Doutorado em Saúde Coletiva

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Navegando Doutorado em Saúde Coletiva por Autor "Andrade, Maria Angélica Carvalho"

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    Dar o rumo nem sempre a prumo : atuação das secretárias e secretários municipais de saúde nas rotas do Brasil
    (Universidade Federal do Espírito Santo, 2024-06-07) Riquieri, Manuella Ribeiro Lira; Sarti, Thiago Dias ; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/0000-0001-5276-7965; http://lattes.cnpq.br/6197420903104099; Carvalho, André Luís Bonifácio de ; https://orcid.org/0000-0003-0328-6588; http://lattes.cnpq.br/1517396644134266; Ouverney, Assis Luiz Mafort ; https://orcid.org/0000-0002-8581-3777; http://lattes.cnpq.br/9337196640689706; Andrade, Maria Angélica Carvalho ; https://orcid.org/0000-0002-3690-6416; http://lattes.cnpq.br/5427520110626795; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190
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    Desvelando o contexto de vida de crianças refugiadas no Espírito Santo: uma abordagem criativa e sensível
    (Universidade Federal do Espírito Santo, 2025-12-12) Antonio, Suzana; Andrade, Maria Angélica Carvalho; https://orcid.org/0000-0002-3690-6416; http://lattes.cnpq.br/5427520110626795; https://orcid.org/0000-0001-6157-3759; http://lattes.cnpq.br/5928824592839198; Silva, Liliane Faria da; https://orcid.org/0000-0002-9125-1053; http://lattes.cnpq.br/9071782541107295; Filippon, Jonathan Gonçalves; https://orcid.org/0000-0003-3907-1992; http://lattes.cnpq.br/1655529281503303; Deps, Patrícia Duarte; https://orcid.org/0000-0002-9707-1934; http://lattes.cnpq.br/9820695143683631; Nascimento, Luciana de Cássia Nunes; https://orcid.org/0000-0003-4947-5480; http://lattes.cnpq.br/8473253145955850
    The migratory crisis is an ancient phenomenon that has recently become one of the main global concerns, leading millions of people to seek better living conditions and protection from political or religious persecution, armed conflicts, natural disasters, and other factors, including family reunification. Children and adolescents face unique challenges when seeking refuge, such as lack of access to essential services, family separation, language barriers, exploitation, violence, and abuse, due to their vulnerability. Therefore, it is essential to understand the life context of these children, considering their multiple dimensions. In this regard, this study aimed to analyze the life context of refugee and asylum-seeking children in Espírito Santo, Brazil, based on their own perceptions, understanding their living conditions, describing their migratory trajectories, and investigating their perspectives about the future. The research was conducted from a historical-cultural perspective, grounded in Lev S. Vygotsky’s contributions to human development and the importance of social and cultural interactions in the constitution of subjects. A qualitative approach was adopted, developed through the Creative and Sensitive Method, using the “Almanaque” dynamic as a strategy to foster children’s expression and the sharing of experiences. The study included ten Venezuelan refugee children living in the state of Espírito Santo. Data were generated between October 2024 and January 2025, after approval by the Research Ethics Committee of this university and conducted in accordance with Resolution No. 466/12 of the National Health Council. Data analysis followed Bardin’s Thematic Content Analysis. The results revealed the life context of refugee children in Espírito Santo, highlighting that learning Portuguese, along with preserving their mother tongue, proved fundamental to fostering belonging and cultural mediation. Experiences related to housing, food, and health reflected dimensions of safety, identity, and care, while school emerged as a space for socialization and learning, although marked by challenges such as prejudice and bullying. Leisure activities, including play, extracurricular practices, and the use of technology, as well as religious practices and interpersonal relationships with family, friends, neighbors, and support networks were found to be essential for coexistence and emotional support. Memories of life in Venezuela and the feeling of “saudade” (longing) revealed the continuity of family and cultural ties maintained across distance. Migratory trajectories were characterized by ruptures, fears, and adaptations, but also by solidarity and reconstruction. Future perspectives expressed dreams and hopes that cross borders, reflecting both the desire to remain in Brazil and to return to Venezuela, while keeping emotional and cultural ties to the country of origin alive. Thus, understanding the life context of these children requires listening to them as active subjects of their own stories. Their narratives reveal processes of re-signifying displacement experiences and reconstructing childhood in a new territory, permeated by challenges, but also by affection, learning, and hope.
