Navegando por Autor "NUNES, Silvia Ferreira"

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Acesso aberto (Open Access)
Dinâmica do desmatamento no município de Óbidos (PA) e o estudo da gestão do Programa Municípios Verdes (PMV)
(Centro Universitário Augusto Motta, 2019-06) AIRES, Alana Paula de Araújo; CARVALHO, André Cutrim; NUNES, Silvia Ferreira; RAVENA, Nírvea
The research aims to carry out a preliminary analysis on the socio-environmental and economic transformations that occurred in the municipality of Óbidos, in the State of Pará. Since natural resources are of great importance and their use requires planning and use of local public policies at the moment of managing these resources and use them in the best way, both to generate income for the population that resides in the region, and to preserve them. However, in recent years inadequate planning for extraction of these resources has not been carried out successfully and with due parsimony with the environment. This ends up generating a very high commitment of the natural resources with drastic consequences for the environment and for the development of the State. On the other hand, the economic and disorderly growth in border regions as the study municipality, continues being the main causes of deforestation. The objective of this article is to identify the deforestation process, as well as the link with deforestation and the importance of the institutions in the region of Pará and the municipality of Óbidos. The research will discuss the local public policies used to combat deforestation in the region, considering the needs and the preposition of alternatives capable of offering improvements in the current population of that region.
Acesso aberto (Open Access)
Instituto do pacto de saúde: regionalização e municipalização da saúde no Estado do Pará
(Universidade Federal do Pará, 2018) NUNES, Silvia Ferreira; NASCIMENTO, Durbens Martins; http://lattes.cnpq.br/4086120226722277
The main objective of this work is to understand if the Institute of the Pact, established by the Health Pact in 2006, promotes more cooperative and supportive behavior among federal entities involved in the compromise of public health policies, as well as, if it induces the proper allocation of functions, planning and organization of regionalized systems, and, if institutionality is guaranteed, to intergovernmental agreements, public health policies are necessary. In order to do so, it is intended to use as inspiration the Neo-institutional theoretical-methodological reference, specifically the rational choice and, within it, the Asymmetric Bargaining Theory, to investigate the problem. We assume that the fact that health service provision is conditional on the need for universal, equitable and integral care to Brazilian citizens with scarcity of resources and infrastructure, requires articulation between municipalities, state and union, in this way the articulation is far from being trivial and therefore the need for rules that establish parameters for the affirmation of intergovernmental pacts. It is observed that the institutional arrangement established by the SUS does not allow credibility in the commitments assumed by the federated entities and that the mechanisms used do not allow convergence of the strategies of the actors to the condition of cooperation. The pact institute does not create conditions to stabilize competing positions and internalize externalities, as well as contain the risk and uncertainties in the agreement, so it is insufficient in a context of conflicting interests with asymmetric information, power and resources and greater flexibility of the design regional level to alleviate the distributive struggle between municipalities offering and demanding medium and high complexity health services. These rules maintain the conditions for maximizing the individual interests of the disbursing municipalities and in asymmetric information conditions and tendencies in the political arena do not allow to establish levels of credibility of commitment between federated entities and added to exogenous factors to the process of agreement maintains attitudes that hurt the principles of universality, equities and integrality established by the Brazilian citizen constitution.
Acesso aberto (Open Access)
A Política nacional de urgência e emergência sob a coordenação federativa em municípios paraenses
(Universidade Federal do Pará, 2017-09) FARIA, Tamara Lima Martins; NASCIMENTO, Durbens Martins; FARIAS FILHO, Milton Cordeiro; NUNES, Silvia Ferreira
The national policy of the emergency department (PNAU) aims to mediate primary care and medium and high complexity services. Which is the theme of this article’s research, that aimed to identify the main difficulties of PNAU agreed management in two main cities of the metropolitan region of Belém, Pará, Brazil. This is a basic qualitative research, which used documents and semi-structured interviews with the main managers of both the policy and control and supervision institutions. The results indicate federative coordination difficulties that impose four constraints to the policy to be efficient: centralization, cooperation, financing, and agreement. We conclude that decentralization in the health area is still not efficient when it comes to the national policy of urgency and emergency, due to the difficulties that federal entities face with the required pacts and political issues present in planning and management.