Gestão socioambiental e educação em saúde na RDS rio negro : condições de vida e saúde em áreas de Unidade de Conservação

Abstract

This research sought to understand the living and health conditions of the population residing in a rural community in the Rio Negro Sustainable Development Reserve (RDS), highlighting the role of health education for inclusive socio-environmental management in a protected area. For this, we sought to characterize the socioeconomic and health status of families residing in a community in the area covered by RDS Rio Negro, highlighting health services and the challenges for health education in the conservation unit. As a central issue, the question is: does health constitute a structuring axis for the proposal of an inclusive socio- environmental management? When talking about a conservation unit in the Amazon, what concept of health is being used? From a methodological point of view, this is a field research with an exploratorydescriptive character, based on a mixed approach to data collection, both qualitative and quantitative, using combined techniques such as interviews, forms, conversation circles and direct observation. Notably, the socioeconomic status of the researched community revealed difficulties in maintaining an average monthly income, as well as the failure to leverage the productive and economic activities highlighted in the reserve's management plan. The community has little sanitary infrastructure and no sewage system. From the point of view of health services and care, there is overload in the care of the 19 RDS communities by only one UBS, as well as difficulties in the logistics of care for community health agents. Regarding the challenges of health education in conservation units, it is necessary to expand the concept of well-being and quality of life when it comes to new pedagogical practices for the construction of an inclusive socio-environmental management. Finally, the notion of sustainable development needs to be revised as a structuring axis for the existing socio-environmental management model in the Amazon region, based on three principles: sustainability, biodiversity and human dignity