Abstract
To analyze Primary Healthcare with regards to dealing with social inequities through actions targeted at Social Determinants of Health, from the perspective of Family Health Strategy Professionals. Descriptive study with a qualitative approach. Data were collected through focus groups and analyzed using Habermas's communicative action theory. There were few intersectoral and assistance organization actions with clinical emphasis; municipal management for intersectoral actions shows a lack of planning and faces challenges; and there is little communication and articulation between the sectors. Final considerations: There are many challenges to be overcome by Primary Health Care to contemplate intersectoral actions targeted at Social Health Determinants, a demand inherent to the possibilities of advancing in the reduction of social and health-related inequalities.
Highlights
From the last quarter of the 20th century, there was an increase in the number of studies about health inequalities in social groups within specific countries and between countries, from many different regions of the world
The potential of the territory for the creation of intersectoral programs targeted at the Social Determinants of Health (SDH)
Considering the objective of this research, which was analyzing the PHC practices with regards to confronting social inequalities through actions targeted at the SDHs, from the perspective of health workers, it became clear that one theme was recurrent in the arguments of the participants: the practice of referrals as intersectoral actions
Summary
From the last quarter of the 20th century, there was an increase in the number of studies about health inequalities in social groups within specific countries and between countries, from many different regions of the world. The Commission on Social Determinants of Health was created by the WHO (CSDH-WHO/ WHO)(1) in 2005 From this event on, and stemming from policies implanted due to the recommendations of this commission, studies have pointed out some advances in regards to the diminution of inequalities in health, especially in Europe[2]. In addition to being systematic and relevant, they are avoidable, unjust, and unnecessary[3] These inequities are based, directly or indirectly, on social, economic, and environmental factors, and there is no biological reason for their existence. They can, be changed[4]. In Brazil, as well as in many other regions of the world in which there are frequent poverty pockets, social inequalities are still frequent and the access to material and symbolic resources is unequal, impacting the health of people and of entire populations[5,6,7]
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