Política municipal e acesso a serviços de saúde São Paulo 2001-2012, quando as periferias ganharam mais que o centro

Abstract

The study analyses the evolution of the supply and consumption of public healthcare services within the municipality of São Paulo between 2000 and 2012. In the period services offered grew and the disparity between the supply and consumption of public health services across the areas with the best and worst indices of income, education and health decreased. To explain these results we discuss the municipal policies adopted during the period and explore their relation with both electoral competition and the commitment to universal access to health care by a group of politicians and health professionals.

Conditions associated with adherence to HIV post-sexual exposure prophylaxis

“…However, a study shows that, for a better adherence to prophylaxis, it does not suffice to provide medication to the users and schedule them to return 30 days later with no direct follow-up of the appropriate use of PEP. The importance of improving communication strategies and following these users through the duration of prophylaxis is emphasized (24)(25)(26)(27)(28) .…”

“…A study conducted in 2013 has shown that South and Southwest Brazil offered better conditions for access to health services to the populations (23) ; even so, these are exactly the areas whose municipalities have the highest rates of AIDS incidence, which highlights the need for considering expanding investment to enhance SUS and policies for fighting the epidemic. The state of São Paulo, a pioneer in establishing policies to fight STI, and especially HIV/ AIDS (24) , has been promoting the decentralization of actions to municipalities, which enables advances in SUS structure and is reflected in better access to health services (25) .…”

The Legal Construction of Power in Deliberative Governance

“…On the one hand, by including more women, racial minorities, and poor people, the councils come much closer to reflecting Brazil's demographic profile than traditional representative institutions do (Coelho 2004;2007). Additionally, Coelho associates their existence to reductions in the inequality of service provision between rich and poor regions, as councils located in the periphery more intensively argued for devoting funds to the expansion of healthcare facilities, such as Health Units and hospitals (Coelho 2013;Coelho, Szabzon, and Dias 2014). However, she also finds that the health councils' existence is associated with a slight increase in inequality between poorer regions, which she ascribes to differences in the capacity to mobilize for funding (such as informal access to relevant governmental authorities).…”

Análise Do Comportamento Do Orçamento E Sua Execução Em Saúde Em Diferentes Gestões Do Município De Montes Claros No Período De 2005 a 2016

“…Tendo em vista a flagrante heterogeneidade das condições de vida e de atenção à saúde presentes nos diferentes recantos do território nacional, a necessidade de particularizar os achados dessa pesquisa se mostra de fundamental importância, sob pena de não se conseguir apreender essa diversidade de situações e, portanto, não se obter o conhecimento necessário para intervir adequadamente nos problemas e acompanhar o impacto das ações propostas. (COELHO;SZABZON;DIAS, 2014).…”