Saúde da população negra e vigilância em saúde: potências, ambivalências e caminhos para equidade racial

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Data
2025-09-26
Autores
Cordeiro, Marcos Vinicius da Silva
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Universidade Federal do Espírito Santo
Resumo
The doctoral thesis “Black Population Health and Health Surveillance: Potentials, Ambivalences, and Pathways to Racial Equity” aimed to analyze the actions of Health and Environmental Surveillance that contribute to the implementation and strengthening of Black Population Health and to addressing racism within Brazil’s Unified Health System (SUS). Structured in four articles, the research examined the integration between the National Policy for the Comprehensive Health of the Black Population (PNSIPN) and the National Health Surveillance Policy (PNVS), as well as the quality of health information disaggregated by race/color. The first article identified convergences and gaps between the two policies, emphasizing the need for stronger articulation and competency frameworks that incorporate the fight against racism as a cross-cutting directive. The second article analyzed the incompleteness of the race/color variable in national health information systems (2010–2023), highlighting recent improvements but persistent regional and thematic inequalities. The third article, a systematic review (2000–2024), revealed that national literature acknowledges the low quality of records, though rarely links it explicitly to institutional racism. The fourth article discussed recent Ministry of Health initiatives to improve racial data, pointing to progress in transparency and monitoring, while underscoring ongoing challenges in institutionalization and integration. The thesis concludes that Health Surveillance has an ambivalent role: it can enhance statistical visibility and inform equity-oriented policies, yet also reproduce invisibility when guided by technocratic logics. Building an anti-racist epidemiology, alongside strengthening critical training and information democratization, is essential for Health Surveillance to function as a strategic tool in confronting racial inequalities and ensuring the right to health within SUS and strengthening of the PNSIPN integrated with the PNVS.
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Racismo institucional , Saúde da população negra , Vigilância em saúde , Iniquidades em Saúde , Sistema Único de Saúde (SUS) , Institutionalized racism , Black or African American , Public health surveillance , Health inequities , Unified Heallth System
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