RESUMO Há uma hegemonia na produção de conhecimento associada à concentração de poder e exclusão cognitiva, cerceando o diálogo com saberes marginalizados que podem ser fundamentais para a sustentabilidade na necessária reconexão local-global. Para romper com esse contexto consideramos que ecologia de saberes, reflexão, e auto-organização podem ser promovidas por meio de pesquisas participativas, em que analisamos três distintas experiências para identificar interações intersetoriais e interdisciplinares, e diálogo envolvendo diferentes atores sociais em níveis organizacionais distintos. Com isso, arguimos que a natureza de processos participativos e dialógicos viabiliza a democratização de saberes, o engajamento e a diversidade de soluções compatíveis com os desafios da sustentabilidade.
Objective: To evaluate the execution process of dialogical actions of a socio-educational group called “Pub Talk”, created by professionals of the Paraisópolis II Basic Health Unit, recognizing challenges related to men’s health. Method: Comprehensive evaluative research, which parameters were conceptual aspects of the Nola Pender’s model. Interviews were conducted with the professionals and the focus group with men participating in the Group, analyzing three components of this model: individual experiences and characteristics; feelings and knowledge about the behavior one wants to achieve; desirable health promotion behavior. Results: The group is a self-care guiding intervention; values scientific and popular knowledge, with protagonism of those involved; covers the prevention of disease and changes of habits; has different perceptions regarding the structural and technical aspects of the meetings. Conclusion: Dialogic actions contributed to the promotion of the health of the participants by favoring the (re)cognition of determinants of their health and living conditions.
Objectives: To identify social and environmental determinants of health in the perception of community health agents, and to develop a health education process to contribute to the improvement of health promotion. Methods: A qualitative action research based on Freire's Research Itinerary (Culture Circles), using talking maps and integrated panels, with 29 community health agents of the Paraisópolis II Basic Health Unit, in the community of Paraisópolis, Sao Paulo. The analysis of the results was carried out by the Method of Triangulation. Results: Sanitation, housing, behaviors, health services, and other social facilities were identified, which, along with the representation of blaming, were codified and decoded by the integration of technical and traditional knowledge. Conclusions: Knowledge, values and abilities related to social and environmental determinants and their applicability in the Family Health Strategy, as well as the importance of community strengthening for health promotion and for coping with health vulnerabilities and inequities, were critically unveiled.
Studies about socio-environmental determinants are recognized as important to better understand the factors that influence health and quality of life, and how they operate to generate inequalities. This article reports the mapping of socio-environmental determinants of health, carried out by community health agents from the community of Paraisópolis, the second-largest slum in the city of São Paulo (state of São Paulo), seeking to analyze potential contributions of this participatory process to urban management and planning. As part of an action research study and following the stages of Paulo Freire’s Research Itinerary (Culture Circles), the mapping was carried out by integrating the Talking Map technique with Geographic Information Systems (GIS), in what has been called Participatory GIS or Geographic Information Systems with Social Participation (PGIS). Positive aspects were recognized and addressed by community agents, as well as several situations of socio-environmental vulnerability as a result of the agglomerated nature of the place, directly related to urban management and planning needs. This shows that, through a participatory mapping process, citizens cannot only better identify, but also more effectively communicate their needs and qualify intervention strategies in the territory. Therefore, it is possible to address the residents’ priorities more representatively, especially in places where traditionally marginalized social groups live. And also, community health agents, who play a central role in this research process because they live and work in the same place, are fundamental to boost, mobilize, and support the complex aspects involved, both in Primary Health Care, as well as in urban management and planning.
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