A Saúde e as fronteiras no âmbito da integração regional: uma análise do SIS Fronteiras nas cidades de Ponta Porã e Pedro Juan Caballero

Abstract

The integration and the development regional the regions of interest are the custom made the heavy year, in the economical, with a creation of Mercosul. However, motivated by the inclusion of social issues in the Mercosur agenda, as the borders have played an important role in the sessions on social requirements and also for the study and programming of candidates that allow an effort for social development between countries of the bloc. In this sense, the right to health is a fundamental right contained in the Universal Declaration of Human Rights and also constitutes a regional integration mechanism of great importance for the development of economically depressed areas, such as border areas. The objective of this study is to analyze how access to health, represented by public health services, is guaranteed, shared and financed in the border area that covers the cities of Ponta Porã and Pedro Juan Caballero, and to analyze the effects of implementation of SIS Fronteiras in the way of sharing, financing and making these services available to the border population. To do so, it addresses the differences in the legal and constitutional provisions of Brazil and Paraguay regarding the right to health, how the health systems of both countries are formed, and the current political reality and its direct interference in the creation and development of health policies. Health cooperation among the countries studied, as well as presents the results and impact of the measures already implemented, in particular the SIS Fronteiras in the twin cities of Ponta Porã and Pedro Juan Caballero. The study presents some existing asymmetries in the access to the right to health that end up justifying the demand for care of Paraguayans in the Brazilian health system and the difficulty of implementing policies that contemplate ensuring the effective harmonization of access to health in border areas.