Banca de DEFESA: GIRLAN GUEDES DOS SANTOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : GIRLAN GUEDES DOS SANTOS
DATE: 26/08/2025
TIME: 14:30
LOCAL: Plataforma Virtual Google Meet - link: meet.google.com/snb-nxzi-cwv
TITLE:

THE INFLUENCE OF THE ORIENTATIONS OF MULTILATERAL HEGEMONY BODIES ON THE FORMULATION OF PRIMARY HEALTH CARE IN ULTRA-NEOLIBERAL GOVERNMENTS IN BRAZIL (2016-2022)

KEY WORDS:

Imperialism; Ultraneoliberalism; Multilateral Hegemonic Apparatuses - World Bank, World Health Organization; Primary Health Care; Counter-hegemonic Apparatuses; Health Struggles.

PAGES: 219
BIG AREA: Ciências Sociais Aplicadas
AREA: Serviço Social
SUBÁREA: Fundamentos do Serviço Social
SUMMARY:

This present thesis analyzes the influences of the multilateral apparatuses of hegemony of the imperialist countries’ representative capital, particularly the World Bank (WB) and the World Health Organization (WHO) specifically, about the health policies of countries with dependent capitalism. Its purpose was to analyze the performance of multilateral apparatuses of hegemony WB/WHO, and their recommendations as instruments of imperialist capital in the context of the ultraneoliberal offensive against Health Policy in Brazil, and particularly the expressions of the counter-reform process in the formulation of Primary Health Care (PHC). It starts from the premise that the treatment assigned to PHC, as it constitutes the priority entrance door for access to SUS actions and services, expresses the direction of health policy itself. In these terms, we focused our analysis on World Bank/WHO documents that address guidelines for formulating PHC, finding that they contain an uncompromising defense of intensifying the counter-reform process in health, highlighting privatization and defunding. Simultaneously, we examined as the struggle and resistance process led by the counter-hegemonic apparatuses linked to the Brazilian Health Reform Movement (MRSB), including the Brazilian Center for Health Studies (CEBES), the Brazilian Association of Public Health (Abrasco) and the National Front Against Health Privatization (FNCPS) are getting place. Such incursion required the use of Critical Social Theory fundamentals as a basis for a bibliographic review and documentary analysis, considered appropriate for unveiling the attacks on Brazilian health policy, particularly PHC, in the context of the contemporary crisis of capitalist accumulation, highlighting the new configurations of imperialism and its relationship with dependent countries. Our hypothesis was that in countries with dependent economies, such as Brazil, there are harmful implications for the living and working conditions of the working class, which result in overexploitation and expropriation that translate into the reduction of social and labor rights, with strong attacks against the implementation of the principles of the Unified Health System (SUS), especially health as a universal right, from 2016 to 2022, which includes the ultra-neoliberal governments of Michel Temer and Jair Bolsonaro, but also seeking to understand its impacts at the beginning of the Lula III government. We found that the Temer and Bolsonaro governments were marked by measures aimed at implementing counter-reforms in the management and care model, focusing on changes in PHC financing aligned with the objective of promoting cuts in health spending, backtracking on the formulation of PHC reduced to Universal Coverage, integrating a larger project of widespread commodification of public health services to respond to the crisis of capital accumulation, combining defunding and reduction of spending in the SUS's own network with broad privatization of the SUS, through contractualization, including new contracting modalities such as Social Organizations (SOs), Public-Private Partnerships (PPPs), and the Brazilian Hospital Services Company (EBSERH), privatizing the management of the public health network through diversification of private service procurement modalities. Our hypothesis is that the defunding, privatization, targeting, and selectivity present in the WB/WHO guidelines focused on PHC constitute a broader process of capitalist restoration aimed at opening new spaces for the expanded reproduction of capital through the appropriation of public funds, both nationally and internationally. In Brazil, this reality faces resistance, led by counter-hegemonic apparatuses organically linked to the MRSB.

COMMITTEE MEMBERS:
Presidente - ***.166.784-** - MARIA DALVA HORACIO DA COSTA - UFRN
Externa à Instituição - ALESSANDRA XIMENES DA SILVA - UEPB
Externo à Instituição - KATHLEEN ELANE LEAL VASCONCELOS - UEPB
Externo à Instituição - MARIA VALERIA COSTA CORREIA - UFAL
Externa à Instituição - PAULETTE CAVALCANTI DE ALBUQUERQUE - UFPE
Externo à Instituição - RAQUEL CAVALCANTE SOARES - UFPE