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POLÍTICA DE SAÚDE NA CIDADE DE GOIÁS: UM ESTUDO SOBRE GESTÃO MUNICIPAL - 1988 A 2010.Santos, Maria Ciurinha Pereira dos 19 December 2011 (has links)
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Previous issue date: 2011-12-19 / This thesis aims to seek sociopolitical aspects of the health situation in the City of Goiás from
1988 to 2010: historical and legal aspects, the sanitary reform and the Social Security;
guidelines and principles of the Unified Health System - SUS; management, financing and
social control of SUS; the City of Goiás and the health policy. It sought to characterize the
City of Goiás by its historical review and presenting some reports from magazines and
newspapers. There was also a historical, political, economic and social review of the
establishment and implementation of health policy in that city. Some references and
interviews were presented. So, the municipal management of health policy was systematized
in the city of Goiás and around it problematizing difficulties, setbacks and challenges. This
work highlighted class interests, tensions, conflicts and contradictions by the historical
trajectory of the region. The qualitative and quantitative research enabled bibliographic,
documental and empirical informations through semi-structured interviews. Twenty one
subjects were interviewed: six mayors, eight municipal health secretaries, three
social workers, three workers and two users. Through the document analysis and testimonials,
was founded the position of each management according to perspectives, social, cultural and
political advances, retreats and regional and local challenges, as well as lack of autonomy or
not, mediation, ethical and political commitment. This work can contribute as a source of
research and systematization of the process developed in the municipal health efforts of the
study period until 2011 and as a register of development and reverse in each management
showing the reality of services provided by health policy in the City of Goiás and the region.
This work started from the description of social policy geared to working class interests
aiming to cope expressions of the social issue and its challenges about justice and attention to
differences. All health policy process in the City of Goiás was registered, since its
municipalization until the present time, when it is recognized as a universal right and duty of
the state. / Esta dissertação tem como perspectiva apreender aspectos da conjuntura sociopolítica de
saúde na Cidade de Goiás entre 1988 e 2010: aspectos históricos, legais, a Reforma Sanitária
e a Seguridade Social; as Diretrizes e princípios do Sistema Único de Saúde; gestão,
financiamento e controle social do SUS; a Cidade de Goiás e a política de saúde. Procurou-se
uma caracterização da Cidade de Goiás por meio da revisão de seu patrimônio histórico e
apresentando algumas reportagens veiculadas em revistas e jornais. Fez-se, também, um
resgate histórico, político, econômico e social da implantação e implementação da gestão da
política de saúde no município. Nessa fundamentação, algumas referências e entrevistas
foram trazidas. Desta forma, foi sistematizada a gestão municipal da política de saúde na
Cidade de Goiás e entorno e problematizados seus avanços, recuos e desafios. Destacaram-se
os interesses de classe, tensões, conflitos e contradições pautados na trajetória histórica
daquela região. A pesquisa qualitativa e quantitativa possibilitou o levantamento de dados
bibliográficos, documentais e empíricos por meio de entrevista semiestruturada. Foram
entrevistados vinte e um sujeitos: seis prefeitos, oito secretários municipais de saúde, três
assistentes sociais, três trabalhadores e duas usuárias. Mediante a análise documental e os
depoimentos obtidos observou-se o posicionamento de cada gestão de acordo com as
perspectivas objetivas, situação social, cultural e política e os avanços, recuos e desafios
regionais e locais, bem como a falta ou não de autonomia, mediação, compromisso ético e
político. Este trabalho poderá contribuir como fonte de pesquisa e sistematização do processo
desenvolvido nas gestões de saúde municipais do período estudado até 2011 e como registro
daquilo que foi avanço e recuo em cada gestão mostrando a realidade dos serviços prestados
pela política de saúde na Cidade de Goiás e região. A estruturação deste trabalho começou a
partir da descrição da política social voltada aos interesses da classe trabalhadora no
enfrentamento das expressões da questão social e seus desafios em fazer justiça e atender às
diferenças. Registrou-se todo o processo da política de saúde na Cidade de Goiás desde sua
municipalização até os dias atuais, em que é reconhecida como um direito universal e dever
do Estado.
