Dais Gonçalves Rocha

Bio: Dais Gonçalves Rocha is an academic researcher from University of Brasília. The author has contributed to research in topics: Health promotion & Public policy. The author has an hindex of 6, co-authored 34 publications receiving 193 citations.

Política Nacional de Promoção da Saúde (PNPS): capítulos de uma caminhada ainda em construção

Abstract: Health is a fundamental human right, according to the global commitment to the Universal Declaration of Human Rights. Health is a public good socially produced by and within social networks and disputes among subjects that seek to place certain interests and needs on the agenda of public policies. Health Promotion, as a set of strategies and forms of producing health, both individual and collective, aiming to meet the social needs of health and to assure better quality of life of the population, emerges intrinsically marked by tensions inherent to the defense of the right to health. The present article intends to detail a certain pathway of Health Promotion at SUS, telling the history of its affirmation as a National Policy and the possibilities that were produced therein to amplify the completeness of healthcare. The authors, totally involved in the preparation, implementation, and revision of the National Health Promotion Policy (PNPS), classified the journey into three chapters: (1) 1998/2004 – Embryo of a PNPS; (2) 2005/2013 – Birth, growth, and development of a PNPS; (3) 2013-2015 – Revision, expansion and dissemination of the PNPS. In addition to the narrative of a history, the cycle analysis of a policy, or balance of advancements, there is an attempt to restore contexts, texts, speeches, and tensions in the PNPS trajectory. The next chapters are still ongoing, and announce paths and possibilities on how to ensure that a Policy is kept alive.

Eixos de ação do Programa Saúde na Escola e Promoção da Saúde: revisão integrativa

Abstract: RESUMO Esta revisao reflete sobre a fundamentacao e os eixos do Programa Saude na Escola (PSE) e sua articulacao com as concepcoes de Promocao da Saude (PS). A revisao integrativa permite combinar estudos com diferentes abordagens metodologicas e foi realizada nas bases cientificas nacionais. Os 38 artigos selecionados foram agrupados e analisados consoante os eixos de acao presentes na normativa do PSE. Aspectos conceituais e metodologicos adotados na concepcao e na operacionalizacao dos estudos e da PS foram analisados criticamente. Referenciais de PS na diretriz do programa e na maior parte dos estudos se misturam ao modelo preventivista, centrado em acoes fragmentadas e individualizadas. Pesquisas sobre o PSE devem aproximar teoria e pratica, fortalecendo principios como integralidade (do saber, do sujeito e do cuidado), intersetorialidade (metodologica e pratica) e participacao social, e reconhecer os determinantes sociais da saude.

Processo de revisão da Política Nacional de Promoção da Saúde: múltiplos movimentos simultâneos

Abstract: Public policy can be understood as the translation of government proposals and the aspirations of society. Driven by the advances and challenges of social transformation, the need for the coordination of agendas and limited social participation in the drafting of the 2006 National Health Promotion Policy (PNPS), the Ministry of Health and the Thematic Group on Health Promotion/Abrasco proposed the PNPS review. This article describes the steps in that process. It involves policy analysis conducted by literature review and document analysis from the "internal triangulation" standpoint. The revision process adopted multiple approaches on data gathering (Regional Workshops and Health Councils, Intra/Intersectorial Delphi and Electronic Questionnaire). It also used heterogeneous sources of information, different local contexts (five regions of Brazil) and peer validation. The results were systematically ordered with the aid of an analytical matrix organized by objectives, principles, guidelines, themes and actions, resulting in a draft of the new PNPS. Lastly, a national seminar was organized in which the results of the process and a synthesis of the revised text were presented, making it possible to identify process gains and the next steps for the actors involved with the new PNPS.

