Social Determinants of Health and the Health Family Project: possibilities and limits

<em>This article aims to present some of the theoretical models of determinants in health-disease processes, with emphasis on Dahlgren &amp; Whitehead’s proposal (1991) which emphasizes intersectoriality and social participation as fundamental to the success of a social policy for health....

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Bibliographic Details
Main Author: Vera Lucia Marques da Silva
Format: Article
Language:English
Published: Essentia Editora IFFluminense 2011-11-01
Series:Vértices
Subjects:
Online Access:http://essentiaeditora.iff.edu.br/index.php/vertices/article/view/1502
Description
Summary:<em>This article aims to present some of the theoretical models of determinants in health-disease processes, with emphasis on Dahlgren &amp; Whitehead’s proposal (1991) which emphasizes intersectoriality and social participation as fundamental to the success of a social policy for health. The paper also presents an analysis of the possibilities and limits of the Healthy Family Project – an initiative of the Medical School of Campos, RJ – as a possible strategy for intervening on social determinants of health. Although approached as a case study, it presents possible solutions for other health care projects oriented by the Family Health Strategy (FHS), a Federal Government health policy. According to data from the Federal Government, by the year 2007 there were a total of 27 324 family health teams in 5125 municipalities, covering 46.6% of the population – about 87.7 million people (Ministry of Health, 2009). These data demonstrate the relevance of this strategy as a public policy. The discussion presented here is also relevant due to the fact that Campos dos Goytacazes, RJ, is one of the few municipalities with no public health policy, and also because the Family Health Strategy is being reviewed and implemented as publicized local officials. The presentation of the various explanatory models may contribute to the understanding of the theoretical determinants in health-disease processes guide proposals of health interventions and policies that support them.</em>
ISSN:1415-2843
1809-2667