TERRITORIALIZATION OF PUBLIC HEALTH SERVICES IN
THE MUNICIPALITY OF DELMIRO GOUVEIA –
ALAGOAS/BRAZIL
Geography, Health, Population Access, Sertão Alagoano.
The present research is a study about the territorialization of
public health in the municipality of Delmiro Gouveia/AL and the
accessibility of the population to health services. In this way, the
purpose is to identify the basic health units, analyzing the
professionals and the specialties that compose them, from
theoretical subsidies of the Geography of health, to recognize
how the population has access to care. It is expected to
understand how public health services in the municipality are
distributed or organized in the territory, and the means of
people's access to these services, which leads the research to
contribute to a study that identifies the problems existing,
collaborating for the implementation of public policies that can
benefit the entire population. In this sense, it is important to
analyze how the population has access to the Unified Health
System (SUS), which tools the city uses to expand services,
which professionals are used to provide care. These are some
of the questions that must be answered in order to identify
intervention tools in the municipal public domain. Public health
is, among other issues, an act of social justice and a dignified
life. Thus, this work highlights the importance of an in-depth
study on the public health system in the municipality of Delmiro
Gouveia, more precisely in the most vulnerable areas. The
methodological procedure comprises a bibliographic study,
carried out by reading works by authors such as Barcellos
(2020), Guimarães (2019), Borde and Torres (2017), Castro
(1984) and Santos (2001; 2006). The use of secondary data
produced by the Ministry of Health, the Municipal and State
Health Departments and the Brazilian Institute of Geography
and Statistics (IBGE). The field work, through participant
observation of situational analysis, visited Hospitals, UPA,
Health Department and Basic Health Units (UBS), located in the
urban and rural areas of the municipality. The production of
tables, graphs, photographs and maps. The results point to a
poor spatial distribution of health units, with a concentration of
services in more centralized neighborhoods and absence in
others located around the urban perimeter and in several rural
communities. It is concluded that the existing power relations in
the territories, which directly influence political decisions, lead to
the centralization of health services. Consequently, the
distribution of units does not follow urban and rural expansion,
not serving all territories equally.