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AS IMPLICAÇÕES SOCIAIS DA CIRURGIA DE ARTROPLASTIA DE QUADRIL NAS CONDIÇÕES DE VIDA DOS USUÁRIOS DO AMBULATÓRIO E CLÍNICA DE ORTOPEDIA DO HOSPITAL DAS CLÍNICAS/UFG-GOIÂNIA-GO (2013).Silva, Célia Regina Marcelino da 06 March 2014 (has links)
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Previous issue date: 2014-03-06 / The purpose of this dissertation is to understand what are the social implications of
arthroplasty surgery on the living conditions of the patients in the ambulatory and
clinical orthopedics at the Hospital das Clínicas, Universidade Federal de Goiás in
the period 2011/2012. In this dissertation were analyzed the living conditions and
health of patients mentioned above, the perception of those in relation to their health
rights, as citizens. It was observed how poor education and lack of participation in
organizations or social movements interfere with the search for these rights, leading
them to a committed life in the physical and emotional aspects. It was also made an
attempt to analyze, in a given period of Brazilian history, how the State met and
continues to meet the interests of capital over the interests of the population,
increasingly moving away from its responsibility to implement public social policies
contained in legal scaffolds, such as our 1988 Constitution, which implemented the
SUS after decades of struggles. It was also analyzed how the lack of knowledge by
citizens of their rights can enable the consolidation of increasingly greater absence of
the Government, making social policies increasingly exclusionary and contradicting
of the principles of the SUS, being these the universality and access to public, thus
favoring the growth of private health services. Finally, it discussed how this
privatization process will hurt everyone involved in the process, ie, SUS users,
students, public servants in the health and education institutions, which are, in the
specific case, the university hospitals. / A proposta desta dissertação é apreender quais as implicações sociais da cirurgia
de artroplastia de quadril nas condições de vida dos usuários atendidos no
ambulatório e clínica de ortopedia do Hospital das Clínicas da Universidade Federal
de Goiás no período de 2011/2012. Nesta dissertação foram analisadas as
condições de vida e saúde dos pacientes anteriormente citados, qual a percepção
desses em relação aos direitos, saúde, enquanto cidadãos. Percebeu-se como a
baixa escolaridade e a falta de participação em organizações ou movimentos sociais
interferem na busca pelos direitos desses, levando-os a uma vida comprometida nos
aspectos físico e emocional. Buscou-se também analisar, num determinado período
da história brasileira, de que forma o Estado atendia e continua atendendo aos
interesses do capital em detrimento dos interesses da população, se afastando cada
vez mais da sua responsabilidade de implementação das políticas públicas sociais
previstas nos arcabouços legais, como a nossa Carta Magna de 1988, que
implantou o SUS após décadas de lutas. Analisou-se, ainda, como a falta de
conhecimento por parte dos cidadãos dos seus direitos pode propiciar a
sedimentação dessa ausência cada vez maior do Estado, tornando as políticas
sociais públicas cada vez mais excludentes, contrariando um dos princípios dos
SUS, que é a universalidade e acesso aos serviços públicos e favorecendo, assim, o
crescimento da saúde privada. Finalmente, abordou como essa privatização vai
prejudicar todos os envolvidos no processo, ou seja, os usuários do SUS, os
estudantes, os servidores das instituições públicas de saúde e educação, que são,
no caso específico, os hospitais universitários.
