A intersetorialidade como requisito para construÃÃo de uma cidade saudÃvel : polÃtica de saneamento e de saÃde no Recife (gestÃo 2001/2004) : estudo de caso




In the beginning of XXI century, the brazilian urban frame is characterized by the low quality of life and the absence of sustainability of the cities. Both are expressed through the deficient conditions of settlements that directly affect the populationâs health and life. Despite the existence of a close relation between the salubrity of the environment and the mechanisms to determine the process of health-disease, the logics of administration - predominantly verticalized, sectorial and dichotomic, establishes a barrier against a sustainable urban development and a better quality of life in the cities. As a strategy to face the complexity of these problems, and aiming to establish a dialogue between sectors and citizens, as well as to review actions and planning, it is proposed here to implement intersectoriality pratices in order to build Healthy Cties. Such an action is already, part of the discourse, as a basis for the construction of a new institutionality, however there are still many doubts to be cleared and many challenges to be overcome. It is in this context that lies the importance of producing research studies in other to evaluate actual experiences. This paper is based on the assumption that the development of sectorial actions, verticalized and dichotomic, in the fields of sanitation and health, poses as an extra difficulty in the endeavor of building a Healthy City. The general purpose here is to evaluate the level of intersectoriality during the local administration term (2001- 2004) in the city of Recife, taking as a case study the Integrated Mustardinha and Mangueira Sanitation Project. As a strategy to verify and validate this research, it was used the methodological triangulation, as well as some analysing and collecting data techniques, besides putting it into two perspectives â the institutional and the communitarian one. Due to the nonexistence of a methodological structure that could emcompass the various aspects of the object of this research work, it was seeked here, in the way of a contribuition, to offer a proposition of an evaluation model formed by analysis techiniques in process of public policy management. The landmark that bases this study comprises five categories: intersectoriality, healthy city, sanitation policy, health policy and evaluation of public policies, making it possible to establish a relation between the theoretical object and the empirical one of this research. The evaluation model is based on two modalities of analysis: I) analysis of the implementation process of The Integrated Project of ustardinha and Mangueira Sanitation, based on two imensions â political-institutional and socialcultural; II) evaluation of the Sanitation and Health Policies articulation in the Integrated Mustardinha and Mangueira Project of Sanitation â managerial dimension, in the light of two types of articulations: an institutional and a communitarian one. The results indicate that the intersectoriality appears as a strategic guideline in the political institutional plan, being indispensable to guarantee the sustainability of the actions. However, its embodiment faces serious barriers, mainly in the institutional articulation due to problems ranging from institutional to cultural areas which prevent the completion of a new model for urban administration. Such model has as reference the implementation of quality patterns of life and urban sustainability, bringing back acquired experiences and knowledges, in order to build new paradigms for the administration of towns


ciencias humanas polÃtica de saÃde cidade saudÃvel public policies evaluation avaliaÃÃo de polÃticas pÃblicas healthy city intercetoriality intersetorialidade polÃtica de saneamento sanitation policy health policy

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