O desafio da política de atendimento a infância e ao adolescente

ARTIGO ARTICLE

113

O desafio da política de atendimento à infância e à adolescência na construção de políticas públicas eqüitativas The challenge of health care provision for children and adolescents as part of equitable public policies

Maria Helena Magalhães de Mendonça

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1 Núcleo de Estudos Político-Sociais em Saúde, Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. Rua Leopoldo Bulhões 1480, Rio de Janeiro, RJ 21041-210, Brasil. [e-mail]

Abstract The author analyzes the new social policy shaped by the assimilation of the notion of integral social protection with a view towards equity. The premises marked the social reform contained in the wording of the 1988 Constitution and in the laws regulating the respective rights during the 1990s, including public social assistance, health care, and education. The article demonstrates how, in the former context, Brazil’s children and adolescents were subject to great vulnerability due to their position in the country’s social structure, aggravated by differential access to public goods and services. An analysis of the health care policy for children and adolescents, emphasizing an inter-sectoral approach and redefining social and health programs and measures in the 1990s, was not intended to be conclusive but did point to some trends in the reorganization of public social assistance policy for low-income youth, in keeping with gains obtained in social indicators of vulnerability in the areas of health, education, and labor during the last decade. Still, the author concludes that this policy reorientation renewed the tension between targeting more vulnerable segments of the population with selective measures as compared to universal and comprehensive access to social protection. Key words Child Health; Adolescence; Social Assistance; Health Care; Equity

Resumo O trabalho analisou a nova política social que se configurou pela