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[Inter-sector network in Brazil's School Health Program: subjects, perceptions, and practices]
Antônio Paulo Gomes Chiari1,2, Raquel Conceição Ferreira1, Marco Akerman3
1Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cadernos De Saude Publica
|May 17, 2018
Summary
The School Health Program (PSE) in Brazil has potential for inter-sector collaboration between health and education. However, municipal administrators reported limited use of these mechanisms, hindering program effectiveness.
Area of Science:
- Public Health
- Health Policy
- Educational Administration
Background:
- The School Health Program (PSE) in Brazil aims to integrate health and education sectors.
- Effective implementation relies on inter-sectoral collaboration.
- Understanding administrative perceptions is crucial for program success.
Purpose of the Study:
- To evaluate the implementation of the PSE in Belo Horizonte, Brazil.
- To identify mechanisms favoring inter-sectoral action within the PSE.
- To explore municipal administrators' perceptions of inter-sectoral collaboration in the PSE.
Main Methods:
- A case study approach was employed in Belo Horizonte.
- Document analysis included federal and municipal legislation and program news.
- A semi-structured online questionnaire surveyed 30 municipal administrators.
Main Results:
- Integrative mechanisms promoting health-education linkage were identified in policy documents.
- Municipal administrators reported limited utilization of these mechanisms.
- A sector-based logic and difficulties in inter-sectoral collaboration were prevalent.
Conclusions:
- While policy documents outline potential for inter-sectoral action, its practical application within the PSE is limited.
- A gap exists between the intended collaborative potential and the administrators' practices.
- Overcoming sector-based logic is essential for enhancing the PSE's impact.