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ASSISTÊNCIA SOCIAL EM GOIÂNIA: institucionalidade no âmbito da gestão pública - 1993 a 2003Sousa, Sueli Almeida Neves 27 April 2009 (has links)
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Previous issue date: 2009-04-27 / This master s dissertation discusses the main concepts of social assistance at
municipal level in the city of Goiânia, the new capital of the State of Goiás, founded in
1933. The conducted research that is part of the dissertation made it possible to
identify the process of institutionalization of assistance measures from the
establishment of the municipality of Goiânia, the creation of the Municipal Foundation
of Community Development (Fumdec), in 1974, and the adoption of LOAS regulation
in 1933, and SUAS regulation, in 2003. The study captured the profile and the
concept of assistance and interventive actions, denoting the hegemonic and aidoriented
conception that can be seen in the relationships, interests and ideology of
social classes, in politics and in the actions developed under the so-called primeiro
damismo (as duties usually performed by first ladies), with a strong ideo-political
updating/reproduction of political conservatism. The analysis shows the
institutionalization of the social assistance concept in Goiânia, conceived as a public
social policy; under the Brazilian Constitution of 1988, as a Social Security policy,
which was homologated by the Organic Act of Social Assistance (LOAS), in 1993,
and regulated according to the instruments to ensure the effectiveness and
implementation of the Social Assistance System (SUAS), from 2003. The present
research focused on the democratic administration of the municipal government of
Goiânia, from 2000 to 2004, the systematization of the Project Pra Ninguém Ficar de
Fora ( Everybody is Covered ), and the creation of the Municipal Department of
Social Assistance in Goiânia (SEMAS), in 2007. / Esta dissertação de mestrado analisa as concepções de assistência social,
predominantes nas gestões municipais de Goiânia, nova capital do Estado, fundada
em 1933. A pesquisa desenvolvida e que integra a dissertação possibilitou identificar
o processo de institucionalização das ações assistenciais, desde a fundação de
Goiânia, à criação e instituição da Fundação Municipal de Desenvolvimento
Comunitário (Fumdec), em 1974 e à institucionalidade no âmbito da gestão pública,
nos marcos da LOAS em 1993 e do SUAS em 2003. O estudo apreendeu o perfil e
a concepção de assistência e ações interventivas, denotando a concepção
hegemônica, com a orientação de práticas assistencialistas, tuteladoras
manifestadas nas relações, interesses e ideologia das classes sociais, na política e
nas ações desenvolvidas com a marca do primeiro damismo, com forte presença da
atualização/reprodução ídeo-política do conservadorismo. A análise demonstra a
institucionalidade da concepção da assistência social em Goiânia, concebida como
política social pública; nos marcos da Constituição Federal de 1988, como política de
Seguridade Social, homologada pela Lei Orgânica da Assistência Social (LOAS) em
1993, e regulamentada nos instrumentos de efetivação e implementação do Sistema
Único de Assistência Social (SUAS), a partir de 2003. No desenvolvimento da
pesquisa e análise sobre a institucionalidade da Assistência Social, o foco recaiu
sobre a gestão democrático-popular de Goiânia, de 2000 a 2004, com a
sistematização do Projeto Pra Ninguém Ficar de Fora, e a criação da Secretaria
Municipal de Assistência Social em Goiânia (SEMAS), em 2007.
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The political economy of social policy and agrarian transformation in EthiopiaLavers, Tom January 2013 (has links)
This thesis is concerned with social policy during structural transformation, focusing on the case of Ethiopia. The thesis takes a realist, case-based approach to the study of social policy, which recognises that political actors construct the domain of 'social' policy within legitimising discourses in specific national-historical contexts. Social policy is a key aspect of state-society relations and an inherently political field of study. Consequently, the study integrates analysis of cleavages in domestic society along class and ethnic lines, the role of state organisations and international influences, and their impact on the social policy pronouncements by senior government officials and implementation of those policies on the ground. In the Ethiopian case, this approach highlights the centrality of land to social policy and state• society relations. In particular, state land ownership is a key part of the government's development strategy that aims to combine egalitarian agricultural growth with security for smallholders. Nevertheless, the failure to expand the use of productivity-enhancing agricultural inputs, which constitute key complements to the use of land for social objectives, has led to differentiation in social policy provision along class, gender, age and ethnic lines. Micro-level case studies link the land question to food security, including the Productive Safety Net Programme (PSNP), and processes of agricultural commercialisation, notably the so-called 'global land grab'. A main argument of the thesis is that the Ethiopian government is attempting to manage social processes in order to minimise the social and political upheaval involved in structural transformation, and that social pol icy is a central means by which it does so. The development strategy requires social policies that enable the government to control the allocation of factors of production, necessitating restrictions on the rights of individuals and groups. As such, this strategy is intricately intertwined with political authority.
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Investigating local creative industries development initiatives in England : case studies in Urban South Hampshire, 2011-14Spencer, Paul January 2017 (has links)
In recent years the creative industries have become a focus of policy and academic discussion across the world. However, much of the existing literature has concentrated on national perspectives or on social and economic regeneration strategies in large cultural cities while data and understanding at the local level is more limited. This thesis aims to help redress this imbalance by focussing on the smaller and less established context of Urban South Hampshire on the central south coast of England. Longitudinal case studies are used to explore two key research questions, firstly, what are the needs, motivations and experiences of people hoping to develop careers and businesses in the sector; and secondly, how can local initiatives and public sector interventions support creative industries development. While some guidance is available to assist local and regional decision-makers there are few studies which follow the evolution of specific interventions over time to evaluate their effectiveness and inform future sectoral strategies. Although the urban bias of the creative industries is well documented this thesis argues that under the right conditions and with the right policies and initiatives towns and smaller cities can offer a more welcoming, affordable and socially cohesive creative milieu in contrast to the highly competitive environments of major cities. Demand for specialist initiatives with a dual focus on nurturing creative practice as well as promoting enterprise and business skills is also highlighted. This is especially relevant at the cultural-end of the sector which is becoming increasingly exposed to market pressures in part due to recent cuts in public sector spending. The thesis also argues that creative individuals are seeking new spaces to exist within the sector which allow them a level of creative autonomy over their practice while also enabling them to develop sustainable careers and successful businesses.
