Cadernos de Saúde Pública
On-line version ISSN 1678-4464
Print version ISSN 0102-311X
GERHARDT, Tatiana Engel. Therapeutical itineraries in poverty situations: diversity and plurality. Cad. Saúde Pública [online]. 2006, vol.22, n.11, pp.2449-2463. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2006001100019.
The low-income population's practices and strategies for coping with daily problems, especially in relation to the search for health care, are analyzed by means of therapeutic itineraries. To unveil this population's coping strategies in relation to their health-disease process means identifying the individual and collective strategies and the meaning of these social dynamics related directly or indirectly to health. The search for treatment is described and analyzed here in relation to socio-cultural practices in terms of the paths chosen by individuals in the attempt to solve their health problems. The study thus indicates an interdisciplinary and multi-methodological and conceptual approach relating concepts of practices, strategies, and health and life situations. The point of departure is that ways of coping with health problems require an understanding of the strategies developed in a process of (re)appropriation and (re)construction of knowledge. It is equally important to identify social support networks and individual capacity to mobilize such resources. The recognition of these practices allows (re)directing actions in collective health.
Keywords : Delivery of Health Care; Socioeconomic Factors; Problem Solving.