Temporão José G
Pesquisador da Escola. Nacional de Sáude Pública/Fundação Oswaldo Cruz.
Hist Cienc Saude Manguinhos. 2003;10(Suppl 2):601-17.
The article discusses the central aspects of the trajectory of the National Immunization Program as regards the dynamics of sectoral policy. Heir to successful experiences of the past yet conceived at an entirely different moment, the Program followed the triumphant Campaign to Eradicate Smallpox and inaugurated a new phase in the history of public policy in the field of prevention. Under one sole command, the Program came to articulate a set of practices that had previously been spread across a number of government agencies and jurisdictions. The article examines the process by which the Program was conceived, structured, and developed within government health policy, and also underscores the main determinants of this policy, its institutional actors, and the political and ideological conflicts born of its implementation, whose success was an important component in the structuring of a vaccine market in Brazil.
本文讨论了国家免疫规划轨迹的核心方面，涉及部门政策动态。该规划继承了过去的成功经验，但却是在一个截然不同的时刻构思而成。它紧随成功的根除天花运动之后，开启了预防领域公共政策历史的新阶段。在单一指挥下，该规划开始整合一系列此前分散于多个政府机构和管辖区域的做法。本文审视了该规划在政府卫生政策中构思、构建和发展的过程，还强调了这一政策的主要决定因素、其机构行为体，以及实施过程中产生的政治和意识形态冲突，其成功是巴西疫苗市场构建的一个重要组成部分。
