is a collateral factor. The resources to study, research and publish are scarce and often mean the limit of survival for the Cebes itself, for the poor working class, for migrants and for the peripheries of a country that is reluctant to be thrown into the graveyard and civil war by its own rulers”. [Excerpt from the Editorial ‘Vaccines against Covid-19: the disease and the vaccines as weapons in colonial oppression’ signed by Cebes directors Heleno Rodrigues Corrêa Filho and Alane Andrelino Ribeiro].
Issue 128 of Saúde em Debate presents the following themes: induction to health research in Brazil to mitigate problems related to extreme poverty; challenges for the regionalization of Health Surveillance in Brazil; bodily practices as devices of biopolitics and biopower in Primary Health Care (PHC); care in psychiatric inpatient services in general hospitals in Argentina; network organization in specialized psychosocial care in Recife; power relations between PHC professionals and users; users who abandon care in Psychosocial Care Centers (Caps-III); Adult Shelter Unit for users of alcohol and other drugs; clinic at Caps Infantojuvenil in adolescence; conducts carried out by Therapeutic Communities; biopsychosociocultural factors related to breastfeeding; oral health care indicators in Primary Care in Recife; bodies as object: a post-colonial reading of the ‘Brazilian Holocaust’; opening up possibilities in mental health care, in moments of crisis; extinction of judicial asylums; Autonomous Medication Management, from Quebec to Brazil; work and illness of bank employees; meanings on mental health care; book review ‘Regionalized health care networks: challenges to care integration and care coordination’.
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Saúde em Debate
Vol. 44 No. 127 out-dez (2020)“Hope drives, fuels, moves and strengthens utopia”, the Editorial of the latest issue of Saúde em Debate of 2020, signed by Cebes directors, draws attention to the 200,000 deaths resulting from Covid-19, with a clear increase in the number of cases and deaths since October and a dramatic increase forecast for the first months of the coming year due to the typical end-of-year crowds. Amidst the various mobilizations and public positions, the Cebes has articulated with dozens of entities in the field of health to form the Front for Life, which, in the face of the visible absence of a plan to face the pandemic, mobilized scholars from all fields to prepare the National Plan to Combat the Covid-19 Pandemic, offering it to the Federal Government and the governments of subnational bodies as a contribution from the Health Reform entities.
Themes addressed: federal spending on social policies; commodification of the SUS in the state of São Paulo; praxis developed at the Municipal Health Council in a city of São Paulo; Parental Health Literacy Activities Test (PHLAST) instrument; cancer patients in an area with pesticide use; pesticides and cancer in monoculture regions; serious work accident in the city of Paraná; co-management in a Basic Health Unit; reproductive behavior among riverine women; prisoner health in Maputo; autonomy among beneficiaries of the Volta para Casa Program; institutional violence and mental illness in an asylum in Bahia; analysis of Therapeutic Residential Services; implementation of a Psychosocial Care Center (Caps) in Pernambuco; drugs and care in the Psychosocial Care Network: what those who use it think; psychologies built within the SUS; psychosocial care in children’s mental health; mental health services and teaching-learning actions; satisfaction of blacks and non-blacks assisted in Caps AD; Primary Health Care in a technocratic and disruptive way; Human Right to Adequate Food in Brazil; liquid modernity and social participation in health; Assessment of Health Technologies in Brazilian supplementary health; Permanent Health Education (EPS) within the Caps; instituting movements in the Brazilian Psychiatric Reform; EPS and psychosocial care: the experience of Projeto Rede Sampa.
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Covid-19: knowing to face future challenges
Vol. 44 No. especial 4 dez (2020)The editorial of this special issue of Saúde em Debate ‘Covid-19: knowing to face future challenges’ opens the journal with the following excerpt, signed by the scientific editors:
“Since February 25, when the first case of Covid-19 was confirmed in Brazil, we have sadly accumulated 175 thousand deaths and over 6.5 million infected people until the first week of December 2020. Declared by the World Health Organization as a pandemic on March 11, the disease moves from the wealthiest neighborhoods to the peripheries; and from large urban centers to cities in the countryside, spreading throughout the country during these months, drawing a wide curve in which the highest levels of incidence, transmission rate and deaths stand out in the months of June, July and August. Without the control of the disease and still with a significant transmission rate, Covid-19 is growing again in the country, this time having the entire national territory as its epicenter. Brazil currently ranks seventh and ninth among the countries with the highest mortality and lethality rates, but this situation may change in view of the increase in the number of cases of the disease, the extinction of the emergency income and the resumption of the expenditure ceiling law with the risk of a loss of around R$ 40 billion for the Health budget as of 2021. In accentuating the unjust social inequalities that persist in the country, Covid-19 reveals its discriminatory nature in affecting the poorest and most vulnerable, sacrificing invisible subalternized populations – indigenous, black, gypsy, quilombolas, homeless, refugees”.
