Community participation in the fight against COVID-19: between utilitarianism and social justice

Detalhes bibliográficos
Autor(a) principal: José Patrício Bispo Júnior
Data de Publicação: 2020
Outros Autores: Marciglei Brito Morais
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286
Resumo: This essay aims to discuss the foundations and possibilities for community participation in the fight against COVID-19. The first part discusses the meanings of community, defined according to geographic, aggregate-interest, or epidemiological criteria. In the context of the pandemic, none of the three perspectives can be considered alone. The essay discusses the need to link different approaches in order to produce socially contextualized health interventions. Next, the authors present the four main models in the international literature that provide the basis for community participation practices in various countries. The analysis of community participation in the context of COVID-19 uses conceptual systematization based on two meta-narratives: utilitarian and social justice. The utilitarian perspective involves measures to restrict social contact. Participation is thus understood as collaboration in implementing measures that contribute to controlling the problem. The social justice perspective especially addresses the social determinants of health and reduction in social inequalities. The approach focuses on community empowerment and the search for solutions to the social and economic problems that determine the spread of COVID-19 and other diseases. The essay concludes on the peculiarities and importance of each approach. Community participation in the fight against COVID-19 should consider the emergency contexts to strengthen the health system and the defense of the social protection system and democracy.
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spelling Community participation in the fight against COVID-19: between utilitarianism and social justiceParticipação comunitária no enfretamento da COVID-19: entre o utilitarismo e a justiça socialCommunity ParticipationCOVID-19Health SystemsHealth PolicySocial Determinants of HealthParticipação da ComunidadeCOVID-19Sistemas de SaúdePolítica de SaúdeDeterminantes Sociais da SaúdeThis essay aims to discuss the foundations and possibilities for community participation in the fight against COVID-19. The first part discusses the meanings of community, defined according to geographic, aggregate-interest, or epidemiological criteria. In the context of the pandemic, none of the three perspectives can be considered alone. The essay discusses the need to link different approaches in order to produce socially contextualized health interventions. Next, the authors present the four main models in the international literature that provide the basis for community participation practices in various countries. The analysis of community participation in the context of COVID-19 uses conceptual systematization based on two meta-narratives: utilitarian and social justice. The utilitarian perspective involves measures to restrict social contact. Participation is thus understood as collaboration in implementing measures that contribute to controlling the problem. The social justice perspective especially addresses the social determinants of health and reduction in social inequalities. The approach focuses on community empowerment and the search for solutions to the social and economic problems that determine the spread of COVID-19 and other diseases. The essay concludes on the peculiarities and importance of each approach. Community participation in the fight against COVID-19 should consider the emergency contexts to strengthen the health system and the defense of the social protection system and democracy.El objetivo del presente ensayo fue discutir los fundamentos y posibilidades de la participación comunitaria para el combate de la COVID-19. En la primera parte, se discuten los sentidos de comunidad, definidos por criterios geográficos, agregación de intereses o epidemiológicos. En el contexto de la pandemia, se refleja que ninguna de las tres perspectivas puede ser considerada aisladamente. Se discutió la necesidad de una coordinación de los diferentes planteamientos, a fin de proporcionar intervenciones sanitarias socialmente contextualizadas. En seguida, se presentan los cuatro principales modelos teóricos presentes en la literatura internacional que fundamentan las prácticas de participación comunitaria en diversos países. Para el análisis de la participación comunitaria en el contexto de la COVID-19, se utilizó la sistematización conceptual fundamentada en dos objetivos narrativos: el utilitarista y el de la justicia social. La perspectiva utilitarista implica acciones dirigidas a las medidas de restricción de contacto social. En este sentido, la participación es entendida como colaboración, en la ejecución de acciones que contribuyan al control de enfermedades. La perspectiva de la justicia social aborda sobre todo los determinantes sociales de la salud y la reducción de las desigualdades sociales. Se trata de un planteamiento dirigido al empoderamiento comunitario y a la búsqueda de soluciones para los problemas sociales y económicos determinantes de la diseminación de la COVID-19 y de otras enfermedades. Se concluye con las peculiaridades y la importancia de cada uno de los planteamientos. La participación comunitaria en el combate a la COVID-19 debe considerar los contextos de emergencia, de fortalecimiento del sistema de salud y defensa del sistema de protección social, así como de la democracia.O presente ensaio objetivou discutir os fundamentos e possibilidades da participação comunitária para o enfrentamento da COVID-19. Na primeira parte, são discutidos os sentidos de comunidade definidos por critérios geográficos, de agregação de interesses ou epidemiológicos. No contexto da pandemia, reflete-se que nenhuma das três perspectivas podem ser consideradas isoladamente. Foi