Equity and counter-hegemonic impact in health professional education: the perception of undergraduate students.
Health Equity. Health Education. Unified Health System.
Professional education in health in Brazil takes place within a context marked by disputes between different societal projects, particularly between the principles of the Unified Health System (SUS) and the neoliberal hegemony that orients part of educational and social policies. Within this scenario, equity constitutes one of the fundamental principles of SUS; however, its
incorporation into professional education still faces limits arising from an educational rationale frequently oriented by market interests and technicist teaching models. Given this, this dissertation's general objective is to understand how extension activities, articulated with the theme of equity, are configured as counter-hegemonic practices in the face of neoliberal professional education in health. This is a qualitative study guided by the theoretical-methodological framework of historical-dialectical materialism,
developed through a focus group and semi-structured interviews with undergraduate students from different health-related courses, participants in an extension project linked to a public university in northeastern Brazil. The data were organized into a textual corpus submitted to lexical analysis using the IRaMuTeQ software, whose results informed the content analysis stage based on Bardin. The results show how the equity-related activities developed within the extension project are articulated in students' formative experience, revealing both the potential of extension experiences in building counter-hegemonic practices committed to equity, social justice, and the principles of SUS, and the limits imposed by neoliberal rationality on the consolidation of this formative project.