Implanta O Do Programa Sa De

ARTIGO ARTICLE

Implantação do Programa Saúde da Família e exclusão sócio-espacial no Município de São Paulo, Brasil
Implementation of the Family Health
Program and socio-spatial exclusion in the city of São Paulo, Brazil

Aylene Bousquat 1,2
Amélia Cohn 2,3
Paulo Eduardo Elias

1 Programa de Pós-graduação em Saúde Coletiva,
Universidade Católica de Santos, Santos, Brasil.
2 Centro de Estudos de
Cultura Contemporânea,
São Paulo, Brasil.
3 Faculdade de Medicina,
Universidade de São Paulo,
São Paulo, Brasil.
Correspondência
A. Bousquat
Centro de Estudos de
Cultura Contemporânea.
Rua Airosa Galvão 64,
São Paulo, SP
05002-070, Brasil. [e-mail] 2,3

Abstract

Introdução

The present article analyzes the implementation of the Family Health Program (FHP) in São
Paulo, Brazil, taking as its reference the occupation of the city’s space, characterized by strong socio-spatial segregation. The population coverage and consolidation achieved by the FHP and the partner institutions’ legal and institutional formats were identified in 96 Administrative
Districts (AD). The study then proceeded to stratify these ADs beginning with their position in a ranked social exclusion map. ADs were classified in five groups. Based on these results, a typology was produced in the FHP implementation in this capital city of the State of São Paulo.
Clearly distinct patterns were identified when the ADs were ranked for exclusion/inclusion.
FHP implementation was effective within the peripheral ADs, especially those in Group 1, indicating pressure for the Municipal Health Secretariat to comply with its discourse, which had assumed the FHP as a health care model to be implemented throughout the city, at least reaching the entire low-income population.

A implantação do Programa Saúde da Família
(PSF) vem se configurando como a principal estratégia na organização da atenção básica levada a cabo pelo Ministério da Saúde (MS). Neste cenário, assume especial importância o estudo
dos