Analysis of the utilization of social indicators for operating the health surveillance model: a case study / Análise da utilização de indicadores sociais na operacionalização do modelo de vigilância da saúde: um estudo de caso
AUTOR(ES)
Rosemara Melchior Valdevino Silva
DATA DE PUBLICAÇÃO
2007
RESUMO
Introduction- To achieve health surveillance, which is a sanitation practice, alluding to the ideal of social health production, the following is required: recognition of the territory, identification of its problems, and an intersectorial action. According to the health surveillance proposal, with the utilization of social indicators, it is possible to obtain a situation of life condition of several social groups, which can represent a starting point for interference in the health of these groups. Objectives Our objectives are to characterize the comprehensive area of the Butantã regional district in the city of São Paulo according to socioeconomic, demographic, and health indicators, so as to obtain elements to conceive an epidemiological profile of the territory and to discuss the utilization of categories of autonomy, quality of life, human development, and equitableness to operate health surveillance in this territory. Methodology The hereby study is a qualitative research; it is a case study of exploratory and descriptive characteristics. This study had the following stages: 1) description and analysis of prior conjectures of Health Surveillance in Brazil and of the theory of social production of health; 2) identification of database of public domain, with information related to social exclusion/inclusion used for constituting the categories of autonomy, quality of life, human development, and equitableness; 3) selection, organization and distribution of indicators and categories of analysis, according to a specific territorial unity, in the case of the administrative districts of Butantã regional district; and 4) analysis of the chosen indicators, in accordance with its relevance as technology for health surveillance. Results The compound indicators enabled us to focus on several contextual aspects of the territory, propitiating to identify the place of data. The districts of Raposo Tavares and Rio Pequeno presented the worst indexes of social exclusion/inclusion within the regional district of Butantã. The indexes that represent autonomy, quality of life, human development and equitableness are significant for the supervision and diagnosis of health determining factors of macro spaces. Final Considerations The social and economical differences that permeate the Butantã region districts point to and reinforce the necessity of developing and implementing local public policies for the purpose of achieving the desired result of improving life conditions of the population who is in a condition of social exclusion, furthering health accumulation. The health professional must identify the social network of support in the region, aside from developing strategies of empowerment social groups to face their social and health problems and necessities through intersectorial actions and the construction of citizenship
ASSUNTO(S)
compound indicators indicadores sociais social exclusion health indicators indicadores de saúde health surveillance exclusão social indicadores compostos health diagnosis vigilância da saúde social indicators diagnóstico de saúde
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