Services on Demand
Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
BOUSQUAT, Aylene; COHN, Amélia and ELIAS, Paulo Eduardo. Implementation of the Family Health Program and socio-spatial exclusion in the city of São Paulo, Brazil. Cad. Saúde Pública [online]. 2006, vol.22, n.9, pp.1935-1943. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2006000900025.
The present article analyzes the implementation of the Family Health Program (FHP) in São Paulo, Brazil, taking as its reference the occupation of the city's space, characterized by strong socio-spatial segregation. The population coverage and consolidation achieved by the FHP and the partner institutions' legal and institutional formats were identified in 96 Administrative Districts (AD). The study then proceeded to stratify these ADs beginning with their position in a ranked social exclusion map. ADs were classified in five groups. Based on these results, a typology was produced in the FHP implementation in this capital city of the State of São Paulo. Clearly distinct patterns were identified when the ADs were ranked for exclusion/inclusion. FHP implementation was effective within the peripheral ADs, especially those in Group 1, indicating pressure for the Municipal Health Secretariat to comply with its discourse, which had assumed the FHP as a health care model to be implemented throughout the city, at least reaching the entire low-income population.
Keywords : Family Health Program; Health Policy; Primary Health Care.