The Program for Productive Inclusion and Health Security (PRAISSAN): between the reasonableness of health requirements and the cultural traditions of family farming
Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02139 | Published on: 29/09/2023
DOI:
https://doi.org/10.22239/2317-269x.02139Keywords:
Evaluative Research, Theory-driven Evaluation, Individual Microenterprises, Solidarity Economic EnterprisesAbstract
Introduction: In 2017, the Program for Productive Inclusion and Sanitary Security (PRAISSAN) was institutionalized by the National Health Surveillance Agency (Anvisa) with the purpose of socially and productively including individual micro-enterprises, solidarity economic enterprises, and family farmers through sanitary regularization of their activities. Objective: This study aimed to understand the articulation between the norms and guidelines that structure the design of PRAISSAN and the dynamics of implementation in different local contexts. Method: This is an evaluative research developed based on
the theoretical framework of the so-called theory-driven evaluation. The set of theoretical premises that shape the design of the intervention and the results of a multiple case study developed in three Brazilian municipalities, starting in 2017, with emphasis on the process of sanitary regularization of food produced by family farmers are discussed. Results: PRAISSAN provided a change in the approach of health surveillance agents and farmers. A focus on the practice of health surveillance professionals was identified. The guiding approach non-punitive on the practice of health surveillance professionals promoted a greater adequacy to the sanitary requirements by family farmers and facilitated the management of local actions. However, disagreements and challenges regarding productive inclusion, income generation and food marketing remain. Conclusions: The theory of the program
must be improved, in the direction of explaining how habits can be preserved without increasing the health risk in the production process. In addition, systematic investigations and evaluative research should be encouraged to advance in understanding the limits and advances of PRAISSAN.
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Raquel Hunger, Programa de Pós-Graduação da Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (ENSP/Fiocruz), Rio de Janeiro, RJ, Brasil
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Rosana Magalhães, Programa de Pós-Graduação da Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (ENSP/Fiocruz), Rio de Janeiro, RJ, Brasil
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Delaine Martins Costa, Programa de Pós-Graduação da Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (ENSP/Fiocruz), Rio de Janeiro, RJ, Brasil
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Copyright (c) 2023 Raquel Hunger, Rosana Magalhães, Delaine Martins Costa (Autor)
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