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    Organizações sociais de saúde como forma de privatização do Sistema Único de Saúde
    (Universidade Federal do Espírito Santo, 2020-10-30) Turino, Fabiana; Siqueira, Carlos Eduardo Gomes; https://orcid.org/0000-0001-8993-3031; http://lattes.cnpq.br/5416960178072112; Sodré, Francis; https://orcid.org/0000-0003-4037-9388; http://lattes.cnpq.br/7744765390568573; https://orcid.org/0000-0002-5291-1346; http://lattes.cnpq.br/6476006704270634; Filippon, Jonathan Gonçalves ; https://orcid.org/0000-0003-3907-1992; http://lattes.cnpq.br/1655529281503303; Andrade, Maria Angélica Carvalho; https://orcid.org/0000-0002-3690-6416; http://lattes.cnpq.br/5427520110626795; Oliveira, Adauto Emmerich; https://orcid.org/0000-0002-9679-8592; http://lattes.cnpq.br/1534956621971641; Bahia, Ligia; https://orcid.org/0000-0001-8730-2244; http://lattes.cnpq.br/1810292003452931
    This PhD thesis focused on the theme of privatization of the Unified Health System (SUS) through the entry of Social Health Organizations (OSS) in the management of these services. The methodology used was a mixed, qualitative and quantitative approach. The main objective was to investigate how the transfer of public resources to private non-profit entities creates new characteristics for the Brazilian public health system. To achieve this goal, management contracts and additive terms of the agreements signed between the OSS and the health departments of the states of Rio de Janeiro and São Paulo, as well as with their capitals, between 1998 and 2018 were analyzed. The results of this investigation are arranged in the thesis in four articles. The first was a theoretical analysis and a systematic review that pointed to New Public Management as a central argument for administrative reforms that resulted in actions to reduce bureaucracy and make public management more flexible. In the second article, the use of the management contract as a legal instrument to enable the SUS privatization process was analyzed. The third article, on the other hand, confirmed that the use of additive terms from management contracts results in the instrumentalization of the privatization process. Finally, the fourth article presented the double certification of non-profit organizations as a problem, as they add entitlements - OSS and philanthropy - that enable tax advantages. This evidence supports the conclusion that the transfer of the management of public health services to OSS is a process of functional and fluctuating privatization
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    Saúde da população negra e vigilância em saúde: potências, ambivalências e caminhos para equidade racial
    (Universidade Federal do Espírito Santo, 2025-09-26) Cordeiro, Marcos Vinicius da Silva; Maciel, Ethel Leonor Noia; https://orcid.org/0000-0003-4826-3355 ; http://lattes.cnpq.br/3761398932271892; Lima, Rita de Cássia Duarte; https://orcid.org/0000-0002-5931-398X ; http://lattes.cnpq.br/2384472795664270; https://orcid.org/000-0002-8992-5514; http://lattes.cnpq.br/2323462352006932; Santos, Patrícia Carla dos; https://orcid.org/0000-0003-1024-4378 ; http://lattes.cnpq.br/0139281486520973; Bracet, Margareth Attianezi; https://orcid.org/0000-0003-3627-5375 ; http://lattes.cnpq.br/4274985811833201; Andrade, Maria Angélica Carvalho ; https://orcid.org/0000-0002-3690-6416 ; http://lattes.cnpq.br/5427520110626795
    The doctoral thesis “Black Population Health and Health Surveillance: Potentials, Ambivalences, and Pathways to Racial Equity” aimed to analyze the actions of Health and Environmental Surveillance that contribute to the implementation and strengthening of Black Population Health and to addressing racism within Brazil’s Unified Health System (SUS). Structured in four articles, the research examined the integration between the National Policy for the Comprehensive Health of the Black Population (PNSIPN) and the National Health Surveillance Policy (PNVS), as well as the quality of health information disaggregated by race/color. The