Hello guys I'm Paulo Sergio master in public health from the federal university of santa catarina and state leader of the Acredito movement and today i will talk a little bit with you about the history of public health in brazil these 518 years of brazil made public health pass for a series of transitions it is important to understand that 500 years ago brazil was populated by indians who were not adapted to a series of diseases that came from europe together with these portuguese which brought a differentiated health process already at that time with the arrival of
the royal family in 1808, university courses also came, including Medicine, so that the doctors who were in Brazil did not necessarily come from abroad, but started to pass through training in Brazil at that time, only those who had the most financial resources managed to have access to doctors and health services it is important to remember that they existed very strongly in brazil the holy houses and worked with the idea of charity and a very strong link with religious entities Dom Pedro II in 1822 he starts to work a bias more focused on urban changes and
within that we have in brazil lighting paving and that common practice and unfortunate that we have until today called sanitation where people in a state of greater social vulnerability forcibly leave the big centers and start to occupy the peripheral region of the city from then on we start construction in the favelas and the peripheries in brazil at the beginning from the 20th century from 1900 to 1922, more or less, the biological and sanitary issues going all over Brazil and it is important to keep in mind that more or less the middle of the last century,
sensitive diseases are the most common diseases and this transition from type of illness goes through the way health goes through in brazil so much that at that time we have very strongly actions focused on port areas and also many actions focused on the issue of vaccination, so we have a well-known health worker, oswaldo cruz, that brings this vaccination bias, even in a relatively controversial way, because we have some situations that are forced, which generates certain popular revolts at that time in 1920 we have what we call retirement and pension funds, what would that be, they
were agreements between employee and employer that make these employees have access to some social security and health resource in a certain way and also in a certain way this had a strengthening becoming with Getulio Vargas after the pension retirement institutes that are autarchy at federal level and stronger because the Caps until then they cover a very small group is and from that moment more people come to have access but it is very evident that those who have access to actions and health issues are the people who are related to the workforce so this is not
all because of the love of the government, but because it was necessary for people to have a high productivity, providing a return to the government, but it is also important to realize that this highlights the social inequalities in health because whoever had a job had access to health care who did not have a job ends up not having this access, so the tendency is start a distance between the worker and the person who had no work at that time receiving health care through the holy houses, which not necessarily could serve all people in a state
of vulnerability in Brazil, in 1934 we have the maternity leave, in 1943, we have the consolidation of labor laws that bring some rights also focused on health, but also strongly linked to this productivity bias, and many movements start to happen in Brazil, a lot happens, some buzz there, some national health conferences happening and then in the 70s and 80s we have a very well-known movement that later gave rise to these two formalize the SUS that we have today that health reform, which is a movement that was consolidated by health intellectuals, technical staff, some political parties,
social movements and also many researchers from some organizations such as the ABRASCO Brazilian postgraduate association in collective health and the UERJ who started thinking about health with a more social bias and not so biologist not so focused on the clinical care of diseases, the health starts to be seen with a broader look which we call as the expanded concept of health this all generates a movement and then we have all this discussed at the 8th national health conference that took place in 1986 and it was an important formalized action that brings subsidies for us to
finally get put in the federal constitution of 1988, the phrase everybody knows in article 196 that health is a right of all and a duty of the state, so the federal constitution brings it from article 196 to article 200 many topics about health, some questions related to the principles that we have today in the SUS but the SUS itself we understand it was formalized as a system based on the organic laws of health where we have the law 8080 of 1990 that brings the promotion prevention health treatment the SUS management way the SUS principles and
in law 8142 of 1990 it provides financing for SUS and an important tool that was the social participation, then law 8142 is well described what happens with the health councils and health conferences that are important tools for transparency and participation for population control before the health policies that happens in Brazil and for you to understand a little more the SUS principles and a little bit more of the mechanisms of social participation i invite you to watch the next videos thank you very much
