Processes in the construction of the Brazilian National Health Promotion Policy

作者：Ferreira Neto Joao Leite; Kind Luciana; Costa Resende Maria Carolina; Colen Natalia Silva

来源：Cadernos de Saude Publica, 2013, 29(10): 1997-2007.

DOI：10.1590/0102-311X00032912

• Health Promotion
• Health Policy
• Unified Health System
• Government Publications

We investigated the processes involved in the construction of the Brazilian National Health Promotion Policy (PNPS) through the analysis of three documents produced by the Ministry of Health from 2002 to 2005 and the final text of the National Health Promotion Policy, approved in 2006. We interviewed five subjects who participated in drafting the PNPS, three of whom were Ministry of Health administrators, plus two researchers. The documents were explored with discourse analysis. The article contributes to the debate on the development of the PNPS. Health promotion showed various points of disagreement, which led to the delay in the document's final approval. International induction via funding proved to be a crucial element for defining the final wording of the PNPS, reestablishing the emphasis (subject to criticism) on lifestyle changes in its "Actions". The article highlights the negotiated consensus that led to the creation of the PNPS Management Committee, with participation by various sub-sectors, an innovative structure within the Ministry of Health.

• 出版日期2013-10