It gathers manuscripts with the following themes: multilateralism, world order and COVID-19; BRICS in the context of the pandemic; political management of COVID-19 in Portugal; the SUS in times of COVID-19; social protection in times of COVID-19; COVID-19 and federative coordination in Brazil; SUS funding and COVID-19; Epidemiological Surveillance and COVID-19 in Brazil; hospital care in times of a pandemic; Primary Health Care in the SUS network to face the pandemic; mental health in Brazil during the pandemic; morbidity and mortality from COVID-19 according to race/color/ethnicity; limitation of COVID-19 notification data; COVID-19 in the Baixada Santista Metropolitan Region; public and private offer of beds and access to health care in the pandemic in Brazil; use of private hospital beds by public health systems in Brazil; survival of the SUS in times of a pandemic; the pandemic in the favelas; Niterói’s experience in municipal coordination and articulation during the pandemic; emergency national training in Mental Health and Psychosocial Care in COVID-19; analysis of experiences in the pandemic in vulnerable populations; noise pollution in the urban environment during the pandemic; gender and race inequalities in the pandemic.
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Portraits of the Brazilian Psychiatric Reform
Vol. 44 No. especial 3 out (2020)“This special issue of the journal ‘Saúde em Debate’, entitled Portraits of the Brazilian Psychiatric Reform, is a democratic commitment, historical tribute and sharing of knowledge. In each text, we have a portrait of our time. A clipping of the daily health services and forms of care that reveal a time that demanded social changes. Each composition is a kind of snapshot cut from the flow of productive time of the new paradigms of deinstitutionalization” (excerpt from the Presentation of this issue signed by the scientific editors).
The edition brings together themes such as: the Psychiatric Reform is possible; political backstage of the Paulo Delgado Law; the future of psychiatry and mental health; deinstitutionalization in debate; mental health and audiovisual production; digital inclusion with users of Psychosocial Care Centers (Caps); voice hearers, social movements, and politics; interprofessionality in mental health; abandonment and non-adherence to treatment in Caps; mental health in primary care in São Paulo; Matrix support in the articulation between primary care and Caps; family members of Capsi autistics patients (Caps Infantojuvenil) in Rio de Janeiro; care for families at Capsi; autonomous medication management in Caps of Curitiba; access to treatment for crack users; care in Caps AD (Alcohol and other Drugs) and Therapeutic Communities from the perspective of users; Permanent Education in Health/mental health/primary care; mental health beds in general hospitals in Rio de Janeiro; struggle for recognition of the Brazilian Psychiatric Reform (RPB); RPB and parliamentary discussion; 'aquilombamento' towards the RPB; the contemporary crisis and challenges to the RPB; senses of the kitchen in the Caps and the inclusion of nutritionists in care; bibliometrics of publications in the journal ‘Saúde em Debate’; psychosocial care and living well: experience of a Singular Therapeutic Project through the dimensions of Gross National Happiness; book review ‘Legal capacity and human rights’.
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Saúde em Debate
Vol. 44 No. 126 jul-set (2020)The editorial of this issue of Saúde em Debate presents the document ‘Covid-19 National Pandemic Confrontation Plan’ prepared by collective health entities that are members of the Front for Life. The Plan is the result of participatory planning that recognizes the pandemic as a complex phenomenon that requires actions in several dimensions and in its interfaces with the contribution of scientific knowledge, technical knowledge, practices, and social movement.
The journal addresses the following themes: indigenous health subsystem; antimicrobial resistance; salaries of doctors hired by the Family Health Strategy; prevention and treatment of Chronic Noncommunicable Diseases; mHealth technology for cardiovascular risk stratification scores; analyzes of Family Health Support Centers; work processes in obesity care; specialized services in cardiology and endocrinology in Primary Health Care; effects of the PMAQ-AB on admissions due to conditions sensitive to Primary Care; oral health services in Primary Care; judicialization of dental demands; Integrative and Complementary Practices in Primary Health Care in Maranhão; the blessing in the territories of the Family Health Strategy; quality of life and stress of Primary Care professionals; congenital malformations and pesticides in Giruá (RS); analysis of leptospirosis in Brazil; specialization in Work Management and Health Education; assistance to the elderly in the Federal District; Integrative and Complementary Practices for the Elderly; management instruments developed by the Municipal Health Departments of Santa Catarina; prevention campaigns against Dengue, Zika, and Chikungunya arboviruses; healthy and sustainable diets; criminal action by the Federal Government in the fight against Covid-19; equitable allocation of financial resources in health; training in work management and health education; Review of the book ‘Mourning: Treatment and Portrait’.
