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 Publicajournal_title
Cadernos de saude publicaauthors
Viana AL,Machado CV,Baptista TW,Lima LD,Mendonça MH,Heimann LS,Albuquerque MV,Iozzi FL,David VC,Ibañez P,Frederico Sdoi
10.1590/s0102-311x2007001400002subject
Has Abstractpub_date
2007-01-01 00:00:00pages
S117-31eissn
0102-311Xissn
1678-4464pii
S0102-311X2007001400002journal_volume
23 Suppl 2pub_type
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journal_title:Cadernos de saude publica
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