The COVID-19 pandemic in Brazil: a crisis between science and governance

Detalhes bibliográficos
Autor(a) principal: Vilaça Mendes, Eugênio
Data de Publicação: 2023
Outros Autores: Aparecida Alves, Juliane, Campos Avendanho, Fernando, Frutuoso Silva, Jurandi, Passos Cupertino de Barros, Fernando, Henrique Mansano, Nereu
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25761/anaisihmt.440
Resumo: This essay critically addresses the challenges faced in the relationship between Science and healthcare governance in Bra- zil, particularly due to specific issues that have hindered this relationship during the COVID-19 pandemic. During this period, the actions of the federal government’s high-level officials conflicted with healthcare managers from states and municipalities, the scientific community, and the World Health Organization, who relied on scientific evidence to guide actions against the pandemic. The article highlights the implications of this conflict on the governance of the Brazilian pu- blic healthcare system, including normative aspects of decentralization and challenges for the effective implementation of public health policies. Finally, the text presents how collaboration between local healthcare managers, scientific societies, universities, and other civil society organizations was crucial to confront the crisis and overcome the barriers imposed by the federal government.
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spelling The COVID-19 pandemic in Brazil: a crisis between science and governanceLa pandémie de COVID-19 au Brésil: une crise parmis la science et la gouvernanceA pandemia da COVID-19 no Brasil: uma crise entre ciência e governançaThis essay critically addresses the challenges faced in the relationship between Science and healthcare governance in Bra- zil, particularly due to specific issues that have hindered this relationship during the COVID-19 pandemic. During this period, the actions of the federal government’s high-level officials conflicted with healthcare managers from states and municipalities, the scientific community, and the World Health Organization, who relied on scientific evidence to guide actions against the pandemic. The article highlights the implications of this conflict on the governance of the Brazilian pu- blic healthcare system, including normative aspects of decentralization and challenges for the effective implementation of public health policies. Finally, the text presents how collaboration between local healthcare managers, scientific societies, universities, and other civil society organizations was crucial to confront the crisis and overcome the barriers imposed by the federal government.Cet essai aborde de manière critique les défis rencontrés dans la relation entre la science et la gouvernance de la santé au Brésil, en particulier en raison de problèmes spécifiques qui ont mis en conflit cette relation pendant la pandémie de Co- vid-19. Au cours de cette période, les décisions des hautes sphères du gouvernement fédéral sont entrées en désaccord avec les responsables de la santé des États et des municipalités, avec la communauté scientifique et avec l'Organisation mondiale de la santé, qui s'appuyaient sur des preuves scientifiques pour guider les actions de lutte contre la pandémie. L'article met en évidence les implications de ce conflit dans la gouvernance du système de santé publique brésilien, y com- pris les aspects normatifs de la décentralisation et les défis pour la mise en œuvre efficace des politiques de santé publique. Enfin, le texte présente comment la collaboration entre les gestionnaires locaux de la santé, les sociétés savantes, les uni- versités et les autres organisations de la société civile a été fondamentale pour faire face à la crise et surmonter les barrières imposées par le gouvernement fédéral.O presente ensaio aborda, de forma crítica, os desafios enfrentados na relação entre a ciência e a governança em Saúde no Brasil, sobretudo em razão de questões específicas que prejudicaram essa relação durante a pandemia de COVID-19. Durante esse pe- ríodo, a atuação do alto escalão do governo federal entrou em conflito com os gestores de saúde de estados e municípios, com a comunidade científica e com a Organização Mundial da Saúde, que se baseavam em evidências científicas para orientar as ações de combate à pandemia. O artigo destaca as implicações desse conflito na governança do sistema público de Saúde brasileiro, incluin- do aspectos normativos de descentralização e os desafios para a