0091/2018 - Lideranças comunitárias e o cuidado com a saúde, meio ambiente e saneamento nas áreas de vulnerabilidade social. Community leaders and health care, the environment and sanitation in areas of social vulnerability.
Objeto do artigo é elaborar a análise das condições socioambientais das comunidades em aglomerados subnormais em áreas urbanas, que estão assentados a beira de córregos, afetadas pelo cuidado à saúde pública. O objetivo principal do artigo é identificar o acesso a: programas de inclusão da assistência social, assistência dos agentes de saúde, serviços públicos de abastecimento de água, e práticas economizadoras de água, em áreas de ocupação irregular. Adotou-se técnica de amostra aleatória estratificada por conglomerados com estratégia de amostragem simples. No universo de 14.079 domicílios, foram entrevistados 68 líderes, representando 6.800 domicílios em média, numa distribuição normalizada (média 0 e desvio padrão 1) foram englobados as situações que cobrem 96% dos casos com uma margem de erro de + ou – 1% da média. A abordagem teórica propõem uma reflexão e verificação por meio de questionários sobre os mecanismos de exclusão, sendo que a pobreza perpetua o círculo vicioso de desigualdade, riscos para a saúde e meio ambiente, sendo necessário que sejam considerados nas políticas e procedimentos por conta da expansão urbana.
Palavras-chave:
saúde, água, saneamento, meio ambiente, comunidades.
Abstract:
The object article is analysis of the social and environmental conditions in communities in urban areas, subnormal clusters that are sitting on the edge of streams affected by public health care. The main objective of the article is to identify access to: social inclusion programs, assistance of health, public services, water supply and water-saving practices, in areas of irregular occupation. Adopted technique of random sample stratified by conglomerates with simple sampling strategy. In the universe of 14,079 households, 68 leaders were interviewed, representing 6,800 households on average on a standardized distribution (mean 0 and standard deviation 1) were used to cover the situations which cover 96% of cases with a margin of error of + or-1% of the average. The theoretical approach proposes a reflection and verification through questionnaires on the mechanisms of exclusion and poverty perpetuates the vicious circle of inequality, risks to health and the environment, and must be considered in the policies and procedures on behalf of urban sprawl. As a conclusion, identifies several challenges to social and environmental vulnerability areas: improve the low quality of health services and sanitation in subnormal clusters; modify the behavior of the population accessing illegal form networks; and deploy inclusive governance mechanisms.
Community leaders and health care, the environment and sanitation in areas of social vulnerability.
Resumo (abstract):
The object article is analysis of the social and environmental conditions in communities in urban areas, subnormal clusters that are sitting on the edge of streams affected by public health care. The main objective of the article is to identify access to: social inclusion programs, assistance of health, public services, water supply and water-saving practices, in areas of irregular occupation. Adopted technique of random sample stratified by conglomerates with simple sampling strategy. In the universe of 14,079 households, 68 leaders were interviewed, representing 6,800 households on average on a standardized distribution (mean 0 and standard deviation 1) were used to cover the situations which cover 96% of cases with a margin of error of + or-1% of the average. The theoretical approach proposes a reflection and verification through questionnaires on the mechanisms of exclusion and poverty perpetuates the vicious circle of inequality, risks to health and the environment, and must be considered in the policies and procedures on behalf of urban sprawl. As a conclusion, identifies several challenges to social and environmental vulnerability areas: improve the low quality of health services and sanitation in subnormal clusters; modify the behavior of the population accessing illegal form networks; and deploy inclusive governance mechanisms.
Juliano, E.F.G., Malheiros, T.F., Marques, RC. Lideranças comunitárias e o cuidado com a saúde, meio ambiente e saneamento nas áreas de vulnerabilidade social.. Cien Saude Colet [periódico na internet] (2018/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/liderancas-comunitarias-e-o-cuidado-com-a-saude-meio-ambiente-e-saneamento-nas-areas-de-vulnerabilidade-social/16624?id=16624
