[Discourses and practices concerning the social participation process in health education activities: community mobilization in the PCDEN/PE. Programa de Controle das Doenças Endêmicas do Nordeste/Pernambuco].
This study analyzes and compares several social participation concepts in health education processes to practical experiences with schistosomiasis prevention measures under the Northeast Endemic Disease Control Program (Brazilian Ministry of Health/World Bank, 1987). Using qualitative methods, institutional documents and discourses were interpreted (Sucam, FNS, and Ministry of Health). A field study was also performed (using interviews with community-based health agents and the general population) in the Zona da Mata region of Pernambuco (a historically endemic area for schistosomiasis), focused in the county of Amaraji. Comparing discourses and educational practices, we found factors that explain respective points of convergence and divergence, as well as elements linked to the social and historical process of the target population which systematically limit the efficacy of such educational measures.
Acioli
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MD
Laboratório de Pesquisas em Psicologia Clínica, Centro de Filosofia e Ciências Humanas, Universidade Federal de Pernambuco, Rua Acadêmico Hélio Ramos, s/n, Cidade universitária, Recife, PE, 50670-901, Brasil.
de Carvalho
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EF
D001938:Brazil; D003140:Communicable Disease Control; D003256:Community Participation; D006266:Health Education / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D016730:Program Development; D012424:Rural Population; D012552:Schistosomiasis / Q000517:prevention & control