Sousa Marta Caires de, Esperidião Monique Azevedo, Medina Maria Guadalupe
Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 - Salvador, BA - Brasil.
Cien Saude Colet. 2017 Jun;22(6):1781-1790. doi: 10.1590/1413-81232017226.24262016.
This study analyzed inter-sectoral activities between the health and education sectors in implementing the Health in Schools program in a city within a metropolitan region in northeast Brazil. Analysis of the political-management process looked at the following dimensions: professional practices and subject understanding of intersectorality. The results show that subjects define intersectorality as partnership and joint efforts. Regarding decision making and resource mobilization, during program implementation we noticed that healthcare leads, and education tends to play a more peripheral role. Health activities in the schools use a biomedical approach and primarily consist of lectures. We believe that the program strengthened the relationship between these two sectors. However, intersectoral coordination in the political-management process and practices show weaknesses and limitations.
本研究分析了巴西东北部一个大都市地区内一个城市在实施学校健康计划过程中卫生部门与教育部门之间的跨部门活动。对政治管理过程的分析考察了以下几个方面：跨部门性的专业实践和主体理解。结果表明，主体将跨部门性定义为伙伴关系和共同努力。在决策和资源调动方面，在项目实施过程中我们注意到，卫生保健起主导作用，而教育往往发挥更外围的作用。学校中的卫生活动采用生物医学方法，主要以讲座为主。我们认为该项目加强了这两个部门之间的关系。然而，政治管理过程和实践中的跨部门协调显示出弱点和局限性。
