História da política de prevenção e controle do câncer no Amazonas, 1974 – 2011.

Abstract

In the state of Amazonas, the cancer has reached alarming rates both in terms of incidence and mortality, favoring the emergence of effective policies to prevent and control the disease. In this sense, it is essential we understand that the historical production on health policies, aimed at fighting the disease, can contribute to the understanding of care models that have been adopted, the political relations that have been established, as has occurred the dialogue between the different political spheres. We consider also that the historical knowledge has much to contribute to the fight against cancer, as well as allowing us to ensure the registration and the memory of what has been lived and experienced, enables us also to understand the actions that have already integrated policies control. Thus, we can see possible ways to achieve more positive results in relation to prevention and control. From this perspective, this dissertation will talk on "Cancer Prevention and Control Policy in Amazonas, 1974 - 2011”, taking as object of study the Oncology Control Center – CECON”. To do this, we base our analysis on laws, decrees and reports on health policy in the region; and oral history research, where we use an instrument with a set of questions, which was applied with actors identified with the history of the institution. The work is divided into four chapters, of which three of them refer specifically to the proposed objectives. A chapter that looks at how public policies related to cancer have been applied in the state of Amazonas, from this renowned institution, another chapter, where we analyze the process of establishing public policies on the prevention and control of cervical cancer, in the state of Amazonas and the last chapter with the appreciation and analysis of the performance of two philanthropic foundations: Amazonense League Against Cancer / AM and Women's Network Against Cancer / AM, which perform support activities to the services provided by FCECON. Finally, the study of the Amazon cancer policy from the history of FCECON led us to more comprehensive analyzes bringing us confirmation that the history of local health policy is closely linked to the history of the national health policy, and which presents itself as a result of the reality at the time of its formulation, but also as a result of past actions that interact and give the dynamics of the system.