Doenças crônicas Não transmissíveis e o suporte das ações intersetoriais no seu enfrentamento

Abstract: The study seeks to analyze the topic of Chronic Non Communicable Diseases (NCDs) and the role of intersectorial actions in tackling these diseases. It involved a narrative review through searches on Medline, Pubmed and Lilacs databases, and documents from the World Health Organization (WHO), the Pan American Health Organization (PAHO) and the Brazilian government. The link between the theme of intersectoriality and NCD is reviewed in the Global Conferences and Agendas on Health Promotion, and the role of other sectors in relation to effective interventions for NCDs. Some experiences of intersectorial activities for tackling NCDs are presented. The conclusion drawn is that the implementation of intersectorial action in conjunction with sectorial health policies in tackling NCDs has become a political priority, involving coordinated actions, negotiations forums, integrated planning and sustainable funding. It is necessary to seek the active participation of social actors in the advocacy, monitoring and accountability process, coupled with training processes for managers and other professionals, which will give sustainability to the social processes and required changes. Intersectorial partnerships are fundamental.

Políticas públicas adoptadas en la pandemia de la COVID-19 en tres países de América Latina: contribuciones de la Promoción de la Salud para no volver al mundo que existía.

Abstract: El mundo, despues de la pandemia de la COVID-19, no sera el mismo que existia y ni tan siquiera eso es deseable. La reanudacion de la "normalidad" (que solo es "normal" para unos pocos) seria el regreso a la produccion y el consumo insostenibles, la perdida de derechos, la exacerbacion de las iniquidades y una brutalidad diaria para muchos que luchan por sobrevivir. En America Latina (AL), el fin del mundo ya se anuncio incluso antes de la pandemia. Si, desde Bogota - 1992, la Declaracion de Promocion de la Salud denuncia la pobreza como el mayor determinante social de enfermedades en la region, los gobiernos parecen ignorarla, debilitando los sistemas de salud, educacion, ciencia y tecnologia, transferencia de ingresos y asistencia social bajo los auspicios de la austeridad fiscal, favoreciendo el aumento de la desigualdad. Usando datos de tres paises, Argentina, Brasil y Chile: 1) se senalan sus bajas inmunidades sociales anteriores a la pandemia; 2) se analizan sus politicas publicas en respuesta a la pandemia, considerando los diferentes enfoques de intervencion en salud: grupos de riesgo, poblacion, vulnerabilidad y proporcionalismo universal; y, 3) se indica como la Promocion de la Salud (PS) podria influir sobre las politicas publicas para no volver al mundo que existia, usando como ancla dos documentos lanzados durante la pandemia y que explicitan la lente epistemica de la comunidad global de la PS en cinco puntos: intersectorialidad, sostenibilidad, empoderamiento, compromiso con la salud publica y equidad, y perspectiva de curso de vida. Evidencias producidas en el transcurso de la pandemia en los tres paises indican que los enfoques adoptados en las politicas publicas pueden, o no, favorecer el alcance de la agenda inconclusa de la PS y del desarrollo sostenible.

Updated Cardiovascular Prevention Guideline of the Brazilian Society of Cardiology - 2019.

Abstract: Introducao A doenca cardiovascular (DCV) e a principal causa de morte no Brasil e no mundo, determinando aumento da morbidade e incapacidade ajustadas pelos anos de vida. Embora as taxas de mortalidade e disability-adjusted life year (DALY) padronizadas por idade estejam diminuindo no Brasil, possivelmente como resultado de politicas de saude bem-sucedidas, o numero total destas esta aumentando principalmente devido ao envelhecimento e adoecimento da populacao. A presenca dos fatores de risco classicos (hipertensao, dislipidemia, obesidade, sedentarismo, tabagismo, diabetes e [...]

