Encounters and narratives the insertion of socio-environmental health in the perspective of health promotion

Abstract

Health promotion is an ethical-political-cultural process in permanent action on social determinants of health, creating collective and individual conditions to produce life with autonomy. The ISS-BSC-Unifesp Pedagogical Project, based on interprofessional education, is anchored in the expanded health process, covering health care practices as learning spaces inserted in the communities' daily life and articulations with the environmental issue. In this context, the Complexity theory was used as a theoretical approach to the development of the module Encounters and Production of Narratives, part of the Common Curricular Axis Health Work. In this module, in the period from 2017 to 2019, students of the six courses were in contact with populations exposed to chemical pollution in their territories of residence or work, to develop narratives focused on health-environment-disease-care processes. The relationship of socio-environmental health issues and illness has the potential to broaden the students' perception on care, listening, attention, and intersectoral approach. Evaluation occurs throughout the process, with the field diaries and feedback to the narrators and the groups of students. A health formation is constructed, epistemologically and methodologically anchored in health promotion as a formative and intervening field.