Suchergebnisse

This study provides reflections on the hybridisation of paradigms resulting from the creation of the Academy of Health Programme created by the Brazilian National Ministry of Health. This was a descriptive study, analysing the National Health Promotion Policy (first published in 2006 and revised in 2014), the National Strategic Action Plan to Battle Chronic Non-Communicable Diseases (NCDs) and the Academy of Health Programme (established by Ordinance no. 719/GM/MS in 2011). The scientific disputes seen during the development of the programme have had an impact on the practices it advises and on its implementation. We reflect that the Academy of Health Programme can and should create a space where, beyond the chronic NCDs, the model of dominator and dominated can be subverted and the transformation idealised by collective health through the health promotion movement can be made concrete. ; Este estudio ofrece reflexiones sobre la hibridación de paradigmas resultantes de la creación del Programa Academia de Salud creado por el Ministerio de Salud Nacional de Brasil. Este fue un estudio descriptivo, analizando la Politica Nacional de Promoción de la Salud (publicada por primera vez en 2006 y revisada en 2014), el Plan de Acción Estratégico Nacional para Combatir las Enfermedades Crónicas No Transmisibles (ENT) y el Programa de la Academia de Salud (establecido por la Ordenanza no. 719 / GM / MS en 2011). Las disputas científicas observadas durante el desarrollo del programa han repercutido en las prácticas que asesora y en su implementación. Reflexionamos que el Programa Academia de Salud puede y debe crear un espacio donde más allá de las ENT crónicas, se pueda subvertir el modelo de dominador y dominado y concretar la transformación idealizada por la salud colectiva a través del movimiento de promociónn de la salud. ; Este estudo presta-se a refletir sobre as hibridizações paradigmáticas presentes na constituição do Programa Academia da Saúde, criado pelo Ministério da Saúde, no Brasil. A pesquisa consiste em um estudo descritivo, analisando a Política Nacional de Promoção da Saúde (2006 e 2014), Plano de Ações Estratégicas para Enfrentamento das Doenças Crônicas Não-Transmissíveis (DCNTs) e Portaria nº 719/GM/MS, de 7 de abril de 2011, de instituição do programa ministerial. As disputas científicas presentes na elaboração do programa refletem nas práticas e na implementação do mesmo. O artigo trata de apontar que para além das DCNTS, o programa tem potencial de construção de sujeitos autônomos, empoderados e protagonistas de suas vidas e corpos.

Os autores analisam as percepções sobre a democracia brasileira com base nas informações sobre o apoio ao sistema político e seu funcionamento, opinião e valores sobre direitos individuais e cidadania, e a percepção sobre os problemas do país. O artigo utiliza os dados do ESEB 2002.

Apresentamos um relato de experiência da oferta remota (educação online) da disciplina de Ciências Sociais em Saúde Coletiva, no Mestrado Profissional em Saúde Coletiva, em tempos de pandemia. Compartilhamos desde o planejamento à avaliação final da disciplina feita pelos discentes, apontando as limitações e os benefícios que experimentamos no uso dessa modalidade de educação. Ressaltamos uma característica singular do grupo, que era formado, em sua maioria, por trabalhadores da área da saúde, muitos deles atuantes na linha de frente ao combate do COVID-19. Portanto, para além das preocupações metodológicas, tivemos em consideração, durante todo o processo, as subjetividades envolvidas na relação de construção do conhecimento.

Background: Women living in low- and middle-income countries are more exposed to known risk factors for depression occurrence and persistency over time. Aim: Our aim was to investigate the course of depression in the first 2 years postpartum among Brazilian women enrolled in a cash transfer program. Method: Longitudinal analysis of baseline (T0; mean 3.7 months postpartum) and first follow-up data (T1; mean 18.6 months postpartum) from a trial to assess the impact of a child development promotion program in 30 municipalities from six Brazilian states. The program does not include any interventions against maternal depression. The Edinburgh Postnatal Depression Scale (EPDS) at cutoff ⩾10 was applied. Women were categorized into four groups based on EPDS at T0 and T1: absence of depression, persistence, discontinuity, or emergence pattern. Adjusted Poisson regressions were run using a multilevel hierarchical model. Results: Two thousand eight hundred sixty-three women were assessed. Prevalence of depression was 26.4% [24.8, 28.1] at T0 and 24.4% [22.8, 26.0] at T1. Persistence, discontinuation, and emergence were found in 14.1% [11.3, 17.6%], 12.8% [11.4, 14.3%], and 10.2% [8.0, 13.0], respectively. In adjusted analyses, the persistence pattern was directly associated with parity and inversely associated with schooling of the woman and of the child's father. Living with husband/partner and support from the child's father and family members during pregnancy were protective against persistence. The discontinuity and the emergence patterns were not associated with any of the exposure variables. Conclusions: Depressive symptoms were highly prevalent during the first 2 years postpartum. About half of the women with depression at T1 were persistent cases that could have been detected earlier. Screening for maternal depression should be an essential component in every encounter of women with health professionals in primary health care settings.