Malária e Políticas Públicas: O caso de Roraima

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A GEOGRAFIA DA SAÚDE NO
CRUZAMENTO DE SABERES
Paula Santana e Paulo Nossa, Coordenação
GeoSaúde 2014, Universidade de Coimbra, Portugal | 2014

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Copyright© 2014
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Universidade de Coimbra, Portugal
Todos os direitos reservados
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Coordenação: Paula Santana e Paulo Nossa
Editora: Paula Santana
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Capa:
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Abril, 2014

872
GEOSAÚDE’2014
- I Congresso d e Geografia da Saúd e dos Países de Língua Portuguesa
Coimbra, Por tugal, 2 1 -24 A bril 2014
E7 | COMUNICAÇÕE S OR AIS
Malária e Políticas Públicas
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Helen C. GURGEL1
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Introdução
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GHSURMHWRVGHGHVHQYROYLPHQWRSULQFLSDOPHQWHJRYHUQDPHQWDLVTXHSURYRFDPSUR-
IXQGDVPXGDQoDVDPELHQWDLVHVRFLDLV$SDUWLUGHVWHPRPHQWRHSLGHPLDVLPSRUWDQ-
WHVGHPDOiULDFRPHoDPDGHVHQFDGHDU3DVVDVHGHFDVRVHPDPDLVGH
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Objetivos
&RQKHFHUD LPSRUWkQFLD GHVVH FRPSURPLVVRSROtWLFR QR FRPEDWH jPDOiULD p
GHVXPDLPSRUWkQFLDDVVLPRREMHWLYRGHVWHWUDEDOKRpDQDOLVDUDGLQkPLFDGHVVD
GRHQoDQRV~OWLPRVDQRVHP5RUDLPDDSDUWLUGDHODERUDomRGHLQGLFDGRUHVGH

