Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil

Detalhes bibliográficos
Autor(a) principal: França, Viviane Helena de
Data de Publicação: 2020
Outros Autores: Modena, Celina Maria, Confalonieri, Ulisses Eugenio Cavalcanti
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/43228
Resumo: Universidade Federal de Juiz de Fora. Departamento de Medicina. Governador Valadares, MG, Brasil.
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spelling França, Viviane Helena deModena, Celina MariaConfalonieri, Ulisses Eugenio Cavalcanti2020-09-08T16:26:57Z2020-09-08T16:26:57Z2020FRANCA, Viviane Helena de; MODENA, Celina Maria; CONFALONIERI, Ulisses Eugenio Cavalcanti. Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil. International Journal for Equity in Health, v. 19, n. 1, p. 1-17, 2020.1475-9276https://www.arca.fiocruz.br/handle/icict/4322810.1186/s12939-020-01243-yengBioMed CentralEquality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal de Juiz de Fora. Departamento de Medicina. Governador Valadares, MG, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Background: Tackling poverty requires reconsideration of quantitative factors related to “who” is poor and by “how much” and qualitative factors addressing “what poverty means in these individuals’ lives”. Greater understanding is required concerning the types of access actually used by families in poverty in attempts to meet their basic needs. Poverty must be addressed based on the question: “Inequality of what?” It is in reflecting on the realities of such groups when their basic needs are not met that public policies can be improved and implemented with legitimate priorities. Objective: Describe coverage and access to public health, education and social assistance services and the related effects on the quality of life of families in extreme poverty. Methods: An exploratory mixed methods study was conducted applying Amartya Sen’s “Basic Capability Equality” framework, with: 1) 27 interviews with managers and professionals from public services serving territories with extreme poverty; 2) Survey with a systematic proportionate stratified sample of 336 heads of households in extreme poverty from a total 2605 families. The resulting data was analyzed with thematic content analysis and descriptive statistics, respectively. Results: The managers and professionals described the lives of families in extreme poverty with phrases such as, “These people suffer. Sadness weighs on their lives!” and “Depression is the most common illness”. Their precarious circumstances and inadequate access were cited as causes. Quality of life was considered bad or very bad by 41.4% of heads of households. A total income of less than one-third of the minimum wage was received by 56.9% of the sample. One or more people were unemployed in the family in 55.8% of cases. For 53.3% of heads of households, public services “did not meet any or few of their needs”. The main social determinants of health were described as: alcohol and drugs (68.8%); lack of good health care (60.7%); and absence of income/work (37.5%). The following were identified as solutions to improve their quality of life: (1) health (40.5%); (2) education (37.8%); and (3) employment (44.6%). Conclusions: The social determinants of poverty and health must be addressed jointly through intersectoral public policies and egalitarian mechanisms that promote investment in social protection.Quality of lifePublic policiesHealth promotionIntersectoral actionManagementHealth equityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/43228/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALEquality and poverty.pdfEquality and poverty.pdfapplication/pdf661139https://www.arca.fiocruz.br/bitstream/icict/43228/2/Equality%20and%20poverty.pdf6da770d8fd8f7da8c45b855aa48b4251MD52TEXTEquality and poverty.pdf.txtEquality and poverty.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
title Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
spellingShingle Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
França, Viviane Helena de
Quality of life
Public policies
Health promotion
Intersectoral action
Management
Health equity
title_short Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
title_full Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
title_fullStr Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
title_full_unstemmed Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
title_sort Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil
author França, Viviane Helena de
author_facet França, Viviane Helena de
Modena, Celina Maria
Confalonieri, Ulisses Eugenio Cavalcanti
author_role author
author2 Modena, Celina Maria
Confalonieri, Ulisses Eugenio Cavalcanti
author2_role author
author
dc.contributor.author.fl_str_mv França, Viviane Helena de
Modena, Celina Maria
Confalonieri, Ulisses Eugenio Cavalcanti
dc.subject.en.pt_BR.fl_str_mv Quality of life
Public policies
Health promotion
Intersectoral action
Management
Health equity
topic Quality of life
Public policies
Health promotion
Intersectoral action
Management
Health equity
description Universidade Federal de Juiz de Fora. Departamento de Medicina. Governador Valadares, MG, Brasil.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-09-08T16:26:57Z
dc.date.available.fl_str_mv 2020-09-08T16:26:57Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv FRANCA, Viviane Helena de; MODENA, Celina Maria; CONFALONIERI, Ulisses Eugenio Cavalcanti. Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil. International Journal for Equity in Health, v. 19, n. 1, p. 1-17, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/43228
dc.identifier.issn.pt_BR.fl_str_mv 1475-9276
dc.identifier.doi.none.fl_str_mv 10.1186/s12939-020-01243-y
identifier_str_mv FRANCA, Viviane Helena de; MODENA, Celina Maria; CONFALONIERI, Ulisses Eugenio Cavalcanti. Equality and poverty: views from managers and professionals from public services and household heads in the Belo Horizonte Metropolitan Area, Brazil. International Journal for Equity in Health, v. 19, n. 1, p. 1-17, 2020.
1475-9276
10.1186/s12939-020-01243-y
url https://www.arca.fiocruz.br/handle/icict/43228
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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