Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T22:07:07Z No. of bitstreams: 1 AmandaSantosDePaiva_DISSERT.pdf: 1848231 bytes, checksum: 4323faba71f4826ad85f14ec2f9d45f5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-16T00:08:03Z (GMT) No. of bitstreams: 1 AmandaSantosDePaiva_DISSERT.pdf: 1848231 bytes, checksum: 4323faba71f4826ad85f14ec2f9d45f5 (MD5) / Made available in DSpace on 2017-03-16T00:08:03Z (GMT). No. of bitstreams: 1 AmandaSantosDePaiva_DISSERT.pdf: 1848231 bytes, checksum: 4323faba71f4826ad85f14ec2f9d45f5 (MD5) Previous issue date: 2016-09-30 / Esta disserta??o tem como objetivo analisar criticamente a rela??o entre a ocorr?ncia do dengue e as condi??es socioambientais no munic?pio de Natal-RN. Sua preocupa??o central consiste em investigar em que medida a politica de sa?de adotada para o combate ao dengue (des) considera-o como enfermidade socioambiental considerando o modelo hegem?nico e o seu (des)controle no cen?rio potiguar. O processo investigativo combinou pesquisa bibliogr?fica, documental e pesquisa de campo. A pesquisa bibliogr?fica possibilitou a apreens?o de categorias te?ricas e emp?ricas. Enquanto, a pesquisa documental consistiu na an?lise de not?cias veiculadas por m?dias locais e/ou nacionais, dados do IBGE e documentos produzidos pela Prefeitura do Natal no per?odo de 2014 a 2015. Ademais, a pesquisa de campo foi efetivada por meio da t?cnica de grupo focal (GF) composto por Agentes de Controle de Endemias (ACE) representantes dos 5 (cinco) diferentes distritos sanit?rios (DS) da cidade do Natal sendo dois oriundos do DS Leste, totalizando 6 (seis) ACE, al?m de 1 (um) supervisor t?cnico do Centro de Controle de Zoonoses. Constatou-se que tais profissionais de sa?de atribuem ? falta de consci?ncia sanit?ria como um dos principais entraves para o controle do dengue. Ficou evidenciado que apesar de iniciativas nas medidas de controle do dengue buscar ir al?m do setor de sa?de, as a??es direcionam-se para a??es emergenciais. E, principalmente que h? forte focaliza??o no ?combate ao mosquito? reduzido ao uso de venenos ao mesmo tempo em reitera-se a ?culpabiliza??o? do indiv?duo por seu adoecimento. Constatou-se que o abastecimento intermitente de ?gua, e a insuficiente e ineficiente da coleta de esgoto e de res?duos s?lidos s?o determinantes centrais para a consolida??o do dengue como doen?a end?mica no munic?pio do Natal. Conclui-se que a pol?tica de sa?de implementada no munic?pio do Natal desconsidera a realidade socioambiental e as macrodetermina??es do capital, expressa no aprofundamento das desigualdades sociais que se traduzem em prec?rias condi??es de moradia, acesso ? ?gua, esgoto e informa??o, em geral, elementos desprezados no cotidiano do combate ao dengue. Portanto, ignora que tais determina??es repercutem no aprofundamento da ruptura da din?mica harm?nica entre humanidade e o restante da natureza agravando o cen?rio de barb?rie socioambiental. / This dissertation aims to critically analyze the relationship between the occurrence of dengue and environmental conditions in Natal-RN. His main concern is to investigate the extent to which health policy adopted to combat dengue (un) considers it as social and environmental illness in the hegemonic model of its (un) control in the Potiguar scenario. The investigative process combined bibliographic research, documentary and field research. The literature search enables the seizure of theoretical and empirical categories. While the documentary research was the analysis of reports by local and/ or national media, the IBGE data and documents produced by the Natal City Hall in the period from 2014 to 2015. Moreover, the field research was carried out through focus group (FG) technique consisting of Endemic Disease Control Agents (EDSA) representatives of five (5) different Health Districts (HD) of the city of Natal with two natives of east HD, totaling six (6) EDSA, plus one (1) technical supervisor of the Zoonosis Control Center. It was found that these health professionals attribute to the lack of health awareness as a major constraint for the control of dengue. The study revealed that despite initiatives in dengue control measures seek to go beyond the health sector, the shares direct to emergency actions. Mainly that there is a strong focus on "Fight against mosquitoes" and the reiteration of "scapegoating" of the individual for his illness. It was found that the intermittent water supply, and insufficient and inefficient collection of sewage and solid waste are key determinants for dengue consolidation as an endemic disease in Natal. It is concluded that health policy implemented in Natal disregards the social and environmental reality and macro capital macrodeterminations expressed in deepening social inequalities that translate into poor living conditions, access to water, sewage and information in general elements neglected in the fight against dengue everyday. So ignore that such determinations have repercussions on deepening breakdown of harmonic dynamics between humanity and the rest of nature exacerbating the scenario of social and environmental barbarism.