Gestão social e sustentabilidade socioambiental: um estudo de caso sobre a política de promoção da saúde em Boa Vista - RR

Abstract

The emergence of the debate between health and environment, as part of the Health Promotion Policies, emerged on the international scene in the year of 1970 onward, in a context marked by criticism of the capitalist development model, which essentially focuses on the forces of the market and anchored in the neoliberal market logic. In Brazil, the process of development of Health Promotion began in the 1980s, a period marked by strong popular movements seeking the consolidation of civil, political and social rights. Health promotion is understood as an articulation of different sectors of public agencies in social management, with the aim of thinking about complex health issues that demands an inter-sectorial network management. The methodological outline sought to answer the following question: What are the operating strategies of the Social Network management in the decentralized system of the Health Promotion Policies in Boa Vista? The aim of this study is to evaluate the operational strategies of social management network in the decentralized system of health promotion policies in Boa Vista - RR from the perspective of an environmental sustainability. For that, was used a methodological resource being a qualitative approach through the case study, which was developed from data collection / information on three types of surveys: bibliographic, documental and field. Besides the documentary study of the Municipal Health Plan, management reports and official documents of the SMSA /BV, also semi-structured interviews with the participation of five representatives of the management of SMSA/BV were conducted, eleven professionals linked to the Family Health Strategy, two representatives the Municipal Health Council and a representative of the management of the Municipal Education who serves as partner in the implementation of actions for the Promotion of Health through the School Health Program in the Roraimense capital. The results show that the proposed management at inter-network is a challenge to be followed by SMSA / BV, since this has not been realized in order to enable effective participation of social actors in the conduct of actions to promote health. Likewise, the need to invest in strengthening and joint health sector with other sectors (education, environment, etc.) in order to qualify and to provide services to the population. Thus, it is possible to conclude that the dimensions of environmental sustainability are at the heart of social policies, this means that without understanding sustainability from the territorial, social, environmental, cultural, political and economic indicators as important tools for orienting public policies it is impossible advance the field of social network management. Accordingly, it is recommended to the Municipal Administrator that a pact between public agencies be established inter-sectorial, since it is understood that although social problems manifest themselves inter-sectorial, the solution depends on other policies, and the lack of agreement between the different sectors limits the operating / network connection, thereby undermining the effect, efficiency and effectiveness of actions. Finally, it is expected that the results of the study contributes to strengthening the capacity of local management, towards the Family Health Strategy overcoming the curative character to consolidate as a strategy for a transition at the local level, especially for the confrontation of the social and environmental determinants of health.