Políticas de Promoção de Equidade em Saúde para grupos vulneráveis: o papel do Ministério da Saúde

Siqueira, Sandra Aparecida Venâncio de; Hollanda, Eliane; Motta, José Inácio Jardim

doi:10.1590/1413-81232017225.33552016

Cited by 31 publications

(36 citation statements)

References 10 publications

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“…47 As causas apontadas pela vulnerabilização dos garimpeiros vão além, repousando, entre outros fatores, na pouca eficiência governamental em assisti-los ou mesmo em cooperativá-los, ou seja, nos processos incapazes de transformá-los em extratores formais e legais, com capital suficiente para cuidar de si e de sua família. 47 Em 2014, esforços tanto governamentais como de grupos de movimentos sociais tiveram como produto final a Política Nacional de Saúde Integral das Populações do Campo e da Floresta (PNSIPCF), porém esta não conseguiu modificar as situações de abandono e problemas de saúde dessas populações vulneráveis 48 . Assim, nota-se, que a existência de políticas públicas direcionadas a esses trabalhadores, de forma direta (Estatuto do Garimpeiro) e/ou indireta (PNSIPCF) levando em consideração o contexto ao qual estão inseridos, que deveriam garantir melhores condições de vida, saúde e acesso aos serviços públicos, ainda apresentam-se distantes frente ao compromisso com a integralidade das ações em saúde e na redução de desigualdades sociais que definem o grau de vulnerabilidade do garimpeiro.…”

Section: Discussionunclassified

Vulnerabilidades en salud de garimpeiros de una región amazónica

Nascimento

Jesus

Terças-Trettel

et al. 2019

Revenf

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El objetivo del estudio fue identificar las vulnerabilidades en salud de los garimpeiros de una región amazónica. Se trata de un estudio exploratorio y cualitativo, realizado en un garimpo en la Amazonia Legal, en el interior de Rondônia, Brasil, en marzo de 2017. Se realizaron entrevistas semiestructuradas y los datos empíricos obtenidos fueron transcritos en su totalidad y sometidos al análisis de contenido. Se evidenció que la actividad garimpeira amplía la situación de vulnerabilidad del trabajador, acercándolo a situaciones de enfermedad, especialmente por la no adopción de medidas preventivas. A pesar de que las vulnerabilidades que la actividad implica, condiciones peligrosas e insalubridad en el trabajo, los garimpeiros no desean abandonar el garaje. La vulnerabilidad de estos garimpeiros es agravada por tener poco conocimiento sobre los factores de riesgo, como el contacto directo y prolongado con el agua, exposición solar e inutilización de EPI, por no disponer de servicio de salud y no realizar prácticas seguras de autocuidado. Al término del estudio, se notó que la existencia de actuales políticas del sector, no garantizan condiciones de vida, salud y acceso a los servicios públicos, lo que sostiene la vulnerabilidad de esos trabajadores.

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Section: Discussionunclassified

Vulnerabilidades en salud de garimpeiros de una región amazónica

Nascimento

Jesus

Terças-Trettel

et al. 2019

Revenf

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“…5–7 In 1998, a United States President’s Advisory Commission, for example, argued that “there is a clear need to increase the level of attention paid to vulnerable groups, including both those who, because of their chronic illness or disability, have many interactions with the health system, and those who have difficulty accessing the system and may be most likely to fall through the cracks.” 5 …”

Section: Vulnerability and Its Critiquesmentioning

confidence: 99%

Why Marginalization, Not Vulnerability, Can Best Identify People in Need of Special Medical and Nutrition Care

Walker

Fox

2018

AMA Journal of Ethics

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In a 2015 paper published in the Journal of Bioethical Inquiry, bioethicist Henk ten Have identifies vulnerability as a “controversial topic in bioethics” and argues that bioethical attention to vulnerability comes at the expense of sufficient attention to the social structures that shape human life. In this paper, we situate ten Have’s argument within the broader bioethical literature, emphasizing how critiques of vulnerability can enrich approaches in clinical settings, including in nutrition, where the concept of vulnerability is not foreign (eg, children are often labeled members of a vulnerable group). We use an example of food (in)security to show how reframing vulnerability to capture “layers of marginalization” can help clinicians and organizations more clearly identify who is most in need, develop solutions for what should be done, and determine how and by whom those solutions should be implemented.

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“…Given the inability of equality to treat unequal people unequally, equity has been conforming over the years, due to organized social movements, as a qualifier of equality, with the outcome being equality, itself. Depending on the pressure of heterogeneous groups, ministerial policies have been adopted to recognize and address the differences of minority groups (2) .…”

Section: Introductionmentioning

confidence: 99%

“…But, after all, how important is it to address the issue of equity in the current context? The reasons are not few, a combination of factors led the Brazilian Nursing Association (ABEn) to approach equity, such as the growing mobilization around human rights, political activism of social movements, intolerance, the struggle for respect for individual differences, increasing social inequalities between individuals, groups, geographical regions, feminism, postmodernism and eco-sustainability (2) . To where we are going matters, if we do not reflect and change behaviors that only contribute to a more hostile, inhumane, less supportive world, less committed to economic, social and environmental issues.…”

Section: Introductionmentioning

confidence: 99%

Reflections on equity and its applicability to the nursing work process

Silva

Oliveira

2020

Rev. Bras. Enferm.

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Objectives: to reflect on the principle of equity from the perspective of social justice and its applicability in the dimensions of the nursing work process. Methods: theoretical essay on the challenges for the practice with equity in the dimensions of the Nursing work process: teaching, care, research, political participation and administration. Results: the principle of equity should: in education be transversal in the training of future professionals; in assistance to occur without privilege or discrimination, treating the unequal unequally and the equals equally; in research be the target in the creation of new knowledge; in political participation to count on the contribution of social movements; and in the administration to count on the creation of specific executable policies. Final Considerations: there are still inequalities in access to services by part of the Brazilian population. Nursing should promote in its work process the implementation of equity promotion policies with a view to social justice.

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Políticas de Promoção de Equidade em Saúde para grupos vulneráveis: o papel do Ministério da Saúde

Abstract: This article aims to analyze Equity Promotion Policies in Health implemented

Cited by 31 publications

References 10 publications

Vulnerabilidades en salud de garimpeiros de una región amazónica

Vulnerabilidades en salud de garimpeiros de una región amazónica

Why Marginalization, Not Vulnerability, Can Best Identify People in Need of Special Medical and Nutrition Care

Reflections on equity and its applicability to the nursing work process

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