Se a saúde fosse nossa: processos educativos na construção da Política Municipal de Práticas Integrativas e Complementares e Educação Popular em Saúde de São Carlos - SP

Abstract

In this study, the process of building public health policy is characterized as a social practice - in which its participants learn and teach, mediated by the world and Faced with the process of construction of the Municipal Policy of Integrative and Complementary Practices and Popular Health Education of São Carlos - SP (PMPICEPS), we ask: What educational processes arise from the PMPICEPS construction practice? Thus, the objective of this research was to understand the educational processes resulting from the political course that intends the implementation of said policy. Therefore, a qualitative case study was carried out, termed as strategic research, guided by the Freirean popular education referential and the Dusselian referential with contributions from other authors to the composition of the analysis. Six informants participated in this study. These people are part of a group that intends to implement PMPICEPS. The methodological procedures adopted followed the following steps: exploratory phase (survey, case selection, delimitation); Data collection by recorded interviews and field diary; Insertion and conviviality with the group (which goes through all stages). The main results present the reflection of several beginnings that culminate in a common intention, permeated by actions and activity in processes of: participation, social control and participatory management; Training, communication and knowledge production; Health care; And intersectoriality and multicultural dialogues. This study presented some educational processes within two corpus of analysis that were discussed in facilitating and difficult situations in the construction of PMPICEPS. As a facilitating conjuncture we have: the interest of professionals, the population and the group; the legal framework of national policies; formative history and MAPEPS’ dialogical; the articulation with previous national processes; the autonomous target and prevention; the financial cost reduction argument; and the event of redefined health and quality of life. As difficulting conjecture, aspects such as: the current policy and management of people; the deficit / non-existent budget; prejudices; resistance to practices; context of capitalism; competition and dispute with the current model; current political crisis; as well as risks related to the dismantling of the SUS; the existence of setbacks, and drug therapy conversion of practice / culture. This study presented some educational processes within two corpus of analysis that were facilitating conjunctures and difficult conjunctures in the construction of PMPICEP. The understanding of these educational processes in conjunctions can contribute to the notoriety of the political reference of popular education in the health area, because: The SUS will not be unique, as long as health is not ours; Health will not be ours as long as politics is not ours; The PMPICEPS will not be public policy, while the SUS is not unique, our health and our policy. The 'not yet' of the consolidation of SUS, politics and health, is not its impossibility, but reiterates the emergence of its happening. And so, whoever continues is not only the struggle, who continues is the path and the walkers with and despite the struggles, in the celebrations of each given step.