Abstract
Listening to society is an ethical reference to respond to its legitimate needs and aspirations. Considering as presuppositions the social participation and the right to the city, which are part of the 2030 Agenda, this study sought to recognize the voice of users that evaluated PHC services and their attributes. This descriptive and cross-sectional study used national ministerial evaluation data, outlining a region with 323 teams in 80 municipalities in the state of São Paulo and 1,272 users heard by authors. Users were mostly female, over 51 years old, with low income and schooling, eliciting challenges to population aging and selective care. Around 93% were 20 minutes away from health services and opening on Saturdays (43%) and at night (38%) would facilitate access. Some 60% were received without scheduling and 62% did not consider services prepared for urgent care. Some 85% received Community Health Workers and 40% other professionals, suggesting disparities in the incorporation of the territory to the care production process. In line with National Primary Health Care Policy and what is recommended by international conferences, social participation was recognized as a way to address the multiple aspects in the construction of universal health.
Highlights
People who are vulnerable should be empowered. (2030 Agenda)Based on the experience of the United Nations Millennium Development Goals (MDG) agenda, which was in force between 2000 and 2015, and in compliance of which Brazil[1] was highlighted, the 2030 Agenda was set up focusing on the social, economic and environmental areas
Sustainable Development Goals (SDG)’ advancement is in line with the promotion of the right to the city, a matter initially brought about by Lefebvre, in which he states that “the right to the city is not the right to access or return to traditional cities, but it is the right to transformed and renewed urban life, which includes the “urban” as a meeting place, which prioritizes the use value, the inscription in the space of a time elevated to the position of supreme good among the goods, that finds its morphological base and its practical sensitive fulfillment”[3]
The strong specific characteristics of the PMAQ results shown below meet certain health and social participation targets brought by SDGs, with a view to the right to the city and quality health services, and the need to listen to citizens to improve the process of production of care and life in the territories
Summary
People who are vulnerable should be empowered. (2030 Agenda)Based on the experience of the United Nations Millennium Development Goals (MDG) agenda, which was in force between 2000 and 2015, and in compliance of which Brazil[1] was highlighted, the 2030 Agenda was set up focusing on the social, economic and environmental areas. Relevant is ensuring universal and continuous access to qualified and resolutive services, receiving, linking and making user co-responsible in health care.
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