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- The relevancy of massive health education in the Brazilian prison system: the course “health care for people deprived of freedom” and its impactsPublication . Valentim, Janaína Luana Rodrigues da Silva; Trindade, Sara Dias; Oliveira, Eloiza da Silva Gomes de; Moreira, J. António; Fernandes, Felipe; Romão, Manoel Honório; Morais, Philippi Sedir Grilo de; Caitano, Alexandre; Dias, Aline de Pinho; Oliveira, Carlos Alberto Pereira de; Coutinho, Karilany Dantas; Ceccim, Ricardo Burg; Valentim, RicardoIntroduction: Brazil has one of the largest prison populations globally, with over 682,000 imprisoned people. Prison health is a public health emergency as it presents increasingly aggravating disease rates, mainly sexually transmitted infections (STI). And this problem already affects both developed and developing nations. Therefore, when thinking about intervention strategies to improve this scenario in Brazil, the course “Health Care for People Deprived of Freedom” (ASPPL), aimed at prison health, was developed. This course was implemented in the Virtual Learning Environment of the Brazilian Health System (AVASUS). Given this context, this study analyzed the aspects associated with massive training through technological mediation and its impacts on prison health. Methods: This cross-sectional study analyzed data from 8,118 ASPPL course participants. The data analyzed were collected from six sources, namely: (i) AVASUS, (ii) National Registry of Health Care Facilities (CNES), (iii) Brazilian Occupational Classification (CBO), (iv) National Prison Department (DEPEN); (v) Brazilian Institute of Geography and Statistics (IBGE); and the (iv) Brazilian Ministry of Health (MoH), through the Outpatient Information System of the Brazilian National Health System (SIA/SUS). A data processing pipeline was conducted using Python 3.8.9. Results: The ASPPL course had 8,118 participants distributed across the five Brazilian regions. The analysis of course evaluation by participants who completed it shows that 5,190 (63.93%) reported a significant level of satisfaction (arithmetic mean = 4.9, median = 5, and standard deviation = 0.35). The analysis revealed that 3,272 participants (40.31%) are health workers operating in distinct levels of care. The prison system epidemiological data shows an increase in syphilis diagnosis in correctional facilities. Conclusions: The course enabled the development of a massive training model for various health professionals at all care levels and regions of Brazil. This is particularly important in a country with a continental size and a large health workforce like Brazil. As a result, social and prison health impacts were observed.
- Interfaces between communication, education and health: a scoping review protocolPublication . Batista, Natalia Araújo do Nascimento; Henriques, Susana; Lacerda, Juciano; Aline de Pinho Dias; Muñoz Gallego, Almudena; Abreu, Danielle Correia Neves; Clemente, Heleni Aires; Bidarra, José; Araújo, Kaline Sampaio de; Coutinho, Karilany Dantas; Sanjuán Núñez, Lucía; Romão, Manoel Honorio; Freire, Maria da Guia Cunha Dantas; Tavares, Mirian; Reis, Mônica Karina Santos; Lorite García, Nicolás; Valentim, RicardoIntroduction The interfaces between the fields of communication, education and health have been indicated by international institutions such as the WHO and the European Centre for Disease Prevention and Control. However, hegemonic scientific practices supersede dialogue between the three fields, isolating their practices. This fragmenting tendency is observed in scientific literature, which has created gaps in the dialogue and articulation between communication, education and health. Although health promotion requires both communicative and educational practices, the epistemological, historical, political, cultural and socioeconomic aspects have also engendered tensions between the fields. Communication is often seen as a mere instrument for other practices, rather than a phenomenon that (re)produces meanings and power dynamics. In opposing the reductionist and instrumentalising perspectives of knowledge fields, the primary objective of the scoping review is to map the scientific evidence on the interfaces between communication and education in health to indicate a conceptual framework that articulates communication and education practices within the context of health. Methods and analysis A transdisciplinary team developed this protocol based on the 2024 Joanna Briggs Institute Manual for Evidence Synthesis. The procedures required to conduct the review were guided by the frameworks proposed by Arksey and O'Malley, Levac et al and Peters et al. The study eligibility criteria were established based on the Problem, Concept and Context outlined in the research questions. Primary and secondary studies will be retrieved from nine sources, covering both conventional and grey literature. These sources include Embase, ERIC, LILACS, PubMed/MEDLINE, ScienceDirect, Scopus, Web of Science, the Brazilian Digital Library of Theses and Dissertations, and the Networked Digital Library of Theses and Dissertations. A categorised form will be used for data collection and subsequent analysis. The reporting of the review findings will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Ethics and dissemination The nature of the research and the use of secondary data sources do not require informed consent forms or approval from ethics committees in Brazil. The scientific findings from the review will be disseminated through peer-reviewed journals, academic conferences and other scientific communication channels. Study registration The protocol was registered on the Open Science Framework (OSF) and is available at https://doi.org/10.17605/OSF.IO/Z3CX7.
