Contribuição das universidades na revisão da Política Nacional de Promoção da Saúde / Contribution of universities to the review of the National Health Promotion Policy

Resumo Em 2014, a Política Nacional de Promoção da Saúde passou por um processo participativo de revisão, que teve como colaboradores gestores públicos, participantes de movimentos sociais, professores e pesquisadores de universidades. Nesse processo, foi necessário conhecer e analisar como se deram as contribuições dos diferentes atores envolvidos e como elas foram incorporadas à nova versão da Política. O objetivo deste estudo é discutir a contribuição das universidades na revisão da Política Nacional de Promoção da Saúde. Utilizando-se a técnica Delphi, questionários foram enviados, por correio eletrônico, a líderes de grupos de pesquisa das universidades brasileiras; o envio foi organizado em duas rodadas, tendo a última sido realizada somente após a análise dos consensos e dissensos da primeira. A partir da análise dos formulários, concluiu-se que as contribuições das universidades à nova Política Nacional de Promoção da Saúde estão relacionadas à sua estrutura, princípios e valores, objetivos, temas prioritários e eixos operacionais.

Abstract In 2014, the National Health Promotion Policy (PNPS) underwent a participatory review process, with collaboration of public managers, participants of social movements, professors and researchers from universities. In this process, it was necessary to know and analyze how the contributions of the various actors involved occurred and how they were incorporated into the new version of the Policy. The aim of this study is to discuss the contribution of universities to the review of the National Health Promotion Policy. Using the Delphi technique, questionnaires were sent by e-mail to the research group leaders of the Brazilian universities; the e-mails were sent in two rounds, and the second round was only conducted after analysis of cases of consensus and dissent in relation to the first. Based on the analysis of the forms, it was concluded that the universities' contributions to the new National Health Promotion Policy are related to its structure, principles and values, objectives, priority themes, and operational axes.

Produção científica dos grupos de pesquisa em Promoção da Saúde no Brasil: perfil e discussão de uma amostra nacional / Scientific production of health promotion research groups in Brazil characterization and discussion of a national sample

A Promoção da Saúde é um campo relativamente jovem, inserido em uma conjuntura social, política e econômica em constante transformação. Sendo assim, é relevante que se reflita sobre a sua dinâmica. Há diferenças nas concepções sobre o que é Promoção da Saúde, que têm reflexo na produção científica, bem como na construção, implementação e revisão da Política Nacional de Promoção da Saúde (PNaPS). As instituições de ensino e pesquisa têm papel central na produção de conhecimento. No Brasil, grande parte da produção científica é organizada pelos programas de pós-graduação, principalmente via grupos de pesquisa. O objetivo deste estudo foi traçar um panorama da produção científica de uma amostra de grupos de pesquisa brasileiros que têm como tema de trabalho a Promoção da Saúde e que participaram do processo de revisão da PNaPS. A amostra de grupos de pesquisa foi obtida do projeto Contribuição das universidades e de setores do Ministério da Saúde para a revisão da Política Nacional de Promoção da Saúde, realizado em 2014. Este projeto buscou identificar no Diretório de Grupos de Pesquisa do CNPq (DGP CNPq) todos os grupos que apresentassem a Promoção da Saúde como tema de pesquisa. Foram identificados 102 grupos, que foram convidados a participar da revisão da PNaPS. O presente estudo traçou o perfil dos 102 grupos de pesquisa, e analisou a produção científica dos grupos que participaram de todo o processo de revisão da PNaPS.

Health promotion is a relatively new field, inserted in a social, political and economic scenario that is constantly changing. Therefore, it is important to think over its momentum. There are different views on what is Health Promotion, which impacts on the scientific literature as well as on the development, implementation and in the review of the National Policy of Health Promotion (NPoHP) in Brazil. Educational and research institutions play a central role in the production of knowledge. In Brazil, graduate programs, mainly through research groups, organize a major part of the scientific production. The objective of this study was to draw a picture of the scientific production of a sample of Brazilian research groups who work on Health Promotion and who participated in the NPoHP review process. The sample of research groups was obtained from the project "Contribution of universities and the Ministry of Health departments for the review of the National Policy of Health Promotion" held in 2014. This project aimed at identifying in the CNPq (National Research Committee) Research Groups Directory (CNPq RGD) all research groups that study Health Promotion. There were identified 102 groups that were invited to participate in the review of the NPoHP. This study described the profile of the 102 research groups, and analyzed the scientific production of the groups that participated in the whole process of revision of the NPoHP.

Impact of the social agendas--Agenda 21 and Healthy Cities--upon Social Determinants of Health in Brazilian municipalities: measuring the effects of diffuse social policies through the dimensions of the Millennium Development Goals.

INTRODUCTION: In order to improve the quality of life and health of the population in recent years there have been several local social agendas, like Agenda 21 and Healthy Cities. OBJECTIVES: To identify how social agendas are impacting on the living conditions and health in municipalities of the five regions of Brazil. METHODS: Through an ecological longitudinal study, the social agendas' effects on the Social Determinants of Health were measured in 105 municipalities, using indicators related to the eight dimensions of the Millennium Development Goals (MDGs). Indicators were also calculated for other 175 non-exposed municipalities. Descriptive statistics were calculated for each group of municipalities at three different moments: in the year of the agenda implementation, then 3 and 6 years later. The models were adjusted by the method of GEE to assess the effects of the agendas, time and their interaction. Nonparametric analysis of variance was used for the ordinal data with repeated measures. RESULTS: Impacts of the agendas were detected for reduction of hunger and increase of universal access to education: 'percentage of children under one year with protein/caloric undernourishment' (interaction effect: p = 0.02) and 'Age-grade distortion in the 8th grade of fundamental education' (interaction effect: p < 0.001). CONCLUSION: The comparative discussion between model results and descriptive statistics recommends, at further research, extending the period of investigation, using compound indexes, improving the methodology for the apprehension of the impacts of the diffuse social policies for development, as well as using 'mixed methodologies', integrating quantitative and qualitative tools.