873
GEOSAÚDE’2014
- I Congresso d e Geografia da Saúd e dos Países de Língua Portuguesa
Coimbra, Por tugal, 2 1 -24 A bril 2014
E7 | COMUNICAÇÕE S OR AIS
HÀFiFLDGHVVDVSROtWLFDV (VFROKHXVH5RUDLPDSRUVHUXP HVWDGRDPD]{QLFRTXH
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QHLGDGHVRFLRDPELHQWDO
Metodologia
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PLROyJLFDGHDVVLVWrQFLDjVD~GHHGHPRJUiÀFRVGR0LQLVWpULRGD6D~GHQRSHUtRGR
GHD$SyVDFROHWDGRVGDGRVIRLIHLWDDFRPSLODomRHVLVWHPDWL]DomRGRV
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GHPDOiULDHGHDVVLVWrQFLDDVD~GHHJHURXVHFDUWRJUDPDVJUiÀFRVHWDEHODV
Resultados
'HVGHDPDOiULD p XPD GRHQoD j GHFODUDomR REULJDWyULD &DGD SHVVRD
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LQIRUPDo}HVVREUHRQ~PHURGHSHVVRDVTXHUHDOL]RXH[DPHVDRORQJRGRVDQRVHR
Q~PHURGHFDVRVGHPDOiULDFRQÀUPDGRV$IDFLOLGDGHFRPDTXDODSRSXODomRWHP
DFHVVRjUHDOL]DomRGRH[DPHpXPLQGLFDGRUGDHÀFLrQFLDGHDVVLVWrQFLDjVD~GH
GLVSRQLELOL]DGDSDUDDSRSXODomR9LVWRTXHVHXPDJUDQGHTXDQWLGDGHGHH[DPHV
WLYHUVLGRUHDOL]DGDSURYDYHOPHQWHPDLRUIDFLOLGDGHDSHVVRDWHYHGHID]rORQmR
EXVFDQGRDVVLVWrQFLDVRPHQWHTXDQGRHVWLYHUPXLWRGRHQWH(VWDIDFLOLGDGHRXGL-
ÀFXOGDGHGHDFHVVR PRVWUDGH FHUWDIRUPDRFRPSURPLVVRGRV UHVSRQViYHLVSDUD
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IRUPXORXVHXPtQGLFHTXHFKDPDPRVGHÌQGLFHGH(ÀFiFLD,((OHpFDOFXODGRD
SDUWLUGRQ~PHURGHH[DPHVUHDOL]DGRVPHQRVRQ~PHURGHH[DPHVSRVLWLYRVGLYL-
GLGRSHODSRSXODomRUHVLGHQWHHWRWDOPXOWLSOLFDGRSRUPLO>@
6HR,(IRUHOHYDGRVLJQLÀFDTXHDGLIHUHQoDHQWUHRQ~PHURGHH[DPHVUHDOL-
]DGRVHDTXDQWLGDGHGHFDVRVSRVLWLYRVGHPDOiULDHPUHODomRDRQ~PHURGHKDEL-
WDQWHVpLPSRUWDQWH8PDGLIHUHQoDFRQVLGHUiYHOSRGHVHWUDGX]LUQXPERPDFHVVR
DDVVLVWrQFLDj VD~GHSHOD SRSXODomRR TXHPRVWUDHQWmRXPFRPSURPLVVR PDLV
IRUWHGRVUHVSRQViYHLVS~EOLFRVQDOXWDDQWLPDOiULFDSRLVRJRYHUQRSURYDYHOPHQWH
HVWiSRQGRDGLVSRVLomRGDSRSXODomRXPDPDLRUTXDQWLGDGHGHORFDLVHGHDJHQWHV
FDSDFLWDGRVSDUDUHDOL]DURVH[DPHV
8PDIRUWHYDULDomRGR,(pFRQVWDWDGDDRORQJRGHWRGRRSHUtRGR
VREUHWXGRGXUDQWHDV~OWLPDVGpFDGDV2EVHUYDQGRVLPXOWDQHDPHQWHDWDEHODHD
ÀJXUDpSRVVtYHOREVHUYDUTXHGXUDQWHDGpFDGDGHRVH[DPHVGHGHVSLVWDJHP
GDPDOiULD HUDPUDURV SRLVD GLIHUHQoD HQWUHR Q~PHURGH H[DPHV UHDOL]DGRVH
SRVLWLYRVp PXLWR EDL[D$PHOKRULDGDUHDOL]DomR GR H[DPHIRLGXUDQWH D GpFD-
GD(QWUH HFRQVWDWDVH XPLPSRUWDQWHSURJUHVVR(VWH SHUtRGR
FRUUHVSRQGHDR GH DEHUWXUD GDVHVWUDGDV%5 H %5 >@$LPSRUWkQFLDGD
OXWDFRQWUDDPDOiULDQRVORFDLVGHFRQVWUXomRGDVHVWUDGDVIRLQRWDGDQHVVDpSR-
FDUHVXOWDQGRHPXPDDWHQomRHVSHFLDOjVD~GHGRVWUDEDOKDGRUHVGHVVHVJUDQGHV
HPSUHHQGLPHQWRVFRPDUHDOL]DomRIUHTXHQWHGHH[DPHVGHGHVSLVWDJHP>H@
$VVLPRSLFRREVHUYDGRGXUDQWHHVWHSHUtRGRpSURYDYHOPHQWHOLJDGRDRVH[DPHV
GURGEL
| Malária e polít icas públicas