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Development, disasters, and emergencies in public health
Vol. 44 No. especial 2 jul (2020)“In April 2019, three months after the disaster caused by Vale, which hit Brumadinho with hundreds of deaths and affected dozens of other municipalities with the tailings mud and its contaminants along the Paraopeba River, we began to prepare this special issue of the journal ‘Saúde em Debate’, with the theme: Development, Disasters, and Emergencies in Public Health. Our initial objective was to combine academic research and public debate on different types of disasters and health emergencies, including climate emergencies, in the same number”. This is the Presentation of Health in Debate v. 44, special issue 2 of 2020, signed by the invited scientific editors Carlos Machado de Freitas, Simone Santos Oliveira and Christovam Barcellos, representatives of the Oswaldo Cruz Foundation – Rio de Janeiro.
Topics addressed: history, concepts and applications of emergencies in public health; lives at risk of disaster; planning of disaster risk management actions; reducing health risks related to climate change, disasters and public health emergencies; public health emergencies and the Zika virus in Brazil; safe hospitals in disasters; Incident Command System and risk communication; assessment of resilience to health disasters; public policies on disaster risk management; Samarco’s disaster and health policies in Espírito Santo; integration of health services in disaster risk management in the case of Blumenau, SC; floods: the role of the Ministry of Health in occurrences in Brazil; vulnerability of the health sector to disasters from the perspective of professionals and managers in Nova Friburgo; recurrent floods in regularized urban areas; Geographic Information Systems in disaster and emergency risk management; mental health of people in a natural disaster situation; dam safety; territory and deterritorialization: social suffering due to environmental disaster; health of civil defense workers in the Fundão dam failure; forest fires in the Amazon; struggle and resistance of an artisanal fishing community; health surveillance and natural disasters; psychosocial aspects in socio-environmental disasters; challenge of mental health care in the Vale disaster; environmental health surveillance in the Brumadinho dam failure; debates on the disaster process in the Brumadinho dam failure.
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Saúde em Debate
Vol. 44 No. 125 abr-jun (2020)The editorial of Saúde em Debate nº 125, signed by Ana Maria Costa, Maria Lucia Frizon Rizzotto, and Lenaura de Vasconcelos Costa Lobato, opens the journal with an analysis of COVID-19 in Brazil: “The pandemic found the nation with a militarized, ultra-right government, bewildered and submerged in a political crisis, aggravated by a low performance of the economy with growth of the Gross Domestic Product (GDP), in 2019, of only 1.1% and adding up to approximately 13 million unemployed citizens. This combination of factors and crises has deepened political instability and has proved to be tragic from all points of view, making the country seem like a ship with no direction, ready to sink”.
The periodic presents the following themes: National Program for the Improvement of Access and Quality (PMAQ-AB) in a municipality in Bahia; political dimension of nurses in the implementation of the PMAQ-AB; training process with popular educators from EdPopSUS; residents of an urban occupation about the ‘empowerment’ in health; oncological palliative care; mortality from cervical cancer in Brazil; Family Health Team and care for drug users; Diabetes Mellitus in the More Doctors Program in a city in the metropolitan region of Recife; care for the elderly population in Emergency Care Units in the city of Rio de Janeiro; Pharmaceutical Assistance in Primary Care: The Pharmaceutical Care Gap; Health Surveillance Management Performance; population in situations of social vulnerability accompanied in Belford Roxo (RJ); user satisfaction with oral health care in Paraíba; Dengue and its relationship with socio-environmental factors in the state of Paraíba; Matrix Support in the qualification of Primary Health Care for people with chronic diseases; Primary Care in riverside health; university participation in defense of the Unified Health System; Primary Care and Intermediate Care; human editing using the Crispr-cas9 technique: scientific enthusiasm and ethical concerns; privatization of the Chilean health system; choice of delivery method and women’s autonomy in Brazil; assistance to women in situations of violence; Review of the book ‘Qualitative Data Analysis’ by Graham Gibbs.
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Saúde em Debate
Vol. 44 No. 124 jan-mar (2020)The editorial of the first regular issue of Saúde em Debate of 2020 opens the journal with the title “Lockdown or participatory health surveillance? Lessons from the Covid-19”. It brings contributions to understand the world of public health at the critical moment of the 2020 Coronavirus pandemic. The Brazilian Center for Health Studies (Cebes) has guided its action of studies and translational scientific exchange between the health, economics, law, and popular education sectors, among others, with the interface formalized in the forums of institutions created to fight for health and life.
