Política Nacional de Promoção da Saúde e a colaboração intersetorial no território: o papel dos municípios na promoção da qualidade de vida da população

Abstract

The health promotion is a strategy starts from a broad conception of the health-disease process, in a way that considers social determinants essential, guides the articulation of technical and popular knowledge and joint action, public and private, with the conception of shared responsibility, in favor of the population’s quality of life, in such a way that its physical, social, economic and cultural aspects must be considered, which thus demonstrates the scope and complexity of the actions to be carried out in the territory. The National Health Promotion Policy (PNPS) addresses key elements, intra and intersectoral articulation and cooperation, which express the complexity and action to carry out health promotion actions in the territory. Intersectoral collaboration (intersectorality) is an essential aspect to be considered in public health governance, as municipal and state managers must be at the forefront, dialoguing intrasectorally with the different sectors that relate to health, with public and private actors that interact with public policies that impact the health of the population. Despite being essential and relevant, it is noted that intersectoral collaboration in the territory is still incipient, só that the development of studies to discuss the topic is essential. Therefore, the assumption of this study is that the intersectoral actions offered to the population in Brazilian municipalities are not effective and, consequently, insufficient to promote quality of life in the territory. In the same direction, we have the following guiding research question: what intersectoral actions are the responsibility of municipalities that, in light of the National Health Promotion Policy, can contribute to improving the quality of life of the population in the territory? The general objective, in line with the guiding question and assumption, is to identify, within the scope of the National Health Promotion Policy, the main intersectoral actions under the responsibility of municipal entities that contribute to improving the quality of life of the population in the territory. More specifically, the study also highlights the analysis of the responsibilities of the municipal entity and intersectoral actions and interfederative articulation. Methodologically, it is a hypothetical-deductive research, with a qualitative approach, of an applied, exploratory nature, bibliographic and documentary design, with qualitative data analysis. As a result, it is observed that the competencies established for SUS municipal managers by the PNPS and for Brazilian municipalities by the Federal Constitution, have as their intersection the priority theme ‘Promotion of sustainable development’ and the keywords sustainable development, science and technology and financing. Intersectoral actions were identified in light of the PNPS, under the responsibility of the municipalities, related to all priority themes of the policy. The study also highlighted the need for inter-federative action and articulation for the execution of intersectoral actions in the territory, with emphasis on Inter-Management Commissions, essential spaces for consensus and agreement, and also the need to develop new studiesregarding the identification of actions intersectoral activities and their operationalization in the territory.