874
GEOSAÚDE’2014
- I Congresso d e Geografia da Saúd e dos Países de Língua Portuguesa
Coimbra, Por tugal, 2 1 -24 A bril 2014
E7 | COMUNICAÇÕE S OR AIS
UHDOL]DGRVQRVWUDEDOKDGRUHVGXUDQWHHVVDVREUDV$SyVDFRQVWUXomRGDVHVWUDGDV
TXHFRLQFLGHLJXDOPHQWHFRPRÀPGRSURJUDPDPXQGLDOGHHUUDGLFDomRGDPDOi-
ULDFRQVWDWDVHFHUWDHVWDELOL]DomRFRPXPDOLJHLUDTXHGDGDTXDOLGDGHGHDFHVVR
DRVFXLGDGRVGXUDQWHRVYLQWHDQRVVHJXLQWHV(VVHVDQRVVmRPDUFDGRVSHODIDOWD
GHDo}HVFRQFUHWDVHPSUROGDOXWDDQWLPDOiULFDVREUHWXGRGHYLGRjDXVrQFLDGH
SURJUDPDVLQWHUQDFLRQDLV>@1RLQtFLRGRVDQRVD2UJDQL]DomR0XQGLDOGD6D~-
GH206ODQoDQRYDVGLUHWLYDVFRQWUDPDOiULDHD)81$6$)XQGDomR1DFLRQDOGH
6D~GHÀFDHQFDUUHJDGDGHFRORFDUHPSUiWLFDDVDo}HVGHFRQWUROH5HFRQTXLVWDVH
DVVLPXPDPHOKRULDGDTXDOLGDGHGHDFHVVRjDVVLVWrQFLDDVD~GH&RQWXGRXPD
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WUDPDOiULDpODQoDGRHPHDVSULPHLUDVDo}HVGHGHVFHQWUDOL]DomRVmRUHDOL-
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PDLVXPDFDPSDQKDDQWLPDOiULFDpODQoDGDHFRPLVVRDXPHQWDR,(
Acesso à saúde Ano
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GURGEL
| Malária e polít icas públicas

875
GEOSAÚDE’2014
- I Congresso d e Geografia da Saúd e dos Países de Língua Portuguesa
Coimbra, Por tugal, 2 1 -24 A bril 2014
E7 | COMUNICAÇÕE S OR AIS
Conclusões
2VUHVXOWDGRV PRVWUDP XPD IRUWH ÁXWXDomRGR FRPSURPLVVR GRV JHVWRUHV GH
VD~GH HP HVSHFLDO GXUDQWH PXGDQoDV GH JRYHUQR IDYRUHFHQGR DVVLP H[SORV}HV
SHULyGLFDVGDPDOiULDQRWDGDPHQWHGXUDQWHDV~OWLPDVGpFDGD(VWDVLWXDomRWDP-
EpPSURYRFRXXPDIDOWDGRFRQWUROHHIHWLYRHGXUDGRXURGDPDOiULDHP5RUDLPD
DVVLPFRPRHPWRGDDUHJLmRDPD]{QLFDRQGHRQtYHOGHDFHVVRjDVVLVWrQFLDjVD~-
GHFRQWLQXDDVHULQVXÀFLHQWH2VUHVXOWDGRVWDPEpPDSRQWDPTXHRHQJDMDPHQWR
SROtWLFRGDV GLYHUVDV LQVWkQFLDV GR JRYHUQR HD FRQVFLHQWL]DomR GD SRSXODomR GR
GLUHLWRDRDFHVVRDVD~GHVHPRVWUDPLQGLVSHQViYHLVSDUDDHÀFiFLDGRVSURJUDPDV
GHFRQWUROH$OXWDFRQWUDD PDOiULD QHFHVVLWD GH XP HVIRUoR FRQWtQXR GHORQJD
GXUDomRFRPRPRVWUDPDVFDPSDQKDVHXURSpLDVHEUDVLOHLUDVTXHWLYHUDPr[LWRQD
HUUDGLFDomRGHVVDGRHQoD
Referências
[1] *XVPmR 5  7KH FRQWURO RI PDODULD LQ %UD]LO In: E.A. Casman e H.
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3UHVVSS
[2] 7KHU\+0HOOR 1$$WODVGX%UpVLO&ROOHFWLRQ'\QDPLTXHVGX WHUUL-
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[3] *XUJHO+&3DOXGLVPHHWG\QDPLTXHVHQYLURQQHPHQWDOHVGDQVO·eWDW
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[5] %DUDWD5&%0DODULDLQ%UD]LOWUHQGVLQWKHODVWWHQ\HDUV&DGHUQRV
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[6] /RLROD&&3HWDO&RQWUROHGDPDOiULDQR%UDVLOD5HYLVWD
3DQDPHULFDQDGH6DOXG3~EOLFDSS
[7] *XUJHO+&)RWVLQJ-0$YDQFpHGXPRQGHDYDQFpHGHVSDUDVLWHV
DYDQFpHGHODPpGHFLQHOHSDOXGLVPHDX%UpVLO,Q-/RPEDUGHWDO(G
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| Malária e polít icas públicas