Silva Kênia Lara, Sena Roseni Rosângela, Akerman Marco, Belga Stephanie Marques Moura, Rodrigues Andreza Trevenzoli
Departamento de Enfermagem Aplicada, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil,
Departamento de Enfermagem Materno-infantil e Saúde Pública, Escola de Enfermagem, UFMG.
Cien Saude Colet. 2014 Nov;19(11):4361-70. doi: 10.1590/1413-812320141911.10042014.
The study seeks to analyze intersectoriality from the socio-environmental perspective on health promotion. Qualitative research was conducted in six municipalities in Belo Horizonte, Minas Gerais, Brazil. The data were obtained from the mapping of health promotion experiences considered successful by municipal managers, interviews with coordinators, professionals and participants and observations of participants of the practices. The data were subjected to thematic content analysis. Intersectoriality was revealed as a premise for the political definition of the majority of the practices. At the normative program level, the social assistance sector has shown greater potential to develop intersectorial practices and centrality in the implementation grid due to its involvement with the social and environmental determinants. The results indicate that there is a gap between the intention to practice intersectoriality, witnessed by the political decisions in the municipalities, and effective intersectorial action in everyday life. The conclusion reached is that there is potential for intersectorial interventions on the social and environmental determinants in favor of health promotion, but the lack of consistency between what occurs in practice and the political aspects reveal a challenge to be overcome.
该研究旨在从社会环境视角分析健康促进中的部门间合作。在巴西米纳斯吉拉斯州贝洛奥里藏特市的六个市镇开展了定性研究。数据来源于对被市镇管理者视为成功的健康促进经验的梳理、对协调员、专业人员和参与者的访谈以及对实践参与者的观察。对数据进行了主题内容分析。部门间合作被揭示为大多数实践政治定义的前提。在规范性项目层面,社会援助部门由于参与社会和环境决定因素,在开展部门间实践和实施网格中的核心地位方面显示出更大潜力。结果表明,市镇的政治决策所体现的部门间合作意图与日常生活中的有效部门间行动之间存在差距。得出的结论是,在有利于健康促进的社会和环境决定因素方面存在部门间干预的潜力,但实践中发生的情况与政治方面缺乏一致性揭示了一个有待克服的挑战。