Abstract

The analytical categories of Health Surveillance territorialization and daily life guided the design of this study, which aimed to understand from the methodological framework of qualitative research the factors involved in the use of individual supply solutions (ISS) as drinking water sources. We conducted semi-structured interviews with residents of 22 households set at a municipality in the Zona da Mata Mineira. Statements were fully transcribed, processed through content analysis and interpreted based on the psychosocial theory of social representations. It was possible to apprehend the social and affective components of social representations. The social component characterized by the representation of water from IWSS ISS water as clean and of good quality seemed to drive or justify the "resistance" of individuals to use water from public supply. The affective component referred to the use of IWSS water from ISS as a return to and protection of individuals' origins, a way to strengthen respondents' identity. The results pointed out that people's perceptions and demands might guide actions aimed to stimulate trust in the use of public system water and the choice of this source of supply, contributing to health protection.

Highlights

  • Despite advances in the organizational normative scope, the operationalization of Health Surveillance as a “technological health intervention method”[1] based on the new coordination of health knowledge and practices[1,2,3] has not taken place, at least in a systematic way, in the daily life of health services and practices.As Arreaza and Moraes[2] argue, this new coordination of knowledge and practices requires complex movements of review and incorporation of subjects, objects, processes and ways of organizing work

  • The analytical categories of Health Surveillance territorialization and daily life guided the design of this study, which aimed to understand from the methodological framework of qualitative research the factors involved in the use of individual supply solutions (ISS) as drinking water sources

  • Water used for consumption was from the public water supply system, while in the other, both the water from the individual solution and from the public system were used for drinking

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Summary

Introduction

As Arreaza and Moraes[2] argue, this new coordination of knowledge and practices requires complex movements of review and incorporation of subjects (beyond health professionals), objects (beyond clinical epidemiological factors), processes (beyond medical health technologies) and ways of organizing work (beyond institutional spaces for health services). It implies, an anti-hegemonic movement in favor of a consolidated Brazilian Unified Health System (SUS) and principles as dear as that of integrality. Published in 2005, this model defines the field, the way of acting and the main activities required for the operationalization of drinking water quality surveillance actions[5]

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