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Impacto das políticas sociais de desenvolvimento humano por meio do Programa Bolsa Família (PBF) / Sinop/MTArruda, Roberto Alves de 31 August 2011 (has links)
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Previous issue date: 2011-08-31 / FAPEMAT - Fundação de Amparo à Pesquisa do Estado de Mato Grosso / Trata-se de investigação dos impactos da ação das políticas sociais no combate à desigualdade, exclusão e pobreza, por meio do Programa Bolsa Família (PBF). Propomos uma reflexão da intervenção do Estado, diante a incapacidade dos sujeitos, inseridos em uma situação de vulnerabilidade prover seu próprio sustento. Famílias em situação de riscos e socialmente vulneráveis, incapazes de suprir suas necessidades de acesso a alimentos, as condições adequadas de habitação, educação, desprovidas de trabalho e renda, condições que geram insegurança e desproteção social. O caminho percorrido no texto propõe um alargamento da reflexão sobre os modos de enfrentamento da pobreza, percebida como reflexo das desigualdades, compreendida do mesmo modo, como instrumento de iniquidade, fenômeno persistente e de longa duração. Investigar a pobreza e as desigualdades como instrumento da exclusão social, remete-as ao campo multifacetado de sua abrangência. Desse modo, situar o debate em torno da questão social, revelará o processo histórico pelo qual foram concebidas as orientações do Estado, as lutas, conflitos e conquistas no campo da afirmação dos direitos. Ressalta-se que aqueles, são concebidos no processo sócio-histórico como universais, no entanto se perdem diante dos interesses sistêmicos das políticas reformistas. Cabe destaque, ao movimento da sociedade civil, na denúncia constante dos antagonismos que engendraram a distribuição das riquezas, construídas por todos, mas apropriada por poucos. Um novo paradigma sócio-político requer a redistribuição dos ativos, de modo a prover novas oportunidades e capacidades, que poderão ser ofertadas aos sujeitos, emancipando-os da distribuição focalizada/regulada de renda. / It is investigating the impacts of the action of social policies in tackling inequality, exclusion and poverty through the Bolsa Family Program (BFP). We propose a reflection of state intervention, given the inability of the subjects, placed in a vulnerable situation to provide their own support. Families at risk and socially vulnerable, unable to meet their needs for access to food, adequate housing, education, lack of employment and income conditions that generate insecurity and lack of social protection. The path in the text proposes an extension of reflection on ways of fighting poverty, seen as a reflection of inequalities, understood the same way as an instrument of injustice, and persistent phenomenon of long duration. To investigate the poverty and inequality as an instrument of social exclusion, refers them to the multifaceted field of its coverage. Thus, locating the debate on social issues will reveal the historical process by which the guidelines were designed by the State, the struggles, conflicts and achievements in the affirmation of rights. It is emphasized that these are conceived in socio-historical process as universal, but are lost before the interests of systemic reform policies. It is worth mentioning, the civil society movement, the constant complaint that the antagonisms engendered the distribution of wealth, built by everyone, but by few. A new socio-political paradigm requires the redistribution of assets in order to provide new opportunities and capabilities that may be offered to individuals by freeing them from the distribution focused/adjusted income.
