Programa saúde na escola: uma estratégia de governamento

Abstract

This thesis aims to problematize the relationship between health care and education in the School-Based Health Care Program (PSE) and the understanding of school as a place to spread health care practices among the population. This research is based on the implantation of the School-Based Health Care Program (2007), a policy that takes place in public schools. The research analyzes the following documents related to the Program: Guidelines of the School-Based Health Care Program for Local Projects (2008); Agenda - Education and Health Care (2010); PSE Step by Step - Opening Ways towards Inter-Sectoriality (2001); Guidelines for PSE Municipal Project (2011); and Instruction Handbook - PSE (2013). The theoretical reference of Foucauldian studies has been used as analytical methodology, by employing the tool concepts of government and discourse. The analyses of the research materials hasled to the understanding that the School-Based Health Care Program is a strategy to spread health care, particularly among socially vulnerable populations. Besides promoting health care, PSE allows the prevention of risk of diseases, and it is an important tool to know, oversee and control students and, consequently, the population as a whole. In this study, I have shown that spreading health care has been facilitated by inter-sectoriality (education and health), human resources qualification, material and human resources distribution, increased number of schools, popular participation, action involving students and the local community, production of a desire for health, and change of living conditions. I have found that PSE is a governing strategy that proposes certain behaviors in order to have students to invest in the conduction of their own health care, i.e. for them to develop skills to manage their health risks and spread such knowledge among their families and communities.