SOCIAL PARTICIPATION AND HEALTH POLICIES FOR THE RIVERINE POPULATION IN THE AMAZON: the case of the Tapajós-Arapiuns Extractive Reserve
Amazonian cities are home to riverside populations who live on the banks of rivers, sustainably exploiting forest and river resources for their livelihoods. However, they still need to move to urban areas or to other nearby communities in search of public services. This research is fundamentally concerned with the lack of access of these populations to social policies, specifically health policies regarding access to the Unified Health System (SUS). The objective of this research is to analyze how social participation in the municipality of Santarém-PA has made it possible to guarantee the universal right to health to the riverside populations of the Amazon. The methods applied will be of an applied, exploratory, multi-method qualitative nature with field research and participant research that aim to investigate the experience of social participation in the implementation of public health policy (focus on primary care) specifically in the region of RESEX Tapajós Arapiuns in the municipality of Santarém-Pa. The data collection techniques employed will be: bibliographic research, documentary research, semi-structured interviews with various actors and participant observation in field visits in the riverside communities of RESEX Tapajós-Arapiuns. he theoretical lens for the analysis of the empirical object is focused on the themes of social participation in the context of the post-democratization period in Brazil where the SUS and other health policies were institutionalized (GOHN, 2019a, 2019b, 2022; AVRITZER 2012, 2009; MILANI, 2008; ABERS and BULOW, 2011; LOUREIRO 2014; MILHOMENS, 2017). It is hoped that the results of this doctoral research will contribute to the debate and to the strengthening of democratic and participatory practices in social policies in the context of traditional and vulnerable populations living in the Amazon region.