BRAZILIAN PUBLIC HEALTH ASSOCIATION

1
BRAZILIAN PUBLIC HEALTH ASSOCIATION Governance
Board of Directors (elected every three years)
President 5 Vice-Presidents, Executive
Council - representatives from 5 institutional
members Executive Secretariat, 4 committees
and 13 working groups - main areas in the field
of Collective Health 1 Forum of Program
Coordinators (Specialization, MSc, PhD)
2
academy
44 institutional members schools, research
institutes, and departments of Public
Health/Collective Health, and Preventive and
Social Medicine, in 15 Brazilian
states. 4.3000 individual members
3

• science
• knowledge production and management
• growing academic recognition for the journals
  Ciência Saúde Coletiva
• and Revista Brasileira de Epidemiologia
• and books and anthologies published by Abrasco
  itself and as co-editions with university
  publishing houses. (brazilians international
  editors)
• the website www.abrasco.org.br as an instrument
  for public health knowled dissemination and
  relevant information in the field,
• and renewed and expanded strategies for
  editorial coverage promoted by Abrasco Livros.

4

• science
• knowledge production and management
• interaction between teaching and research centers
  and
• health services and the promotion of related
  events (2006)

5

• joint together almost eleven thousand
  participants
• from 77 countries
• brazilian president, health ministers, health
  leadership
• representing 26 nations

6

• scientific production
• 5 main conferences - 16 debates sessions - 152
  panels
• 168 free themes communications
• 7.433 poster presentations
• 24 workshops - 15 business meetings - 3
  international symposium
• 4 general assemblies (WFPHA - ABRASCO - CEBES -
  ALAESP)

7
brazilian association of collective health
academy
health
science
advocacy
8
Public Health Associations and Policy
Development do we influence Public Health Policy
? The Brazilian Public Health Association
in face of the advocacy
José R. Carvalheiro
President of ABRASCO 12th World Congress on
Public Healt IstanbulTurkey 29th April 2009
9

• Advocacy versus Political Activity (in Health)
• (Some Conceptual issues)
• Theory and practice in the Public Policy
  formulation
• Epistemic Communities and Interest Groups
  global, national, and local
• (street level bureaucracy and street level policy
  making)
• The Bourdieu concept of field (and the creation
  of Abrasco)
• Hegemonic (Ortodox) versus Contra-hegemonic
  (Heterodox)
• Evidence Based Medicine and Evidence Based Policy
  ()
• Knowledge Transfer in the Public Health field
  (KT)
• Health for All, and Health in All Policies
• () There is nothing a government hates more
  than to be well-informed for it makes the
  process of arriving at decisions much more
  complicated and difficult.
• (Attributed to John Maynard Keynes, Quoted by
  Patrick Fafard - University of Ottawa)

10
WHO in 60 years a chronology of public health
milestones 1945 The United Nations Conference
in San Francisco unanimously approves the
establishment of a new, autonomous international
health organization. (Joint Proposal Submitted
by the Delegations of Brazil and China. 1946
The International Health Conference in New York
approves the Constitution of the World Health
Organization in July.
. 1948 Dr. Brock Chisholm from Canada is
elected as the first Director-General of the
World Health Organization.
.. 1953 Dr Marcolino Gomes Candau of
Brazil is elected as the second Director-General
of the World Health Organization.
11
Advocacy versus Political Activity (in
Health) (Some References) Epidemiology and
Health Policy (Holland, W. W. Wainwright, A. H.
Epidemiol Rev.1 211-232, 1979). Advocacy is
the relationship between research and social
activity of sponsors and stakeholders, it is an
Intervention Anthropology. (Harris, M.
Antropology and modern life, in Culture, People,
Nature. An Introduction to General Antropology.
(1991.)
12
    The Social Nature of Science Before Kuhn
Ludwik Fleck (1930) Collective Learning and
Innovation Peter M. Haas, Epistemic
Communities and International Policy
Coordination" (1992.) "Epistemic communities are
channels through which new ideas circulate from
societies to governments as well as from country
to country. (Interest groups and street level
bureaucracy)      
13
The role of Abrasco (and CEBES) in the
constitutional period (80s) SUDSMunicípio and
Health, Health Institute, SP The creation of
the National Health System (SUS) 1988 The
difficulties in the way of implementation of
SUS The contradictions intrinsic in the SUS
governance, Tripartite Council, and State
Bipartite Councils Social Controls (National,
State, and Municipalities Councils and
Conferences)
14
sanitary movement brazilian health reform -
dimensions of the

15

• health
• political and institutional representation and
  action
• member of National Health Council and its
  various committees - national health policies
• representatives promoting dialogue with
  government policy-making agencies on Science and
  Technology in defense of the Collective Health
  field
• joint together teaching and researching centers
  on the National Forum
• of Post Graduate Institutions on Collective
  Health
• brazilian representative of ALAMES - ALAESP -
  COLUFRAS
• member of the executive board of the World
  Federation of Public Health Associations

16

• health
• political and institutional representation and
  action
• the promotion of health forums for the
  production of position papers and
• proposals to bring the Health issues into the
  center of the
• political debate,
• the establishment, in 2005 - together with
  CEBES, Rede Unida, ABRES and
• AMPASA - of the permanent Forum on Health
  Reform to set an agenda for
• political action aimed at improving the
  development of the SUS,
• the manifesto drafted by this Forum,
  Reaffirming Commitments to Brazilians
  Health, addressed to health professionals and
  managers and members of the Congressional Health
  Caucus - launched in November 2005 in the
  Chamber of
• Deputies in Brasilia,

17
Science and Technology in Health CNS CICT
CONEP 1st Conference 1994 Sc Tec/Hlth
Seminar ( 400) Agenda 2nd Conference 2004
ScTec Innovation RD in Health Policy
Agenda Revision NEW TENDENCIES Evidence Based
Medicine Public Health Policy (EVIPNet) Translati
onal and KT Health Productive
Complex Innovation and Innovative Developing
Countries MOH DECIT (Agenda) (PP-SUS)
plus Health (PAC) FIOCRUZ CDTS -
Innovation Project
18
Contradictions and Controversies The recent
contradiction between the three powers
(executive, parliament, and supreme court)
republican pact (recent agreement) The most
recent controversy in the health field judicial
sentences about health actions, mainly drug
prescription and use The Public Audience in the
Supreme Court and the exclusion of Abrasco as one
of the invited speakers (April 27, 2009) (AMPASA).