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A right to die? : examining the centrality of human rights discourses to end of life policy and debate in the UKYoung, Sharon January 2017 (has links)
Death and dying are emerging as substantial topics for political and social debate in contemporary UK society. The management of end of life, traditionally defined within a medical model of care, is being challenged by a cultural shift that is apparent in the changing trajectory of dying, increasing healthcare consumerism and a rising human rights rhetoric. To a significant extent, liberty to determine one’s own death, and to request assistance to die, has come to be articulated by some as a “right to die”. Human rights discourses grounded in the values of dignity and freedom of choice are important and relevant to dying in the UK. These discourses have the potential to influence law and policy, practices and public opinion on end of life. However, there is no sociological analysis of how or when rights have come to be appropriated in an end of life context and no explanation of in what way, or to what extent, social actors are using rights discourses in relation to death and dying. This research explores the centrality of human rights discourses to end of life policy and debate on assisted death in the UK. A broad social constructionist approach to rights is taken to illuminate the ways in which selected actors understand and articulate rights in an end of life context, and how, as a result of this, a right to die may be conceived. It includes the examination of: current UK law and policy documents; transcripts of the historical and contemporary House of Lords debates; a case study of a highly influential organisation (Dignity in Dying) who campaign to legalise assisted dying, and three focus group discussions with Death Café Hampstead participants. Analysis of the data reveals that rights discourses involving individual liberty, dignity and human vulnerability are central to defining the end of life debate and policy. A notion of rights at the end of life has impacted our perception of dying but in ways that are complex, and arise as a reflection of dying at a specific period in time.
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(En)gendering change and continuity in Chilean social policy : actors, ideas and institutionsStaab, Silke January 2014 (has links)
How does change in economic, social and political institutions occur? How aregender and other social inequalities reproduced through and challenged byprocesses of institutional creation, evolution and innovation? And can institutionsbe transformed for greater equity and inclusion? These are big questions forfeminist political scientists to whom a better understanding of real world puzzles isnot only of theoretical but also of practical relevance. By looking at recent socialpolicy reforms and innovations in Chile this thesis contributes to moving thisresearch agenda forward. Drawing on conceptual and methodological tools fromhistorical institutionalism and feminist political science, it provides a theoreticallyinformed and empirically grounded account of how institutional change happensand why thoroughgoing transformations are so difficult to achieve. As an essentialpart of this endeavor, it highlights the multiple ways in which gender shapes and isshaped by broader processes of policy reform and innovation. Bolstered byabundant empirical evidence from four reform episodes-the 2002-2004 healthreform, the 2008 pension reform, the 2006-2010 expansion of childcare services,and the reform of maternity leave in 2011-the thesis interrogates the scope andthe quality of recent changes, analyzes their implications for women's rights andgender equality, and unveils the complex interplay of institutional, agential andideational factors that have shaped specific policy choices. It holds that none of thepolicy areas has experienced sweeping change or path departure. Instead, policyinnovations have taken place in historically and contextually bounded ways: whilethe scope and purpose of existing welfare institutions has been redefined and newrules have been layered on to previously existing institutional arrangements, coreelements of these arrangements-and of the broader context-have remainedfirmly in place. Against this backdrop, positive gender change did indeed occur:greater access to non-contributory pensions, more accessible childcare services andmore generous maternity leave regulations all benefit women. Yet, selective andpiecemeal reform strategies also entailed important trade-offs that hamper theequity-enhancing effect of otherwise important policy innovations. This generalverdict, however, conceals important variations across policy areas both in terms ofthe (re)articulation of state-market relationships and in terms of the integration ofgender concerns. The thesis locates these variations at the intersection of sectorspecificpolicy legacies and more contingent moments of political opportunity.
