Ramos da Silva Rios David, Constantina Caputo Maria, Quélier Christine
Sante Publique. 2018 May-Jun;30(1 Suppl):105-110. doi: 10.3917/spub.184.0105.
The objective of this article is to describe and analyse the actions developed by a health promotion programme between 2013 and 2014 in an indigenous Kiriri community in Bahia, Brazil. One of the specificities of the programme was that it was conducted in the context of the extension activities of Brazilian universities. This programme illustrates the actions of extension, a longstanding social function of Brazilian universities and the value of involving the university in community health actions.Based on the action research methodology, the project was designed to stimulate reflection on the broader concept of health and its social determinants, developing the link between the various languages and cultures based on social mobilization around health promotion and to promote respect for cultural diversity. The programme's actions allowed production of knowledge concerning the living conditions of the indigenous community and a dialogue between scientific knowledge and popular knowledge, appropriation of existing public policies by the population, and also a change in the population's perception of health, extending beyond the biomedical view and taking living conditions into account as determinants of health.
本文的目的是描述和分析2013年至2014年在巴西巴伊亚州一个基里里土著社区开展的一项健康促进计划的行动。该计划的一个特点是在巴西大学的推广活动背景下进行。该计划展示了推广行动,这是巴西大学长期以来的一项社会功能,以及大学参与社区健康行动的价值。基于行动研究方法,该项目旨在激发对更广泛的健康概念及其社会决定因素的反思,基于围绕健康促进的社会动员发展各种语言和文化之间的联系,并促进对文化多样性的尊重。该计划的行动使得能够产生关于土著社区生活条件的知识,促进科学知识与大众知识之间的对话,让民众理解和运用现有的公共政策,并且还改变了民众对健康的认知,超越了生物医学观点,将生活条件视为健康的决定因素。