- Selective imprisonment in Brasil: a story beyond the wallsPublication . Valentim, Janaína Luana Rodrigues da Silva; Azevedo, Bruna; Fernandes, Emily; Coutinho, Karoliny Dantas; Silva, Ronaldo; Henriques, Susana; Romão, Manoel Honorio; Batista, Natalia Araújo do Nascimento; Coutinho, Karilany Dantas; Valentim, Ricardo Alexsandro de Medeiros; Oliveira, Carlos Alberto Pereira de; Dias, Aline de PinhoThis article discusses the Brazilian prison system and the challenges posed by social inequality that affect the prison population, presenting a concise historical context. The work is situated within the paradoxical context of a country with a Criminal Enforcement Law (LEP) considered modern, but which maintains a selective, segregating, and punitive model of incarceration. The central objective of this study is to analyze the contrast between the humanized ideal of the Criminal Enforcement Law (LEP) and the selective and exclusionary reality of the national prison system. It seeks to substantiate the social injustices perpetrated in prisons, often through the very mechanisms of justice. Furthermore, the article aims to discuss the need for transformation of the prison system, in alignment with the principles of human rights and the 2030 Agenda for Sustainable Development. The methodology of this study is qualitative and reflective in nature, delineated from a transdisciplinary approach. The narrative construction permeates a theoretical review of the legal, social, and ideological aspects of the prison system, with a dialogue between Law, Social Sciences, Public Health, and Education. The analysis included an examination of the Criminal Enforcement Law and a historical review from the Penal Code of 1830, in addition to a critical interpretation of official data and empirical studies. The results indicate institutional ineffectiveness in Brazilian prisons, operating as the last step in a systematic process of denial of rights that precedes imprisonment. It is demonstrated that overcrowding, low levels of education, and racial selectivity characterize the discrepancy between the norm and reality. However, the study highlights the potential of the Criminal Enforcement Law as an instrument for inducing humanitarian public policies. The analysis in light of the Sustainable Development Goals (SDGs) reveals that the effectiveness of the law requires integrated actions in health, education, and work, transforming the prison into a space for citizen reconstruction.