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-01T22:34:44Z No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-13T23:55:00Z (GMT) No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) / Made available in DSpace on 2017-11-13T23:55:00Z (GMT). No. of bitstreams: 1 IzalaSarahFreitasDaSilva_DISSERT.pdf: 2138377 bytes, checksum: f61c1f896aecc852e8b525ca0b4185e2 (MD5) Previous issue date: 2017-08-21 / Trata-se de uma disserta??o concentrada na ?rea Sociabilidade, Servi?o Social e Pol?tica social, cuja Linha de Pesquisa ? Servi?o Social, Trabalho e Quest?o Social. Aborda a sa?de do trabalhador, nos marcos da explora??o e degrada??o da organiza??o do trabalho, em um contexto contempor?neo de crise do capital e de contrarreforma do Estado brasileiro. O estudo ? fundamentado pela centralidade da categoria trabalho, presente na tradi??o marxista, e pela teoria da determina??o social da sa?de. Tem como objetivo analisar os afastamentos por motivo de sa?de dos servidores atendidos na unidade SIASS-UFRN, com vistas a contribuir para identifica??o dos determinantes sociais que perpassam o processo sa?de-doen?a. Ainda, como objetivos espec?ficos, visa identificar os determinantes individuais e as condi??es de vida e de trabalho dos servidores afastados, para reconhecer os perfis mais vulner?veis ao adoecimento; dar visibilidade aos determinantes sociais do processo sa?de-doen?a dos servidores que incidem no afastamento de sa?de, a fim de enfrentar as situa??es de risco ? sa?de do trabalhador; evidenciar as patologias adquiridas/agravadas no trabalho, no intuito de estabelecer rela??o com o afastamento; e contribuir para a compreens?o da equipe acerca dos determinantes sociais de sa?de, objetivando a qualifica??o dos processos de trabalho em sa?de. A investiga??o ? orientada pelo m?todo cr?tico dial?tico e apresenta enfoque misto, por agrupar dados qualitativos e quantitativos, a partir de levantamento bibliogr?fico; pesquisa documental junto ao SIAPE-SA?DE e SIGRH; e pesquisa de campo, atrav?s de entrevistas semiestruturadas aos profissionais da unidade que comp?em a equipe multiprofissional, no total de dez. Para a an?lise de dados, adotou-se a t?cnica de An?lise de Conte?do e o tratamento estat?stico com base em planilhas do EXCEL. Constatou-se que os determinantes sociais relacionados ? dimens?o do trabalho no processo sa?de-doen?a dos servidores atendidos s?o aqueles citados na an?lise da equipe com maior frequ?ncia, em um cen?rio no qual os transtornos mentais lideram os afastamentos em n?mero de dias na Unidade SIASS-UFRN. Nesse sentido, o transtorno mental ? apresentado como patologia mais recorrente nos casos de interven??o da equipe multiprofissional, pela complexidade e especificidade que abarca o sofrimento ps?quico. Por fim, tem-se o reconhecimento da significativa rela??o entre o trabalho e o adoecimento sob o olhar dos entrevistados, com destaque para os docentes e profissionais da sa?de, devido ?s particularidades que envolvem essas categorias, tais como: intensa demanda de trabalho intelectual, sobrecarga e stress. Entre os trabalhadores da sa?de, soma-se ainda o lidar com o sofrimento alheio. / It is a dissertation that has as Area of Concentration Sociability, Social Service and Social Policy and as Line of Research, Social Service, Work and Social Question. It addresses the health of the worker within the framework of exploitation and degradation of work organization in a contemporary context of capital crisis and counterreformation of the Brazilian State. The study is based on the centrality of the work category present in the Marxist tradition and on the theory of social determination of health. The objective of this study is to analyze the health reasons for the employees attending the SIASS-UFRN unit, in order to contribute to the identification of the social determinants that go through the health-disease process. It has as specific objectives: to identify the individual determinants and living and working conditions of remote servers to recognize the profiles most vulnerable to illness; To give visibility to the social determinants of the health-disease process of the employees that affect the health remoteness, in order to face situations of risk to the health of the worker; To evidence the acquired / aggravated pathologies in the work in order to establish relation with the distance; And contribute to the team's understanding of the social determinants of health, with a view to qualifying the work processes in health. The research is guided by the critical dialectical method and presents a mixed approach, by grouping qualitative and quantitative data, from a bibliographical survey, documentary research with SIAPE-SA?DE, to SIGRH and field research, through semi-structured interviews with the professionals of the unit Make up the multiprofessional team, in total ten. For data analysis, we adopted content analysis and statistical treatment based on EXCEL worksheets. We found that the social determinants related to the work dimension, in the health and illness process of the servants served, are the most frequently mentioned in the analysis of the team, in a scenario that the mental disorders lead the departures in number of days in the SIASS-UFRN Unit. In this sense, mental disorder is identified as a recurrent pathology in the cases of intervention by the multiprofessional team, due to the complexity and specificity of psychic suffering. Finally, we recognize the significant relationship between work and illness in the eyes of the interviewees, in which teachers and health professionals deserve greater attention because of the particularities involved in these categories, such as: great mental demand, overload, pressure, stress; Among health workers, the suffering of others is added.