02859nas a2200253   4500000000100000008004100001260003400042653001800076100001200094700002900106700002500135700002800160700002600188700002300214700002300237700001800260700001200278245014400290856007900434300001400513490000700527520205700534022001402591       2022                            d  bOxford University Press (OUP)10aHealth Policy1 aLyra TM1 aVeloso de Albuquerque MS1 aSantos de Oliveira R1 aMorais Duarte Miranda G1 aAndréa de Oliveira M1 aEduarda Carvalho M1 aFernandes Santos H1 aPenn-Kekana L1 aKuper H00aThe National Health Policy for people with disabilities in Brazil: an analysis of the content, context and the performance of social actors  uhttps://academic.oup.com/heapol/article-pdf/37/9/1086/46460391/czac051.pdf  a1086-10970 v373 a<p>The purpose of this article is to analyse the circumstances in which the National Health Policy for Persons with Disabilities (PNSPCD) came into place in 2002 and the factors supporting or impeding its implementation from 2002 to 2018. The analysis was based on the Comprehensive Policy Analysis Model proposed by Walt and Gilson and focussed on understanding the context, process, content and actors involved in the formulation and implementation of the Policy. Data were obtained from two sources: document analysis of the key relevant documents and seven key informant interviews. Content analysis was undertaken using the Condensation of Meanings technique. The research demonstrates that the development and implementation of PNSPCD is marked by advances and retreats, determined, above all, by national and international macro-political decisions. The policy was formulated during Fernando Henrique’s governments, under pressure from social movements and the international agenda and constituted a breakthrough for the rights of persons with disabilities. However, progress on implementation only took place under subsequent centre-left governments with the establishment of a care network for people with disabilities and a defined specific budget. These developments resulted from the mobilization of social movements, the ratification of the United Nations Convention on the rights of people with disabilities and the adherence of these governments to the human rights agenda. The coming to power of ultra-right governments triggered fiscal austerity, a setback in the implementation of the care network and a weakening in the content of various social policies related to the care of people with disabilities. During this era, the political approach changed, with the attempt to evade the role of the State, and the perspective of guaranteeing social rights. Undoubtedly, the neoliberal offensive on social policies, especially the Unified Health System, is the main obstacle to the effective implementation of the PNPCD in Brazil.</p>
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