- AVASUS’ contributions to promoting lifelong learning in health: toward achieving the SDGs and strengthening global health securityPublication . Dias, Aline de Pinho; Caitano, Alexandre; Batista, Natalia Araujo do Nascimento; Valentim, Janaína Luana Rodrigues da Silva; Oliveira, Eloiza da Silva Gomes de; Lima, Thaísa Góis Farias de Moura Santos; Morgado, Lina; Rêgo, Maria Carmem F. D.; Oliveira, Carlos Alberto Pereira de; Coutinho, Karilany Dantas; Medeiros, Kelson C.; Bonfim, Marilyn; Melo, Ronaldo S.; Gusmão, Cristine Martins Gomes de; Lacerda, Juciano; Melo, Marcella da Rocha; Gallego, Almudena; Valentim, Ricardo; Romão, Manoel HonorioThe Virtual Learning Environment of the Brazilian Health System (AVASUS) was developed by the Laboratory for Technological Innovation in Health (LAIS) and the Secretariat of Distance Education (SEDIS) at the Federal University of Rio Grande do Norte (UFRN) in partnership with Brazil’s Ministry of Health (MoH). AVASUS provides open educational resources in the health field and has emerged as the third largest platform for massive health education globally, with more than one million students. Among the various learning pathways AVASUS offers, some specifically focus on meeting the educational needs to address public health emergencies and overlooked health contexts. The main argument in this study is that technology mediated lifelong learning in health is an effective strategy for achieving the Sustainable Development Goals (SDGs) of the 2030 Agenda. This chapter analyzes the pathways related to COVID-19, syphilis, and prison health, focusing on the con tributions towards achieving SDGs 3, 4, 5, 10, 11, 16, and 17 and fulfilling the Global Health Security Agenda. Our analysis revealed two key findings. Lifelong learning in health (i) prompts decision-making on public health policies and (ii) contributes towards implementing the SDGs. Ultimately, AVASUS should be recognized as a tool to improve health services and support policy-making
- Permanent health education for health economics in Brazil: a forgotten facet?Publication . Romão, Manoel Honorio; Paiva, Jordana Crislayne de Lima; Silva, Lorena de Macêdo; Oliveira Junior, Elinaldo Bernardo de; Costa, João Maria Macêdo da; Felipe, Israel José dos Santos; Campos, Rodrigo Pires de; Lima, Thaísa Góis Farias de Moura Santos; Rêgo, Maria Carmem F. D.; Reis, Mônica Karina Santos; Bonfim, Marilyn Anderson Alves; Valentim, Janaina Luana Rodrigues da Silva; Coutinho, Karilany Dantas; Dias, Aline de Pinho; Oliveira, Carlos Alberto Pereira de; Coitinho, Karla Mônica Dantas; Batista, Natalia Araújo do Nascimento; Rocha, Marcella A. da; Aragão, Erika Santos de; Guimarães, Jane Mary de Medeiros; Henriques, Susana; Veloso, Claudia Miranda; Valentim, Ricardo Alexsandro de Medeiros; Mendes, António QuintasIntroduction: This article analyzes the presence and induction of Permanent Health Education (PHE) in Health Economics (HE) within the official documents of the Department of Health Economics and Development (DESID) of Brazil’s Ministry of Health (MoH). Methods: This is an exploratory and descriptive qualitative study, grounded in the document analysis of 126 records categorized according to the elements proposed by Williams and content analysis based on Bardin’s method (2016). Results: The findings revealed a lack of programmatic, budgetary, and strategic guidelines specifically aimed at PHE in Health Economics, as well as a restricted provision of specialized courses and limited integration with public health management policies. Comparative analysis with international experiences, including the United Kingdom, Belgium, and South Africa, demonstrates that the institutionalization of HE training fosters greater efficiency, equity, sustainability, and rationality in the use of public resources. The findings suggest that continuous technical qualification in this field constitutes an essential component for strengthening Brazil’s National Health System (SUS). Discussion: In this context, there is a clear need for the formulation of government policies that stimulate, incentivize, and expand PHE in Health Economics, leveraging the potential of technological platforms such as AVASUS and the Brazil Telehealth Program, both of which possess significant reach, adherence, and engagement across the national territory.
- Interculturality, public health and health education: data report based on the Virtual Learning Environment of the Brazilian Health System (AVASUS)Publication . Cunha, Priscila; Batista, Natalia; Fernandes, Felipe; Barbalho, Ingridy; Romão, Manoel Honorio; Coutinho, Karla; Valentim, Janaína; Lacerda, Juciano; Dias, Aline de P.; Henriques, Susana; Valentim, Ricardo; Alves, Fátima; Coutinho, Karilany DantasInterculturality is increasingly gaining conceptual and operational relevance, especially in public health, since the cultural diversity of population groups generates myriad needs and demands for health services. In this scenario, technology-mediated Massive Open Online Courses (MOOCs) have become innovative strategies for health training from an intercultural perspective. In Brazil, this is exemplified by the reinforcement of comprehensive Indigenous health care initiatives under primary health care. Prison health is also part of this spectrum of measures, as seen in the National Policy for Comprehensive Healthcare for People Deprived of Liberty. Hence, the prison population is a significant example of cultural and social diversity.