Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-14T19:30:13Z No. of bitstreams: 1 DandaraBatistaCorreia_DISSERT.pdf: 1690061 bytes, checksum: 0bd81c0f5064013970509b8d55601de9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-15T22:17:59Z (GMT) No. of bitstreams: 1 DandaraBatistaCorreia_DISSERT.pdf: 1690061 bytes, checksum: 0bd81c0f5064013970509b8d55601de9 (MD5) / Made available in DSpace on 2016-01-15T22:17:59Z (GMT). No. of bitstreams: 1 DandaraBatistaCorreia_DISSERT.pdf: 1690061 bytes, checksum: 0bd81c0f5064013970509b8d55601de9 (MD5) Previous issue date: 2014-08-21 / O racismo tem participa??o ativa na defini??o das condi??es de sa?de, uma vez que reproduz no ?mbito da subjetividade e do consentimento, padr?es de integra??o ? ordem que restringem a popula??o negra do amplo acesso aos bens e servi?os socialmente produzidos. Por essa raz?o, as pessoas negras est?o expostas a situa??es diferenciadas de adoecimento, inclusive com maiores chances de exposi??o a certas doen?as e agravos com uma maior preval?ncia, como ? o caso da Doen?a Falciforme. Nesse sentido, o presente trabalho apresenta uma an?lise das express?es do racismo na sa?de da popula??o negra com Doen?a Falciforme, tendo como norte anal?tico o estudo das condi??es de sa?de e da qualidade da aten??o ? sa?de ofertada pela dire??o municipal do SUS, representada pela Secret?ria Municipal de Sa?de de Jo?o Pessoa/PB ? (SMSJPA). Trata-se de uma pesquisa social aplicada, fundada numa abordagem quantiqualitativa que envolveu a coleta de dados secund?rios, os quais foram sistematizados e analisados em dois momentos: 1) an?lise dos indicadores sociais referente ? popula??o negra no munic?pio a partir da base de dados do Censo Demogr?fico do IBGE; 2) estudo documental realizado no banco de dados do Programa Municipal da Doen?a Falciforme e An?lise dos relat?rios de gest?o da SMS-JPA referente a 2011, 2012 e 2013. Optou-se por uma vis?o cr?tica e dial?tica de leitura da realidade, com apoio nas categorias do racismo, racismo institucional e sa?de da popula??o negra compreendidas como uma unidade dial?tica. Os resultados revelam que a popula??o negra com Doen?a Falciforme est? inserida num contexto de vulnerabilidade social que repercute na sua situa??o de morbimortalidade. Aponta-se ainda que os problemas de sa?de das pessoas com Doen?a falciforme s?o preferencialmente resolvidos com base na aten??o b?sica a sa?de e por a??es focadas na preven??o de eventos agudos. Por essas caracter?sticas est?o focadas em a??es de baixa densidade tecnologia e de baixo custo que embora com maior alcance assistencial, provocam mudan?as de longo prazo, incapazes de alterar sua realidade de sa?de; No plano pol?tico institucional, essas respostas apresentam limites na aten??o ? sa?de, sobretudo no que se refere ao enfrentamento das desigualdades e promo??o da qualidade de vida, uma vez que as a??es exigem baixo poder de decis?o e consequentemente poucas altera??es nas estruturas dos sistemas de sa?de. Nesse esfor?o, espera-se contribuir com a produ??o de conhecimento que seja ?til para a??o pol?tico e cient?fico de grupos e movimentos interessados em ultrapassar as determina??es do racismo e construir uma nova ordem social fundamentada na emancipa??o de todas as formas de explora??o ?tnico/racial, sexual e de classes que signifique em melhorias na realidade de sa?de das pessoas com Doen?a Falciforme. / Racism has active participation in the definition of health conditions, since it reproduces within the subjectivity and consent, integration patterns to order that restrict the black population of broad access to goods and services produced socially. For this reason, black people are exposed to different risks of disease, including increased chances of exposure to certain diseases and disorders with a higher prevalence, such as the Sickle Cell Disease. In this sense, this paper presents an analysis of expressions of racism on the health of the black population with sickle cell disease, its analytical north the study of health conditions and quality of health care offered by the municipal administration of the SUS, represented by the Municipal Secretary of Jo?o Pessoa / PB (SMS-JPA) Health. It is a social applied research, based on a quantitative and qualitative approach that involved collecting secondary, which were organized and analyzed data in two stages: 1) analysis of social indicators regarding the black population in the municipality from the base Census data from IBGE; 2) documental study in database Municipal Program of Sickle Cell Disease and analysis of management reports related to SMSJPA 2011, 2012 and 2013 decided by a critical and dialectical reading of reality, with support in the categories of racism, institutional racism and health of the black population understood as a dialectical unity. The results reveal that the black population with sickle cell disease is embedded in a context of social vulnerability that affects his situation of mortality. It is pointed out also that the health problems of people with sickle cell disease are preferably solved based on primary care and health by focusing on prevention of acute events shares. For these characteristics are focused on technology stocks low density and low cost but with greater care range, causing long-term changes unable to change your health reality; The institutional political sphere, these responses have limits on attention to health, particularly with regard to addressing inequalities and promoting quality of life, since actions require low power of decision and consequently little change in the structures of health systems . In this effort, we hope to contribute to the production of knowledge that is useful for political and scientific action groups and movements interested in overcoming the determinations of racism and build a new social order based on emancipation from all forms of ethnic / racial exploitation, sexual and classes that actually means improvements in health of people with sickle cell disease.