discutida a necessidade de articulação das diferentes abordagens a fim de se prover intervenções sanitárias socialmente contextualizadas. Em seguida, são apresentados os quatro principais modelos teóricos presentes na literatura internacional que fundamentam as práticas de participação comunitária em diversos países. Para a análise da participação comunitária no contexto da COVID-19 foi utilizada a sistematização conceitual fundamentada em duas metanarrativas: a utilitarista e a da justiça social. A perspectiva utilitarista envolve ações direcionadas às medidas de restrição do contato social. Nesse sentido, a participação é entendida como colaboração na execução de ações que contribuam para o controle do agravo. A perspectiva da justiça social aborda sobretudo os determinantes sociais da saúde e a redução das desigualdades sociais. Trata-se de abordagem voltada ao empoderamento comunitário e à busca de soluções para os problemas sociais e econômicos determinantes da disseminação da COVID-19 e de outras doenças. Conclui-se sobre as peculiaridades e a importância de cada uma das abordagens. A participação comunitária no enfrentamento da COVID-19 deve considerar os contextos emergencial, de fortalecimento do sistema de saúde e de defesa do sistema de proteção social e da democracia.Reports in Public HealthCadernos de Saúde Pública2020-08-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286Reports in Public Health; Vol. 36 No. 8 (2020): AugustCadernos de Saúde Pública; v. 36 n. 8 (2020): Agosto 1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16008https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16009https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16010https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16011José Patrício Bispo JúniorMarciglei Brito Moraisinfo:eu-repo/semantics/openAccess2024-03-06T15:29:50Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7286Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:23.145725Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Community participation in the fight against COVID-19: between utilitarianism and social justice
Participação comunitária no enfretamento da COVID-19: entre o utilitarismo e a justiça social
title Community participation in the fight against COVID-19: between utilitarianism and social justice
spellingShingle Community participation in the fight against COVID-19: between utilitarianism and social justice
José Patrício Bispo Júnior
Community Participation
COVID-19
Health Systems
Health Policy
Social Determinants of Health
Participação da Comunidade
COVID-19
Sistemas de Saúde
Política de Saúde
Determinantes Sociais da Saúde
title_short Community participation in the fight against COVID-19: between utilitarianism and social justice
title_full Community participation in the fight against COVID-19: between utilitarianism and social justice
title_fullStr Community participation in the fight against COVID-19: between utilitarianism and social justice
title_full_unstemmed Community participation in the fight against COVID-19: between utilitarianism and social justice
title_sort Community participation in the fight against COVID-19: between utilitarianism and social justice
author José Patrício Bispo Júnior
author_facet José Patrício Bispo Júnior
Marciglei Brito Morais
author_role author
author2 Marciglei Brito Morais
author2_role author
dc.contributor.author.fl_str_mv José Patrício Bispo Júnior
Marciglei Brito Morais
dc.subject.por.fl_str_mv Community Participation
COVID-19
Health Systems
Health Policy
Social Determinants of Health
Participação da Comunidade
COVID-19
Sistemas de Saúde
Política de Saúde
Determinantes Sociais da Saúde
topic Community Participation
COVID-19
Health Systems
Health Policy
Social Determinants of Health
Participação da Comunidade
COVID-19
Sistemas de Saúde
Política de Saúde
Determinantes Sociais da Saúde
description This essay aims to discuss the foundations and possibilities for community participation in the fight against COVID-19. The first part discusses the meanings of community, defined according to geographic, aggregate-interest, or epidemiological criteria. In the context of the pandemic, none of the three perspectives can be considered alone. The essay discusses the need to link different approaches in order to produce socially contextualized health interventions. Next, the authors present the four main models in the international literature that provide the basis for community participation practices in various countries. The analysis of community participation in the context of COVID-19 uses conceptual systematization based on two meta-narratives: utilitarian and social justice. The utilitarian perspective involves measures to restrict social contact. Participation is thus understood as collaboration in implementing measures that contribute to controlling the problem. The social justice perspective especially addresses the social determinants of health and reduction in social inequalities. The approach focuses on community empowerment and the search for solutions to the social and economic problems that determine the spread of COVID-19 and other diseases. The essay concludes on the peculiarities and importance of each approach. Community participation in the fight against COVID-19 should consider the emergency contexts to strengthen the health system and the defense of the social protection system and democracy.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16008
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16009
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16010
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7286/16011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
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application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 36 No. 8 (2020): August
Cadernos de Saúde Pública; v. 36 n. 8 (2020): Agosto
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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