implementação efetiva de políticas públicas em Saúde. Por fim, o texto apresenta como a colaboração entre gestores de Saúde locais, sociedades científicas, universidades e outras organizações da sociedade civil, foi fundamental para enfrentar a crise e superar as barreiras impostas pelo governo federal.Universidade Nova de Lisboa2023-07-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25761/anaisihmt.440https://doi.org/10.25761/anaisihmt.440Anais do Instituto de Higiene e Medicina Tropical; Vol 22 (2023): Ciência e governança em Saúde; 44-53Anais do Instituto de Higiene e Medicina Tropical; v. 22 (2023): Ciência e governança em Saúde; 44-532184-23100303-7762reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://anaisihmt.com/index.php/ihmt/article/view/440http://anaisihmt.com/index.php/ihmt/article/view/440/362http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVilaça Mendes, EugênioAparecida Alves, JulianeCampos Avendanho, FernandoFrutuoso Silva, JurandiPassos Cupertino de Barros, FernandoHenrique Mansano, Nereu2023-08-02T06:00:50Zoai:ojs.anaisihmt.com:article/440Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:10:27.558905Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The COVID-19 pandemic in Brazil: a crisis between science and governance
La pandémie de COVID-19 au Brésil: une crise parmis la science et la gouvernance
A pandemia da COVID-19 no Brasil: uma crise entre ciência e governança
title The COVID-19 pandemic in Brazil: a crisis between science and governance
spellingShingle The COVID-19 pandemic in Brazil: a crisis between science and governance
Vilaça Mendes, Eugênio
title_short The COVID-19 pandemic in Brazil: a crisis between science and governance
title_full The COVID-19 pandemic in Brazil: a crisis between science and governance
title_fullStr The COVID-19 pandemic in Brazil: a crisis between science and governance
title_full_unstemmed The COVID-19 pandemic in Brazil: a crisis between science and governance
title_sort The COVID-19 pandemic in Brazil: a crisis between science and governance
author Vilaça Mendes, Eugênio
author_facet Vilaça Mendes, Eugênio
Aparecida Alves, Juliane
Campos Avendanho, Fernando
Frutuoso Silva, Jurandi
Passos Cupertino de Barros, Fernando
Henrique Mansano, Nereu
author_role author
author2 Aparecida Alves, Juliane
Campos Avendanho, Fernando
Frutuoso Silva, Jurandi
Passos Cupertino de Barros, Fernando
Henrique Mansano, Nereu
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Vilaça Mendes, Eugênio
Aparecida Alves, Juliane
Campos Avendanho, Fernando
Frutuoso Silva, Jurandi
Passos Cupertino de Barros, Fernando
Henrique Mansano, Nereu
description This essay critically addresses the challenges faced in the relationship between Science and healthcare governance in Bra- zil, particularly due to specific issues that have hindered this relationship during the COVID-19 pandemic. During this period, the actions of the federal government’s high-level officials conflicted with healthcare managers from states and municipalities, the scientific community, and the World Health Organization, who relied on scientific evidence to guide actions against the pandemic. The article highlights the implications of this conflict on the governance of the Brazilian pu- blic healthcare system, including normative aspects of decentralization and challenges for the effective implementation of public health policies. Finally, the text presents how collaboration between local healthcare managers, scientific societies, universities, and other civil society organizations was crucial to confront the crisis and overcome the barriers imposed by the federal government.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-06
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25761/anaisihmt.440
https://doi.org/10.25761/anaisihmt.440
url https://doi.org/10.25761/anaisihmt.440
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv http://anaisihmt.com/index.php/ihmt/article/view/440
http://anaisihmt.com/index.php/ihmt/article/view/440/362
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
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rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Nova de Lisboa
publisher.none.fl_str_mv Universidade Nova de Lisboa
dc.source.none.fl_str_mv Anais do Instituto de Higiene e Medicina Tropical; Vol 22 (2023): Ciência e governança em Saúde; 44-53
Anais do Instituto de Higiene e Medicina Tropical; v. 22 (2023): Ciência e governança em Saúde; 44-53
2184-2310
0303-7762
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