Contexto internacional e políticas nacionais: desafios dos sistemas de proteção social e de saúde em um mundo em transformação

Machado, Cristiani Vieira; Conill, Eleonor Minho; Lobato, Lenaura de Vasconcelos Costa

doi:10.1590/1413-81232018237.10362018

Cited by 3 publications

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“…In many parts of the world, threats to the value of solidarity constitute the basis of crises that impact on social protection systems. But it is in developing countries, where these systems are even more fragile and less inclusive, where such threats can further intensify social inequalities and poverty [ 61 ]. Therefore, in light of the objective living conditions of citizens in their territories, it is necessary to rethink and coordinate the interfaces of public services with care for social protection in Brazil and focus on constructing citizenship rights for all [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

França

Módena

Confalonieri

2020

Int J Equity Health

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Background Tackling poverty requires reconsideration of quantitative factors related to “who” is poor and by “how much” and qualitative factors addressing “what poverty means in these individuals’ lives”. Greater understanding is required concerning the types of access actually used by families in poverty in attempts to meet their basic needs. Poverty must be addressed based on the question: “Inequality of what?” It is in reflecting on the realities of such groups when their basic needs are not met that public policies can be improved and implemented with legitimate priorities. Objective: Describe coverage and access to public health, education and social assistance services and the related effects on the quality of life of families in extreme poverty. Methods An exploratory mixed methods study was conducted applying Amartya Sen’s “Basic Capability Equality” framework, with: 1) 27 interviews with managers and professionals from public services serving territories with extreme poverty; 2) Survey with a systematic proportionate stratified sample of 336 heads of households in extreme poverty from a total 2605 families. The resulting data was analyzed with thematic content analysis and descriptive statistics, respectively. Results The managers and professionals described the lives of families in extreme poverty with phrases such as, “ These people suffer. Sadness weighs on their lives! ” and “ Depression is the most common illness ”. Their precarious circumstances and inadequate access were cited as causes. Quality of life was considered bad or very bad by 41.4% of heads of households. A total income of less than one-third of the minimum wage was received by 56.9% of the sample. One or more people were unemployed in the family in 55.8% of cases. For 53.3% of heads of households, public services “ did not meet any or few of their needs”. The main social determinants of health were described as: alcohol and drugs (68.8%); lack of good health care (60.7%); and absence of income/work (37.5%). The following were identified as solutions to improve their quality of life: (1) health (40.5%); (2) education (37.8%); and (3) employment (44.6%). Conclusions The social determinants of poverty and health must be addressed jointly through intersectoral public policies and egalitarian mechanisms that promote investment in social protection.

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Section: Discussionmentioning

confidence: 99%

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

França

Módena

Confalonieri

2020

Int J Equity Health

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Section: Survey With Household Heads Of Families In Extreme Povertymentioning

confidence: 99%

Equality and Poverty: Views From Managers and Professionals From Public Services and Household Heads in the Belo Horizonte Metropolitan Area, Brazil

França

Módena

Confalonieri

2020

Preprint

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Background: Tackling poverty requires reconsideration of quantitative factors related to "who" is poor and by "how much” and qualitative factors addressing "what poverty means in these individuals’ lives". Greater understanding is required concerning the types of access actually used by families in poverty in attempts to meet their basic needs. Poverty must be addressed based on the question: “Inequality of what?” It is in reflecting on the realities of such groups when their basic needs are not met that public policies can be improved and implemented with legitimate priorities. Objective: Describe coverage and access to public health, education and social assistance services and the related effects on the quality of life of families in extreme poverty.Methods: An exploratory mixed methods study was performed applying Amartya Sen's “basic capability equality” framework, with: 1) 27 interviews with managers and professionals from public services serving territories with extreme poverty; 2) Survey with a systematic proportionate stratified sample of 336 heads of households in extreme poverty, from a total 2,605 families. The resulting data was analyzed with thematic content analysis and descriptive statistics, respectively.Results: The managers and professionals described the lives of families in extreme poverty with phrases such as, “These people suffer. Sadness weighs on their lives!” and “Depression is the most common illness”. Their precarious circumstances and inadequate access were cited as causes. Quality of life was considered bad or very bad by 41.4% of heads of households. A total income of less than 1/3 of the minimum wage was received by 56.9%. One or more people were unemployed in the family in 55.8% of cases. For 53.3%, public services “did not meet any or few of their needs”. The main social determinants of health were described as: Alcohol and drugs 68.8%; Lack of good health care 60.7%; Absence of income/work 37.5%. The following were identified as solutions to improve their quality of life: 1 - Health 40.5%; 2 - Education 37.8%; 3 - Employment 44.6%.Conclusions: The social determinants of poverty and health must be addressed jointly through intersectoral public policies and egalitarian mechanisms that promote investment in social protection.

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Ciência & Saúde Coletiva entra em seu 24º ano de existência

Minayo

Gomes

Silva

2019

Ciênc. saúde coletiva

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The scope of this editorial is to render account to the readers, collaborators and all of those responsible for Ciência & Saúde Coletiva (executive editors, associate editors, the editorial board and the editorial policy board) regarding the Journal's performance in 2018. With all editions distributed on schedule and one of which featured 50 articles, the delivery routine was duly accomplished, and the objectives and targets established for the year were met. There are two ways to present the results of the work: the most important way is to stress the relevance of the topics covered by the Journal, which publishes 30 articles in each monthly edition. There are two editions highlighted here that are notable for their historical significance: 23.61 which dealt with the 30 years of the Unified Health System (SUS). It featured 40 articles, all translated into English, which brought together people who have followed the trajectory of the implementation of the SUS with young researchers who have been studying this remarkable achievement. All articles take a constructive and critical look at the implementation process of the SUS. The second is 23.72, which has 23 of its 30 articles translated into English and serves as a counterpoint to the previous edition. It presents a comparative study of the SUS with several other public health systems in the world, bringing together scholars from Brazil and various other countries. The two editions complement each other and constitute invaluable and indispensable material for the training of professionals and for consultation by researchers. The second way to evaluate the Journal is to examine its performance indicators. A total of 3,516 originals were received through the Journal's website in 2018. Of these, 439 were approved (12.5%). There were 383 articles published in the year, 278 of which were translated into English (72.25%). If one counts the texts published in Spanish, 78.32% of the works in a foreign language were included. However, 1631 (monthly average of 149), namely 92% of the authors who published in Ciência & Saúde Coletiva in 2018 are Brazilian. Only 8% (149 authors) come from other countries. This is one of the issues that the Journal fully intends to address in its internationalization process. In the international rankings that measure the impact factor, Ciência & Saúde Coletiva has a rating of 0.9397 in SciELO; In Scimago, it is listed in the 2nd quartile, together with Cadernos de Saúde Pública and Revista de Saúde Pública (SJR 0.57). However, it is in first place in the ranking of Google Scholar mentions, in relation to the journals of all areas in Brazil, with an H5 46 index and an H5 58 median. These indicators are important because they show what it was possible to achieve and what still needs to be improved (a lot!). Given the immense demand, the journal reveals another problematic aspect, namely the backlog of papers accepted for publication. Attempts are being made to overcome this issue with a phenomenal effort to publish 30 articles every month and ...

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Contexto internacional e políticas nacionais: desafios dos sistemas de proteção social e de saúde em um mundo em transformação

Cited by 3 publications

References 0 publications

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

Equality and Poverty: Views From Managers and Professionals From Public Services and Household Heads in the Belo Horizonte Metropolitan Area, Brazil

Ciência & Saúde Coletiva entra em seu 24º ano de existência

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