Social determinants of a Quilombola Community and its interface with Health Promotion.

Michelle Kuntz Durand,Ivonete Teresinha Schülter Buss Heideman

doi:10.1590/s1980-220x2018007703451

Michelle Kuntz Durand, Ivonete Teresinha Schülter Buss Heideman

Open Access

https://doi.org/10.1590/s1980-220x2018007703451

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Abstract

Understanding the relationship of social determinants in the Health Promotion of quilombola women. This was a participatory study developed through the Research Itinerary of Paulo Freire, which comprises three stages: thematic investigation, codification and decoding, and critical unveiling. These stages were developed in Culture Circles from April to June 2016. Twenty themes were investigated, coded and decoded into eight themes, revealing the theme of women and their relationship with the Social Determinants. Ten women from a quilombola community in Santa Catarina participated. The Health Promotion of this population and its interface with Social Determinants were understood. Health, religiosity, racial issues, social and community networks emerged as potentializing community empowerment and solidification. An accentuated correlation of racial issues and fragility combined with health care, education and information, and above all the distancing of vulnerable communities from comprehensive and equitable health was observed, highlighting the imminent need to strengthen Health Promotion strategies.

Highlights

Health Promotion aims to recognize the inspirations and needs of individuals so that it is possible to change the environment in which they transit and reach a full state of individual and collective physical, mental, and social well-being, going beyond a healthy lifestyle, as it encompasses an overall well-being[1,2].The conception of Health Promotion, contemporary, still prevails as a term with ambiguities and contradictions
Integrating the two approaches of Health Promotion and Social Determinants of Health can contribute to understanding and challenging health disparities with a view to social well-being, since this integration focuses on the role of inequality reduction policy and distances itself from traditional health discourse based on the individual[5]
The development of this study sought to understand the relationship of Social Determinants and Health Promotion of this socially vulnerable community, having the experience in the meetings with the quilombola women’s group as a guiding factor

Summary

Introduction

Health Promotion aims to recognize the inspirations and needs of individuals so that it is possible to change the environment in which they transit and reach a full state of individual and collective physical, mental, and social well-being, going beyond a healthy lifestyle, as it encompasses an overall well-being[1,2].The conception of Health Promotion, contemporary, still prevails as a term with ambiguities and contradictions. In Brazil, the Health Promotion Policy had a long and conflicting process until its promulgation in 2006, and its redefinition in 2014: it reinforced the fundamental values of solidarity, happiness, ethics, respect for diversity, humanization, responsibility, justice and social inclusion, and adopted the principles of equity, social participation, autonomy, empowerment, intersectoriality, intrasectoriality, sustainability, comprehensiveness and territoriality. This Policy highlights the Social Determinants of Health (SDH) as a possibility to reduce inequities and promote equity in health[4]. Integrating the two approaches of Health Promotion and Social Determinants of Health can contribute to understanding and challenging health disparities with a view to social well-being, since this integration focuses on the role of inequality reduction policy and distances itself from traditional health discourse based on the individual[5]

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