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[The sinuosities in the line of induction, institutionalisation and implementation of National Health Promotion
Maria Socorro de Araújo Dias1, Lielma Carla Chagas da Silva1, Anya Pimentel Gomes Fernandes Vieira-Meyer2
1Laboratório de Pesquisa Social, Educação Transformadora e Saúde Coletiva (LABSUS), Universidade Estadual Vale do Acaraú. Av. Cmte. Maurocélio Rocha Pontes 186, Derby Clube. 62042-280 Sobral CE Brasil. socorroad@gmail.com.
Abstract:
Historical, documentary and bibliographical research, adopting the coalition theory as a reference to analyze the sinuosity of the trajectory of the National Health Promotion Policy (PNPS). The time frame covered the period between 1986 and 2023. Among the documents available in official websites and scientific journals, and with the aid of an expert and snowball technique, 31 milestones/events related to the institutionalization, implementation and related movements of the national and international historical context of health promotion were identified. The analysis elucidated PNPS itineraries demarcated into three periods: from 1986 to 2006, the paths of construction of PNPS; from 2006 to 2014, from institutionalization to policy review; and from 2014 to 2023, PNPS implementation movements. The tortuous timeline of the PNPS reveals gaps, slowdowns and advances in the period analyzed. These call for the recognition of the influences of global governance instruments (WHO and UN) and the search for sustainability mechanisms. The counter-hegemonic and complex nature of the PNPS calls for new institutional arrangements to address inequalities. Furthermore, movements are identified to resume coordination with segments and groups of the population.
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