A promoção da saúde e os desafios na sua ampliação.

Abstract

Health promotion as "the state of complete physical, mental and social well-being, not simply the absence of disease or infirmity" (OTAWA, 1986, p.1) is far from the reality in Brazil. The Family Health Strategy was a breakthrough in health promotion, which if well structured, could absorb the demand for the most frequent and important health problems health in its territory. Some factors undermine the objective of this strategy, such as flexner's training of health professionals, lack of intersectoriality, overload in basic health care, precariousness of PHUs, permanent lack of training, reduced social participation and lack of financial interest in promoting this public policy. The main objective of this qualitative research is to report on the obstacles that currently exist for the expansion of this policy capable of reversing the health situation of the country at the present time. UBS was visited to know the dynamics of managers and the types of health promotion approaches, through non-participant observation and informal conversation with them. The literature review sought to confront the reports of UBS managers, health publications and scientific articles related to the theme Health Promotion, its limitations and advances. The actions of health promotion in practice in the UBS are small, although few units have been visited in order to expand the studies and their results.