Health on the Brazil-Uruguay border: pacts and protagonism of local actors

Authors

Abstract

This article analyzes the relationship between cross-border pacts and protocols in the area of health and the performance of political actors in two sets of twin cities that are on the Brazil-Uruguay border. The study aims to understand the role of the public health care managers and their leadership in providing services at the local level, considering binational acts. The managers of the local health care system were interviewed and among the results are the difficulties in the local materialization of the binational agreements, and the consequent stagnation in providing access to rights related to health, due to lack of leadership of the local political actors. Crossborder cooperative management models are not consolidated, which requires competence to obtain minimum consensus on controversial points when the management perspective is democratic and universalistic.

Author Biographies

Helenara Silveira Fagundes, Federal University of Santa Catarina, Florianópolis, Santa Catarina

Doutorado em Serviço Social pela Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS).
Professora do Departamento de Serviço Social e do Programa de Pós-Graduação em Serviço Social da Universidade
Federal de Santa Catarina (UFSC).

Vera Maria Ribeiro Nogueira, Catholic University of Pelotas, Pelotas, Rio Grande do Sul

Doutorado em Enfermagem pelo Programa de Pós-Graduação em Enfermagem da Universidade Federal de
Santa Catarina (UFSC).
Professora do Programa de Pós-Graduação em Política Social e Direitos Humanos da Universidade Católica
de Pelotas (UCPel) e do Programa de Pós-Graduação em Serviço Social da Universidade Federal de Santa
Catarina (UFSC).

Ineiva Terezinha Kreutz, Western Paraná State University, Toledo, Paraná

Doutoranda do Programa de Pós-Graduação em Serviço Social, Nível Doutorado, da Universidade Federal de Santa Catariana (PPGSS/UFSC); Docente do Curso de Serviço Social da Universidade Estadual do Oeste do Paraná (UNIOESTE), Campus de Toledo/PR.

Daniela Castamann, University of the State of Paraná, Apucarana, Paraná

Doutoranda no Programa de Pós-Graduação em Serviço Social, da Universidade Federal de Santa Catarina (UFSC). Docente no Curso de Serviço Social, da Universidade Estadual do Paraná (UNESPAR) - Campus Apucarana/PR.

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Published

2018-07-16

Issue

Vol. 21 No. 2 (2018): Fronteira, migrações, direitos sociais e serviço social

Section

Thematic essay

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