[Universal health systems and territory: challenges for a regional policy in the Brazilian Legal Amazon].

Abstract:

:This article presents the results of a study on Federal health policy in the Brazilian Legal Amazon (BLA) from 2003 to 2005, aimed at backing the development of regional health policies. The region has peculiar dynamics, an extensive border area, and adverse social indicators. The methodology included documental and financial analysis, participatory observation, interviews with heads of various Federal Ministries and State and Municipal health secretaries from the BLA; characterization of geographic situations in the BLA; and field studies in 15 municipalities. Institutional consolidation of health policy proved to be low in the Amazon during the study period, due to structural, institutional, and political difficulties. The identification of six geographic situations was useful for systematizing land use differences with repercussions on health, and which should be considered when implementing public policies. There is a certain gap between Federal actions and territorial dynamics, expressed as a mismatch between the current policy and its recognition by local administrators. In addition to establishing a regional policy for the Amazon, there is an evident need for differentiated policies within the region.

journal_name

Cad Saude Publica

authors

Viana AL,Machado CV,Baptista TW,Lima LD,Mendonça MH,Heimann LS,Albuquerque MV,Iozzi FL,David VC,Ibañez P,Frederico S

doi

10.1590/s0102-311x2007001400002

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

S117-31

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2007001400002

journal_volume

23 Suppl 2

pub_type

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