first article identified convergences and gaps between the two policies, emphasizing the need for stronger articulation and competency frameworks that incorporate the fight against racism as a cross-cutting directive. The second article analyzed the incompleteness of the race/color variable in national health information systems (2010–2023), highlighting recent improvements but persistent regional and thematic inequalities. The third article, a systematic review (2000–2024), revealed that national literature acknowledges the low quality of records, though rarely links it explicitly to institutional racism. The fourth article discussed recent Ministry of Health initiatives to improve racial data, pointing to progress in transparency and monitoring, while underscoring ongoing challenges in institutionalization and integration. The thesis concludes that Health Surveillance has an ambivalent role: it can enhance statistical visibility and inform equity-oriented policies, yet also reproduce invisibility when guided by technocratic logics. Building an anti-racist epidemiology, alongside strengthening critical training and information democratization, is essential for Health Surveillance to function as a strategic tool in confronting racial inequalities and ensuring the right to health within SUS and strengthening of the PNSIPN integrated with the PNVS.
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    Saúde, rizoma e feminismos : cartografia de coletivos de mulheres na universidade federal
    (Universidade Federal do Espírito Santo, 2024-04-28) Barbosa, Jeanine Pacheco Moreira; Andrade, Maria Angélica Carvalho ; https://orcid.org/0000-0002-3690-6416; http://lattes.cnpq.br/5427520110626795; https://orcid.org/0000-0003-1024-4378; http://lattes.cnpq.br/2549903749170929; Cambraia, Rosana Passos ; https://orcid.org/0000-0003-2555-5830; http://lattes.cnpq.br/5804714230015958; Dias, Luciana de Oliveira ; https://orcid.org/0000-0002-2570-8078; http://lattes.cnpq.br/9317426815646934; Souza, Susane Petinelli ; https://orcid.org/0000-0003-2570-8323; http://lattes.cnpq.br/1918347901202858; Siqueira, Luziane de Assis Ruela ; https://orcid.org/0000-0001-7510-9148; http://lattes.cnpq.br/6917111497820903
    Despite the significant presence of women in universities, it is still possible to identify traces of oppression and inequality, a legacy of modern colonialism. Understanding this phenomenon as a public health problem indicates the relevance of this research, which followed the movements of women's collectives in Brazilian federal universities, problematizing the power of these collectives based on the narratives of these women. The research used a two-stage qualitative approach, identifying the collectives present in the universities and characterizing them; and interviewing twelve women who are/were part of them. The instruments used were narrative interviews conducted via Google Meet and the construction of a field diary, which, once transcribed, gave rise to the unique stories that make up the corpus of the research. Based on the cartographic ethos, the analysis was based on the philosophy of difference and gender studies, emphasizing the approaches of intersectionality and decoloniality. The results showed the need to develop a conceptual tool, Rhizomatic Feminism, to accompany the overflowing of boundaries between feminist movements expressed by women's collectives, giving visibility to new free subjectivities, in other words, to becoming-woman. They also highlighted the leading role of women's collectives at the university in the face of the many challenges they face, emphasizing the importance of a rhizomatic approach to women's health. The work bets on the power of these collectives to produce ruptures with the racist, hetropatriarchal and capitalist heritage that perpetuates structures of exploitation of women at university. From an ethical-aesthetic-political paradigm, it argues that health is only collective when it is assumed to be an invention and a work of art, opening up to feminist listening