Resumo em Inglês
Diogo de Souza VargasDoutor em Políticas Sociais pela Universidade Estadual do Norte Fluminense Darcy Ribeiro - UENF. Professor de Anatomia na Uniredentor/AFYA Itaperuna/RJ; atualmente Cirurgião-dentista da Prefeitura Municipal de Campos dos Goytacazes - RJ Rodrigo da Costa CaetanoDoutorado em Geografia pela UFF. Professor Associado da Universidade Estadual do Norte Fluminense UENFJacinta de Aguiar MedeirosDoutora pelo Programa de Pós-Graduação em Sociologia Política da Universidade Estadual do Norte Fluminense Darcy Ribeiro (PPGSP/CCH/UENF); Prefeitura Municipal de Campos dos Goytacazes/RJ, Secretaria Municipal de SaúdeTerritories of a municipal Health Policy: adversities that generate diversities in Primary Health Care
The article aims to understand the actions in Primary Health Care in Campos dos Goytacazes/RJ, of relevance in the production of oil and gas, and characterized by territorial heterogeneity - highlighting the locations of Murundu and Conceição do Imbé, predominantly rural and far from the municipal headquarters. The methodology covers a bibliographical survey on the national policy of Primary Health Care and the reverberations that reflect on the reality of health actions at the local level. A deficiency in the “conversion” or in the application of national policies to the reality of the territories surveyed is perceived, lacking a conjunctural analysis between managers, professionals and communities, decentralizing the confrontation of issues related to access to services and their obstacles to resolution. The municipal health management model, following the principle of equity, must observe socio-spatial inequalities in guaranteeing access, in order to transform the conditions that increase disease rates, such as vulnerability.
Resumo em Português - Texto
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