Enhancing Critical Reflection of Brazilian Community Health Agents' Awareness of Social Determinants of Health

被引：3

作者：

Zanchetta, Margareth S. ^{[1
]}

Salami, Bukola ^{[3
]}

Bailey, Annette ^{[2
]}

Guruge, Sepali ^{[2
]}

Ohama, Ann ^{[4
]}

Renaud, Lise ^{[5
]}

Rheaume, Jacques ^{[5
]}

Cote, Roger ^{[6
]}

Perreault, Michel ^{[7
]}

da Cunha, Zeilma ^{[8
]}

Maulgue, Alia ^{[9
]}

Tel, Jonathan ^{[10
]}

Avila, Marlene M. ^{[11
]}

Boery, Rita N. S. O. ^{[12
]}

机构：

[1] Ryerson Univ, Ctr Global Hlth & Hlth Equ, Ontario Multicultural Hlth Appl Res Network & Res, Toronto, ON, Canada

[2] Ryerson Univ, Toronto, ON, Canada

[3] Univ Alberta, Edmonton, AB, Canada

[4] St Michaels Hosp, Toronto, ON, Canada

[5] Univ Quebec Montreal, Montreal, PQ, Canada

[6] Multicaf, Montreal, PQ, Canada

[7] Univ Montreal, Montreal, PQ, Canada

[8] Estscio Sa Univ, Rio De Janeiro, RJ, Brazil

[9] Columbia Univ, New York, NY USA

[10] William Osler Hosp, Etobicoke, ON, Canada

[11] State Ceara Univ, Fortaleza, Ceara, Brazil

[12] Southwest State Bahia Univ, Jequie, BA, Brazil

来源：

SAGE OPEN | 2014年 / 4卷 / 04期

基金：

加拿大健康研究院;

关键词：

community health agents; social determinants of health; health promotion; professional training; critical reflection;

D O I：

10.1177/2158244014556632

中图分类号：

C [社会科学总论];

学科分类号：

03 ; 0303 ;

摘要：

This project aims to assess how Brazilian community health agents' critical awareness of the social determinants of health was enhanced and led to a greater understanding of the major structural changes necessary to sustain health promotion initiatives. Educational workshops inspired by Paulo Freire's ideas on critical pedagogy were delivered to 82 community health agents in three Brazilian cities. The workshops utilized evocative objects to link and develop participants' conceptual and experiential knowledge. The participants exchanged connections and experiences and created hypothetical action plans to be implemented in collaboration with community members. The discussions were audio recorded, transcribed verbatim, and submitted to content analysis. The connections provoked by evocative objects were related to required assets for the development of a healthy community. As social advocates, they are already committed to a social movement for health equity to catalyze a more equitable distribution of social goods, promote social inclusion, and liberate communities.

引用

页数：14

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