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Felix J Rosenberg1, Sonia Carvalho1, Marina Rodrigues1

  • 1Fórum Itaboraí, Fiocruz, Petrópolis, Brasil.

Revista Peruana De Medicina Experimental Y Salud Publica
|September 3, 2020
PubMed
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Urban COVID-19 endemism in Petrópolis: detection of an endemic focus by spatial analysis.

Revista peruana de medicina experimental y salud publica·2024
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This study promotes integrated public policies for social exclusion by training family health teams for participatory assessments. Community forums and agro-ecological projects foster resilient transformations in underserved territories.

Area of Science:

  • Public Health
  • Social Determinants of Health
  • Health Policy

Background:

  • Health is socially determined, particularly in areas with high social exclusion.
  • Integrated public policies are essential for addressing health disparities in marginalized communities.
  • The concept of expanded health acknowledges the interplay between social classes, territories, and health outcomes.

Purpose of the Study:

  • To implement a strategy for promoting integrated public policies focused on expanded health in socially excluded territories.
  • To train family health teams in Petrópolis, Brazil, for participatory rapid assessments aligned with Sustainable Development Goals.
  • To guide an action plan for health promotion based on a diagnosis of social exclusion.

Main Methods:

  • Participatory rapid assessment conducted by trained family health teams.

Related Experiment Videos

  • Participatory mapping to identify areas of high social exclusion.
  • Establishment of community forums to facilitate social control and intersectoral collaboration.
  • Development of agro-ecological urban agriculture projects as an initial intervention.

    • Main Results:

    • Identification of social exclusion conglomerates through participatory mapping.
    • Creation of community forums and election of representatives for local health councils.
    • Initiation of agro-ecological urban agriculture projects to promote community-led transformations.
    • Strengthened intersectoral dialogue and collaboration for health and welfare problem-solving.

    Conclusions:

    • Participatory approaches and community engagement are crucial for addressing social determinants of health.
    • Integrated public policies, informed by local needs and social control, can drive health promotion in excluded areas.
    • Agro-ecological urban agriculture offers a pathway towards sovereign and resilient community development and improved well-being.