Aspectos do cenário atual da reabilitação profissional no Brasil: avanços e retrocessos

Abstract

The field of work rehabilitation in Brazil recently incorporated changes in its underlying concepts and principles, expanding the definition of incapacity for work based on the biopsychosocial health model and adopting a territorial approach and inter-sector practices, with a view towards backing the implementation of an integrated inter-sector work rehabilitation model. However, these conceptual and normative advancements have still not been implemented in practice; they have actually come under threat from Brazil's on-going political crisis. This article discusses the current scenario in the work rehabilitation program under the Brazilian National Social Security Institute (INSS), presents the strides in the underlying theoretical premises and the concerns of work rehabilitation in the face of recent measures that reinforce the biomedical basis and the compensatory policy that led the program over the years, and signal the impending privatization of this social security service and right. The article suggests that work rehabilitation faces a scenario of uncertainties and concerns, intensified by the institutional undermining of the INSS. Rapid structural changes in the INSS and in the work rehabilitation program have undermined the gains that had promoted the initial development of a comprehensive, inter-sector work rehabilitation program aimed at healthy return to work.

Knowledge, Attitude and Practice of Using ORS and Household Management of Childhood Diarrhoea

“…ORS is straightforward, exceedingly compelling, economical and suitable treatment for diarrheal drying out and since the presentation of ORT in 1979, there has been an unfaltering decrease in passing because of diarrheal ailments 1 . Diarrhoea is the frequent (typically characterized as at least three times in multi day) passage of liquid or soft stool 2,3 It is the most widely recognized clinical indication of gastrointestinal infection and the second driving reason for death on the planet 89 have detailed that 65.7% of the members thought about ORS, and the mindfulness was more in literates when contrasted with uneducated people. Cantered wellbeing instruction of moms has been appeared to enhance their insight and practice in the utilization of ORS in the diarrhoea 9,10.…”

“…among kids under fi ve years old3,4,5 . Unfortunately, particularly in developing nations, because of absence of legitimate information in mother, with respect to accessibility, planning and utilization of ORS, this objective is a long way from accomplished.…”

Contexto rural e a reabilitação profissional em uma região do Vale do Ribeira

“…In 2016, there was an expansion of the concept of disability based on the biopsychosocial model of health, and territorial approaches were introduced, but efforts to introduce these changes were not able to break with the hierarchical and cultural and historical macro-politics of INSS 16 . In the 2018 version of the 'Technical Manual of Procedures in the Professional Rehabilitation Area', biomedical actions based on an insufficient and precarious assistance logic were reinforced16.…”

“…The scenario of social public policies, in the Country, is experiencing a time of uncertainty and concerns regarding the measures and reforms approved in the last year. For Miranda 16 , social security services -one of them, the PRP -are impacted by societal changes resulting from political reforms, characterized by the emphasis on a neoliberal model, and by measures that minimize the role of the State in guaranteeing social rights and protection. In view of the current political and economic situation, and since the 1990s, the PRP has been undergoing an increasing process of scrapping in Brazil.…”

Reabilitação profissional e práticas intersetoriais

“…A Reabilitação Profissional, enquanto política pública, deve contribuir na diminuição de trabalhadores adoecidos, mudanças das condições de trabalho e efetiva reinserção social e profissional dessas pessoas (Bregalda e Lopes, 2016). O Programa de Reabilitação Profissional do INSS deve ser entendido como um meio para a efetiva reinserção social e profissional de trabalhadores afastados por motivo de doença ou acidente, assim como deve ser compreendida a importância de uma ação articulada com outros setores nos processos de retorno ao trabalho (Miranda, 2018). A prática intersetorial é uma estratégia que considera a ação de outras políticas públicas que buscam a melhoria da qualidade de vida dos cidadãos.…”