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Familialism and social policy in Hong Kong.January 2004 (has links)
Ko, Yee-wai. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2004. / Includes bibliographical references (leaves 164-180). / Abstracts in English and Chinese. / Acknowledgements --- p.i / Table of Contents --- p.ii / List of Tables and Figures & List of Appendixes --- p.iv / Abstract --- p.v / Chapter CHAPTER 1: --- Introduction --- p.1 / Chapter 1.1 --- Research Background --- p.1 / Chapter 1.2 --- Intellectual Puzzle --- p.2 / Chapter 1.3 --- Aims and Significance --- p.3 / Chapter 1.4 --- Structure of the Thesis --- p.4 / Chapter CHAPTER 2: --- The Change in Family Forms in Hong Kong and the Review of Related Literature --- p.7 / Chapter 2.1 --- The Rise of Non-Conventional Families in Hong Kong --- p.7 / Chapter 2.2 --- Family Study in Hong Kong --- p.11 / Chapter 2.3 --- Changing Familial Structure in the West --- p.15 / Chapter 2.4 --- The Evolving Concept of Family --- p.22 / Chapter 2.5 --- Family Under Social Constructionism --- p.29 / Chapter 2.6 --- Making Use of the Family in Social Policy --- p.33 / Chapter 2.7 --- Feminist Approach to Family --- p.42 / Chapter 2.8 --- A Summary - From Literature Review to Research Question --- p.48 / Chapter CHAPTER 3: --- Methodology --- p.51 / Chapter 3.1 --- Research Question --- p.51 / Chapter 3.2 --- Research Design --- p.54 / Chapter 3.3 --- Operationalization of Key Concepts --- p.56 / Chapter 3.4 --- Operationalization: Analytical Tools --- p.61 / Chapter CHAPTER 4: --- Incongruity Between New Familial Needs and Social Policy--- The Case of Public Housing Policy --- p.69 / Chapter 4.1 --- Western Experience --- p.69 / Chapter 4.2 --- Cases Exemplifying the Policy Mismatch --- p.73 / Chapter 4.3 --- Government Response --- p.85 / Chapter CHAPTER 5: --- Analysis of Family Life Education--- An Educational Tool to Alleviate the 'Family Problems'? --- p.92 / Chapter 5.1 --- Introduction: FLE Campaign in Hong Kong --- p.93 / Chapter 5.2 --- Findings --- p.95 / Chapter 5.3 --- Summary and Implications of Findings --- p.115 / Chapter CHAPTER 6: --- Discussion--- The Appropriation and Normalization of the Patriarchal Family by the State --- p.126 / Chapter 6.1 --- Gender Inequalities in Conventional Patriarchal Families --- p.127 / Chapter 6.2 --- Government's Role in Perpetuating the Patriarchal Relations --- p.128 / Chapter 6.3 --- The Perpetuation of Gender Inequality Through Social Policy --- p.140 / Chapter 6.4 --- Patriarchal Family - Impact on Women --- p.148 / Chapter CHAPTER 7: --- "Conclusion--- Limitations, Further Study and Concluding Remarks" / Appendixes / Reference
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Programa bolsa Família no CREAS Arlindo Rodrigues: o que os usuários pensam dele? / Bolsa Familia Program into the CREAS Arlindo Rodrigues: what user's think about the program?Denise Torrentes Vianna 30 September 2011 (has links)
O presente estudo tem como objeto o Programa Bolsa Família, buscando captar, junto aos usuários, as suas impressões acerca deste, que é o carro-chefe dos programas sociais do atual governo federal. Com base nos pressupostos de que o Bolsa Família tem forte apelo popular; é legitimado em larga escala por diferentes segmentos sociais e tem centralidade no campo da Assistência Social, a hipótese é de que os usuários, enquanto beneficiários diretos do Programa tendem à sua defesa, apesar de dificuldades e problemas que possam apontar. Muitos estudos têm debatido o Bolsa Família, mas ressentem-se de uma abordagem que coloque em cena os usuários. Para a realização deste estudo, que tem como referência o materialismo histórico-dialético, foram investigados diversos autores acerca do tema Política Social e diversos documentos de fontes primárias, como jornais, legislação e material institucional, bem como, pesquisa junto aos usuários do Bolsa Família que utilizam o Centro de Referência da Assistência Social (CREAS) Arlindo Rodrigues, na Tijuca, Rio de Janeiro, como local para aquisição e manutenção do benefício do Programa. A pesquisa, entre outros elementos, aponta para uma aceitação deste, ainda que haja alguns questionamentos e objeções por parte dos usuários. A procura ao CREAS é constante e intensa configurando o centro de referência como espaço central de atendimento ao Bolsa Família. / This study has as object the Bolsa Família Program, seeking to capture users views of this, which is the main program of the current federal government. Based on the assumptions that Bolsa Família has strong popular appeal; is legitimated in large scale by different social segments and reaches a focus in Social Welfare field, the hypothesis is that the users, as direct beneficiaries of the program tend to its defense, despite difficulties and problems that they might point to. Many studies have been debating Bolsa Familia, but suffer from an approach that put users in scene. For this study, which has as reference the historical and dialectical materialism, it was investigated several authors on the subject Social Policy and various documents from primary sources such as newspapers, legislation and institutional material, as well, it was done survey with the users of the program that goes to the Reference Center for Social Welfare (CREAS) Arlindo Rodrigues, in Tijuca, Rio de Janeiro, for acquiring and retaining the benefit of the program. The research, among other things, points to an acceptance of this, although its users make some questions and objections about the Program. The search for CREAS is constant and intense making the reference center a setting to Bolsa Família services.
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