This edition brings together articles on the following themes: universality of the VIII National Health Conference; evaluation of the Family Health Support Center; cross-sectional study on Permanent Education in Health and the National Program for Improving Access and Quality in Primary Care; the work of the Community Health Agent and the National Primary Care Policy; evaluation of the Rede Mãe Paranaense Program; medium-complexity hospitals in the Emergency Care Network; care of users with multidrug-resistant tuberculosis in Recife; child health assessment in Primary Care; nutrition of children living in areas of social vulnerability; nurses in nutritional care for children in the Family Health Strategy; oral health of people with orofacial clefts; breast cancer care in a municipality of Bahia; health of the homeless population; sexual and reproductive health in the Xukuru do Ororubá ethnic group; diarrhea in children living in Ilha de Guaratiba (RJ); Brumadinho disaster: public policies and sanitation management; Planning for Sanitary Sewage in Rio de Janeiro; sanitation and environmental health of hydrographic basins; bioethical reflections on protecting the environment and future generations; experience report on the Sanitary Reform and the health of the Potyguara Indians.
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The Movement for People’s Health: global action in defense of the universal right to health
Vol. 44 No. 44 especial 1 jan (2020)Welcome to this special ‘Saúde em Debate’ supplement, focusing on the work of the Movement for People’s Health (MSP), a global network of health activists and activist organizations working across borders to make the 1978 vision of ‘Health for All’ come true. This special edition is an initiative of the Brazilian Center for Health Studies (Cebes) and the Latin American Association of Social Medicine (Alames) to call for global action for the universal right to health. A wide variety of analyzes and stories of MSP activism are shared in this issue of ‘Saúde em Debate’. These articles illustrate the connections between local health needs and the global political economy, and the ways in which health activists are addressing local needs in ways that contribute to building a global movement.
Special issue 1 of 2020 features articles on the following themes: what is the Movement for People’s Health (MSP); ‘Buen Vivir’ at MSP: an alternative development path; resistance to privatization and commercialization of healthcare in India, the Philippines, and Europe; right to health in Colombia; the school as a space for social participation and promotion of citizenship; indigenous struggles and the right to health in Colombia; the transformative potential of health as common goods; right to health and anti-extractivism; equity and intersectionality in health; Bhopal gas disaster; Cebes as a movement to defend the right to health; ties between the Alames and the MSP; health crisis in Rio de Janeiro; civil society participation in global health governance; the transformative experience of the Universidad Internacional para la Salud de los Pueblos; interview with Sister Anne Whibey; Global Health Watch 5 book review; tributes to David Sanders and Amit Sengupta; document: The Struggle for Health is the Struggle for a More Equitable, Just and Caring World, by MSP.
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Other looks at the Brazilian Sanitary Reform
Vol. 43 No. 43 especial 8 dez (2019)The objective of this thematic issue was to bring together contemporary issues that question the path of building a health policy in Brazil that guarantees the dignity and well-being of populations. The invitation for other perspectives on the Brazilian Sanitary Reform to present themselves comes at a time of confusion, with political, economic, and social transformations in all corners of the planet, as well as retrograde movements that call into question the advances made in decades of struggle for the recognition of rights, penalizing once again those who were still seeking to make their voices heard in societies. The Brazilian Center for Health Studies (Cebes) and the periodic ‘Saúde em Debate’ not only welcomed that proposal, but also constituted the best space to provoke such debate.
Topics addressed: social determinants and populations of occupations; crack in Manguinhos (RJ); analysis of the Family Health Strategy by popular movements in Ceará; rural health: paths of the Landless Rural Workers Movement (MST); mental health of the black population by the Racism and Mental Health Working Group of the Ministry of Health; LGBT people on the streets and health in Florianópolis (SC); transsexuals and the gender transition; care for transvestites and trans women living on the streets in Belo Horizonte (MG); Health Reform Movement and Health Union Movement; the teachings of the Brazilian Sanitary Reform (RSB); indigenism and Sanitary Reform; collective health, coloniality, and subalternities; the Unified Health System (SUS) and liberal necropolitics; body-knowledge and the decolonization of collective health; ‘On the concept of History’ in public health; political determinants of the SUS crisis; RSB and unionism in health; collective health and agroecology; the RSB and the nature of the State: the agrarian question; feminist movements and the Sanitary Reform in Brazil; health and Sanitary Reform in the context of native peoples; LGBT health policy in public health publications; social movements against State racism: health debate; the construction of the SUS based on the work of Community Health Agents; the social movement in the RSB; book review ‘What is a place of speech’; manifesto on health and democracy in the favelas.