Healthy and Sustainable Territories: health care strategies for rural black population in Caruaru/Pernambuco

Abstract

The socio-historical process in Brazil is crossed by racism and the agrarian issues, as both are part of the same structural dimension. Thus, the understanding of racism is essential to apprehend the social determination process of racial inequalities in health. This action research had as general objective to analyze the interference of racism in the health-disease-care process of rural black families and, more specifically, to describe the children’s group intervention activities. Primary data were used: field diaries and other documents prepared by the Resident Team; and secondary data: the Participatory Rural Appraisal as a tool of systematization in territorialization. This shared action between professionals residents in Family Health Care and settlement dwellers, located in Caruaru (PE), was developed from the popular health education focusing on health promotion and facing racism as a transversal axis. In this sense, the Family Health team is a powerful tool for promoting Healthy and Sustainable Territories by confronting racism in its non-biocentered issues, with the use of low technology, transdisciplinary, strengthening black identities and building health as recommended in health policies and the Sustainable Development Goals.

O que se tem discutido sobre Educação Popular em Saúde nos últimos anos: uma revisão narrativa da literatura

“…Finalmente, um conjunto importante de contribuições da literatura indicou os significados das práticas de EPS na formação de atores sociais para as lutas pela defesa da democracia, a exem-plo do contido nos artigos de Brutscher et al 19 e de Brito et al 20 .…”

“…Um dos melhores meios para construção dessa estratégia de base é o uso do brincar, uma vez que intervenções dialogadas ludicamente com crianças podem ser uma estratégia decisiva para gerar reflexão sobre os processos sociais que permeiam saúde e doença. O desenvolvimento neuropsicomotor e sociabilidade dos infantes também se torna um benefício importante, pois junto desse estímulo podem ser delineadas questões de luta social como racismo, homofobia e machismo de forma acessível para as crianças a partir do entendimento da realidade que as cercam 20 .…”

What has been discussed about Popular Health Education in recent years: a narrative review of the literature

“…Finally, an relevant set of contributions from the literature indicated the meanings of PHE practices in the training of social stakeholders for struggles to defend democracy, such as those contained in the articles by Brutscher et al 19 and Brito et al 20 .…”

“…One of the best ways to build this grassroots strategy is through play since playful dialogic interventions with children can be a decisive strategy for generating reflection on the social processes that permeate health and disease. Children's neuropsychomotor development and sociability are also a significant benefit, as this stimulus can outline social struggle issues such as racism, homophobia, and sexism in a way that is accessible to children, based on an understanding of their surrounding reality 20 .…”