Promoción de la salud: concepciones, principios y operacionalización

Abstract: A partir del relevamiento bibliografico acerca de los antecedentes, concepciones y practicas de la promocion de salud, identificamos la laguna existente en su dimension metodologica, o sea, escasas experiencias que demuestren coherencia respecto al discurso de la promocion. El objetivo del estudio fue, entonces, describir la posible operacionalizacion de los siete principios que configuran las iniciativas en promocion de salud segun la definicion de la OMS (concepcion holistica, intersectorialidad, empoderamiento, participacion social, equidad, acciones multiestrategicas y sustentabilidad). Con base en datos secundarios y analisis documental, evaluamos cinco acciones de gestion publica en distintos sectores, a partir del banco de datos del Programa Gestion Publica y Ciudadania (EAPSP/FGV), identificando cada uno de los principios, sus limites, posibilidades y relevancia para la promocion. La investigacion posibilito concluir que los principios mencionados son suficientemente universalizables y operacionalizables, permitiendo su identificacion en iniciativas de distintas naturalezas y en las que el sector salud no tuvo papel preponderante. Una posible cuestion para futuros estudios es buscar que papel podria tener el sector salud en las politicas de promocion (segun la concepcion asumida en este estudio) para ejercer mayor impacto en las condiciones de vida cotidianas y los determinantes socioeconomicos y ambientales de la salud, segun la llamada "nueva promocion de salud".

Probability of premature death for chronic non-communicable diseases, Brazil and Regions, projections to 2025

Abstract: RESUMO: Objetivo: Analisar as tendencias de mortalidade por doencas cronicas nao transmissiveis (DCNT) no periodo de 2000 a 2013 e a probabilidade de morte ate 2025. Metodo: Analise de serie temporal de mortalidade das DCNT (doencas cardiovasculares, câncer, diabetes e doencas respiratorias cronicas), com correcoes para causas mal definidas e sub-registro de obitos, e a probabilidade de morte por essas doencas. Resultados: Houve declinio medio de 2,5% ao ano no conjunto das quatro principais DCNT no Brasil entre 2000 e 2013, em todas as regioes e unidades federativas. A probabilidade de morte foi reduzida de 30% em 2000 para 26,1% em 2013, e estima-se que caia para 20,5% em 2025. Conclusoes: Dada a tendencia de queda, preve-se que o Brasil atinja a meta global de reducao de 25% ate 2025.

Social inequalities in the prevalence of self-reported chronic non-communicable diseases in Brazil: national health survey 2013.

Abstract: Considering the high socioeconomic inequalities in Brazil related to occurrence of morbidity and premature mortality, the objective of this study was to analyze inequalities in self-reported prevalence of Non-Communicable Diseases (NCD) and in the physical limitations caused by these diseases, among the Brazilian adult population, according to sociodemographic variables. This was a population-based cross-sectional study that analyzed information on 60,202 individuals who formed a representative sample of Brazilian adults interviewed for the National Health Survey 2013. Disparities by schooling levels and possession of private health insurance were assessed by calculating the prevalence (P) and prevalence ratio (PR) of each of the 13 NCDs and any associated limitations, while controlling for other socioeconomic and demographic variables. 45 % of the Brazilian adult population reported having at least one NCD. The prevalence ratio was greater among women (1.24 CI 1.21-1.28), individuals over 55 years of age, individuals with low schooling levels (illiterate and incomplete elementary education) (1.08 CI 1.02-1.14) and people living in the Southeast (1.10 CI 1.04-1.16), South (1.26 CI 1.19-1.34) and Central-West (1.11 CI 1.05-1.18) regions of the country. Diseases such as diabetes (1.42 CI 1.13-1.47), hypertension (1.17 CI 1.06-1.28), stroke (2.52 CI 1.74-3.66), arthritis (1.4 CI 1.11-1.77), spinal problems (1.39 CI .1.25-1.56), and chronic renal failure (1.65 CI 1.10.2.46), were more prevalent among adults with low education. For most NCDs, greater reports of limitations were associated with lower schooling levels and lack of private health insurance. Populations with lower schooling levels and lack of private health insurance present higher prevalence of various NCD and greater degrees of limitation due to these diseases. Results reveal the extent of social inequalities that persist with regard to occurrence and the impact of NCDs in Brazil.