Avaliação em profundidade da Política Nacional de Saúde Integral da População Negra–PNSIPN: acesso à saúde da população quilombola de Alto Alegre em Horizonte-Ceará

Abstract

This study assesses the National Policy for Comprehensive Health of the Black Population (PNSIPN) regarding access to healthcare for the quilombola community of Alto Alegre, located in Queimadas, a rural area of Horizonte-CE. The primary aim is to investigate how the PNSIPN contributes to democratizing healthcare access for this specific population, based on an in-depth evaluation by Rodrigues (2008) across the dimensions of content, context, trajectory, temporality, and territoriality. Recognizing the historical inequities and racial prejudice faced by this community, the study views health promotion as essential for securing the social right to health. Qualitative in nature, with exploratory and descriptive aims, it utilizes a case study approach (Yin, 2001; Gil, 2008) and data collection techniques including bibliographic and documentary research, along with semi-structured interviews (Minayo; Deslandes; Gomes, 2016). Data analysis will be conducted through documentary and discourse analysis, applying a counter-hegemonic and interdisciplinary approach (Gonçalves, 2008; Rodrigues, 2008; 2019; Gussi, 2008, 2019; Gussi; Oliveira, 2015, 2016). Taking a holistic and interdisciplinary perspective, the study examines factors beyond Basic Health Units (UBS), encompassing local, municipal, state, and national elements influencing healthcare access. The analysis highlights institutions such (NUPPIRH) and the Negro Cazuza Cultural Center, emphasizing their role in promoting health and preserving the cultural heritage of the quilombola community. The theoretical framework includes Health (Silva, 2013; WHO; Ministry of Health), Race (Gonzalez, 1988; Schwarcz, 1999; Munanga, 2014), and Gender (Carneiro, 2003; Gonzalez, 2018; Rios; Ratts, 2018).