[Implementation of the Family Health Program and socio-spatial exclusion in the city of São Paulo, Brazil].
The present article analyzes the implementation of the Family Health Program (FHP) in São Paulo, Brazil, taking as its reference the occupation of the city's space, characterized by strong socio-spatial segregation. The population coverage and consolidation achieved by the FHP and the partner institutions' legal and institutional formats were identified in 96 Administrative Districts (AD). The study then proceeded to stratify these ADs beginning with their position in a ranked social exclusion map. ADs were classified in five groups. Based on these results, a typology was produced in the FHP implementation in this capital city of the State of São Paulo. Clearly distinct patterns were identified when the ADs were ranked for exclusion/inclusion. FHP implementation was effective within the peripheral ADs, especially those in Group 1, indicating pressure for the Municipal Health Secretariat to comply with its discourse, which had assumed the FHP as a health care model to be implemented throughout the city, at least reaching the entire low-income population.
Bousquat
Aylene
A
Centro de Estudos de Cultura Contemporânea, São Paulo, Brasil. aylenebousquat@uol.com.br
Cohn
Amélia
A
Elias
Paulo Eduardo
PE
D001938:Brazil; D005192:Family Health; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D012940:Social Problems; D012959:Socioeconomic Factors; D014505:Urban Population